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Return to work after kidney transplant: a systematic review
V D'Egidio1, A Mannocci1, D Ciaccio1
1Department of Public Health and Infectious Disease, Sapienza University of Rome, Rome, Italy.
Occupational Medicine (Oxford, England)
|August 9, 2019
Summary
Return to work after kidney transplant is influenced by many factors. Multidimensional interventions focusing on rehabilitation and modifiable factors are vital to improve employment outcomes for kidney transplant recipients.
Area of Science:
- Nephrology
- Transplant Surgery
- Occupational Medicine
Background:
- Kidney transplantation is the optimal treatment for end-stage renal disease.
- Post-transplant employment signifies recovery and enhances well-being.
Purpose of the Study:
- To assess employment status post-kidney transplant.
- To identify factors enabling or hindering return to work.
Main Methods:
- Systematic review of PubMed, Scopus, and Cochrane Library (March 2019).
- Search terms: 'return to work', 'kidney', 'transplant'.
- Quality assessment using INSA and Newcastle-Ottawa Scale.
Main Results:
- Included 18 studies (10 cross-sectional, 6 cohort, 2 narrative reviews).
- Weighted mean return to work within 1 year: 39.4%.
- Employment influenced by pre-transplant work, demographics, clinical factors, transplant type, dialysis history, psychosocial support, and education.
Conclusions:
- Return to work is a complex process with multiple influencing factors.
- Multidimensional interventions targeting modifiable factors are crucial for improving employment.
- This review enhances understanding of transplant outcomes and disability management.
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