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[Chronic kidney disease - The relevant information for an occupational physician]

Marcin Renke1, Jacek Parszuto2, Marcin Rybacki3

  • 1Gdański Uniwersytet Medyczny / Medical University of Gdansk, Gdańsk, Poland (Klinika Chorób Zawodowych, Metabolicznych i Wewnętrznych / Department of Occupational, Metabolic and Internal Diseases). mrenke@gumed.edu.pl.

Medycyna Pracy
|November 18, 2017
PubMed

Insights

Chronic kidney disease (CKD) affects millions and is linked to other lifestyle diseases. This study aims to improve safe employment for kidney patients, addressing contraindications for driving and maritime work.

Area of Science:

  • Nephrology
  • Occupational Medicine
  • Public Health

Background:

  • Chronic kidney disease (CKD) is a significant lifestyle disease, affecting over 4 million people in Poland.
  • CKD is often a consequence of other prevalent conditions like obesity, diabetes, cardiovascular disease, and hypertension.
  • Nephrological conditions are increasingly considered in medical certifications for employment.

Purpose of the Study:

  • To enhance safe labor access for individuals diagnosed with kidney diseases.
  • To review current legislation regarding health contraindications for employment in patients with renal failure.
  • To address the implications of CKD on occupational health certifications.

Main Methods:

  • Review of existing Polish legislation concerning health requirements for employment.
  • Analysis of regulations pertaining to driving and maritime work for individuals with renal failure.
  • Examination of ICD-10 codes (N17-N19) related to acute and chronic renal failure in occupational health assessments.

Main Results:

  • Current Polish legislation (since 2014) identifies chronic renal failure as a potential health contraindication for driving.
  • Specific health conditions for seafarers (2015) mandate consideration of renal failure codes (ICD-10: N17-N19) for maritime employment qualification.
  • There is a growing recognition of nephrological issues in occupational health evaluations.

Conclusions:

  • Legislation exists that may restrict employment for individuals with chronic kidney disease.
  • Further work is needed to ensure safe and equitable labor access for kidney patients.
  • Occupational health policies require careful consideration of renal health status.

Keywords:
albuminuriachronic kidney diseasedrivingevaluation of fitness for workmedical certificationwork at sea

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