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Related Experiment Videos

Return to work after lung transplantation

W Paris1, M Diercks, J Bright

  • 1Integris Oklahoma Transplantation Institute, Oklahoma City 73112-4481, USA.

The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation
|May 20, 1998
PubMed
Summary

Return-to-work (RTW) rates after lung transplantation are 37% for medically able individuals, comparable to other organ transplants. Pre-transplant employment and functional improvements significantly influence RTW, though social factors remain barriers.

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Area of Science:

  • Medical Rehabilitation
  • Transplant Surgery Outcomes
  • Pulmonology

Background:

  • Social rehabilitation is crucial for lung transplant recipients as outcomes improve.
  • Limited data exists on return-to-work (RTW) rates post-lung transplantation compared to other organ transplants.

Purpose of the Study:

  • To identify factors influencing RTW after lung transplantation.
  • To establish baseline RTW rates for lung transplant recipients.

Main Methods:

  • Survey of 99 lung transplant recipients across two international centers.
  • Stepwise discriminant analysis to identify influencing factors on RTW.
  • Analysis of employment status, medical ability to work, and functional metrics.

Main Results:

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  • Overall RTW rate for medically able recipients was 37% (22/60).
  • Pre-transplant employment, specific diagnoses (emphysema, cystic fibrosis, pulmonary hypertension), self-reported ability to work, improved lung function (percent predicted FVC), and 6-minute walk distance > 550m positively influenced RTW.
  • Employment type (new vs. previous) differed between Canadian and US recipients.

Conclusions:

  • The 37% employment rate is comparable to other organ transplant recipients.
  • Lung transplant procedure type (single vs. bilateral) did not impact employment.
  • Social factors continue to present barriers to employment for some lung transplant recipients.