Predictors of employment after successful kidney transplantation - a population-based study.
BACKGROUND
Kidney transplantation is currently the treatment of choice for end-stage renal disease. As the successful transplantation improves the physical and mental quality of life, it is expected that the transplant recipient should play a productive role in the society. The present study evaluates the occurrence and predictors of employment after kidney transplantation.


METHODS
Population-based cross-sectional study in which 272 adult kidney recipients assisted in a Brazilian Southern state were evaluated.


RESULTS
At the moment of the interview, 29% of the patients were employed. After analysis with logistic regression, the predictors of employment were male sex (OR 4.04; 95% CI 1.99-8.23), pre-transplant employment for non-diabetic (OR 4.35; 95% CI 3.79-4.99), diabetes for individuals who worked while on dialysis (OR 0.06; 95% CI 0.008-0.5), high educational level for individuals with mental quality of life scores above the 25th percentile (OR 3.06; 95% CI 2.98-3.14 for 50th percentile of mental quality of life). The Hosmer-Lemeshow test was of 3.33 (p = 0.91).


CONCLUSIONS
The participation of the kidney transplant recipients with functioning graft into the work force in the Brazilian state of Rio Grande do Sul is low, being predicted mainly by sociodemographic factors. It was not detected any influence of patient perception of his/her physical conditions or other clinical variables, except for the presence of diabetes.
Bohlke
Maristela
M
Postgraduation Program in Nephrology, Federal University of São Paulo, Brazil. mbohlke@conesul.com.br
Marini
Stela Scaglioni
SS
Gomes
Rafael Hissé
RH
Terhorst
Lisoneide
L
Rocha
Marcos
M
Poli de Figueiredo
Carlos Eduardo
CE
Sesso
Ricardo
R
Irigoyen
Maria Claudia
MC
D000328:Adult; D003430:Cross-Sectional Studies; D004651:Employment; D006801:Humans; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D011788:Quality of Life; D011795:Surveys and Questionnaires