PDI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Perit Dial Int 21(6): 595-601 2001
© 2001 International Society for Peritoneal Dialysis
This Article
Right arrow Full Text (PDF)
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by van Manen, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by van Manen, J.
Peritoneal Dialysis International, Vol 21, Issue 6, 595-601
Copyright © 2001 by International Society for Peritoneal Dialysis

Articles

Changes in employment status in end-stage renal disease patients during their first year of dialysis

JG van Manen, JC Korevaar, FW Dekker, MC Reuselaars, EW Boeschoten, RT Krediet, and

Department of Clinical Epidemiology and Biostatistics, Academic Medical Center, University of Amsterdam, The Netherlands. j.g.vanmanen@amc.uva.nl

OBJECTIVE: To assess employment status in new end-stage renal disease (ESRD) patients at the start of dialysis and after 1 year, and to determine whether demographic and clinical variables and physical and psychosocial functioning at the start of dialysis are risk factors for loss of employment after 1 year of dialysis. DESIGN: Prospective follow-up study in which 38 of 48 Dutch dialysis centers participate. PATIENTS: 659 patients who had started on dialysis and who were between 18 and 65 years old were included. Patients were re-examined after 12 months. MAIN OUTCOME MEASURES: Demographic data, physical and psychosocial functioning with the Short-Form Health Survey (SF-36), and data on employment status were obtained using questionnaires. Nephrologists provided the clinical data. RESULTS: At the start of dialysis, 35% of patients were employed, in contrast to 61% of the general Dutch population. Within 1 year, the proportion of employed patients decreased from 31% to 25% of hemodialysis patients, and from 48% to 40% of peritoneal dialysis patients. In patients who were working at the start of dialysis, independent risk factors for loss of work within 1 year were impaired physical and psychosocial functioning [odds ratio physical: 3.4, 95% confidence interval (% CI), 1.0-11.2; odds ratio psychosocial: 4.2, 95% CI, 1.2-14.2]. CONCLUSIONS: As the percentage of employed patients at the start of dialysis is about half the expected percentage, loss of work is an important issue in both predialysis and dialysis patients. Improvements in physical and psychosocial functioning are potentially preventive of loss of work in patients who are employed when they start dialysis.




This article has been cited by other articles:


Home page
 CJASNHome page
B. M.R. Spiegel, G. Melmed, S. Robbins, and E. Esrailian
Biomarkers and Health-Related Quality of Life in End-Stage Renal Disease: A Systematic Review
Clin. J. Am. Soc. Nephrol., November 1, 2008; 3(6): 1759 - 1768.
[Abstract] [Full Text] [PDF]

Home page
 Nephrol Dial TransplantHome page
P. M. Just, F. Th. de Charro, E. A. Tschosik, L. L. Noe, S. K. Bhattacharyya, and M. C. Riella
Reimbursement and economic factors influencing dialysis modality choice around the world
Nephrol. Dial. Transplant., July 1, 2008; 23(7): 2365 - 2373.
[Abstract] [Full Text] [PDF]

Home page
 JAMAHome page
L. E. Boulware, B. G. Jaar, M. E. Tarver-Carr, F. L. Brancati, and N. R. Powe
Screening for Proteinuria in US Adults: A Cost-effectiveness Analysis
JAMA, December 17, 2003; 290(23): 3101 - 3114.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Multimed Inc. logo
Copyright © 2001 by Multimed Inc.