Studies of dialysis patients report unemployment rates of 60% to 75% ; however, it is generally believed that following transplantation, improvement in well-being and removal of time constraints imposed by the dialytic regimen afford improvement in employment status.
We studied 58 stable renal transplant recipients attending an outpatient transplant clinic by questionnaire, administered anonymously.
Only 25 (43%) of the patients were currently employed.
Employed and unemployed patients did not differ when compared for age, gender, race, cause of renal disease, type of transplant or prior dialysis, time on dialysis or time since transplantation, years of education, or prestige score or classification ( « blue collar » v « white collar ») of prior job.
In the employed group, 24 (96%) patients had worked before developing kidney disease compared with 23 (70%) patients in the unemployed group (P<0.05).
While on dialysis, 19 (79%) of the employed patients continued working compared with 10 (30%) of the unemployed patients (P<0.005).
Major reasons for discontinuing work after starting dialysis for both groups were subjective illness (feeling too sick, 51%), followed by interference of the dialysis regimen with time necessary for work (32%). Only 15% of the previously employed patients did not work after transplantation because of feeling too sick. (...)
Mots-clés Pascal : Transplantation, Rein, Homme, Chomage, Analyse multivariable, Impact socioéconomique, Hémodialyse, Etude comparative, Chirurgie, Rein pathologie, Appareil urinaire pathologie, Epuration extrarénale
Mots-clés Pascal anglais : Transplantation, Kidney, Human, Unemployment, Multivariate analysis, Socioeconomical impact, Hemodialysis, Comparative study, Surgery, Kidney disease, Urinary system disease, Extrarenal dialysis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0392106
Code Inist : 002B25H. Création : 12/09/1997.