title: Self-Reported Employment Status and Social Participation After Successful Kidney Transplantation.
abstract: BACKGROUND
  Kidney transplantation (KTX) is considered the treatment of choice for most individuals with end-stage kidney disease. The purpose of this study was to assess the employment status and social participation after successful KTX.
  
  
  METHODS
  This was a retrospective cross-sectional study. Eligible participants were patients who received a transplant ≥1 year ago and who were previously on hemodialysis (HD) for ≥1 year. Two hundred individuals participated in this study.
  
  
  RESULTS
  A significant number (93.5%) of patients reported they were working prior to HD versus 35% while on HD. Only 14% reported receiving disability benefits prior to HD versus 75% receiving disability while on HD. Comparing transplant recipients with pre-HD patients, 35.5% versus 93.5% reported working, and 74.5% versus 14% reported receiving disability benefits, respectively. After transplant, patients were more likely to join recreational clubs, travel frequently, and participate in recreational/religious activities and social events than when they were on HD.
  
  
  CONCLUSIONS
  Posttransplant, these individuals are more likely to participate in social and leisure activities, but the majority did not resume employment and continued to receive disability payments. Future studies could explore barriers to employment in patients who underwent successful transplantation and the causes and factors as to why these individuals continue to receive disability benefits.
authors.affiliation: University of Rochester Medical Center, Rochester, NY, USA Division of Nephrology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA sparajuli@medicine.wisc.edu.
authors.forename: Sandesh
authors.initials: S
authors.lastname: Parajuli
authors.affiliation: University of Rochester Medical Center, Rochester, NY, USA Guthrie Robert Packer Hospital, Sayre, PA, USA.
authors.forename: Jagmeet
authors.initials: J
authors.lastname: Singh
authors.affiliation: University of Rochester Medical Center, Rochester, NY, USA McGill University Health Centre, Montreal, QC, Canada.
authors.forename: Shaifali
authors.initials: S
authors.lastname: Sandal
authors.affiliation: University of Rochester Medical Center, Rochester, NY, USA.
authors.forename: Scott E
authors.initials: SE
authors.lastname: Liebman
authors.affiliation: University of Rochester Medical Center, Rochester, NY, USA.
authors.forename: Richard A
authors.initials: RA
authors.lastname: Demme
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D004651:Employment / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011998:Recreation; D012067:Religion; D012189:Retrospective Studies; D057566:Self Report; D058992:Social Participation; D014195:Travel / Q000706:statistics & numerical data
keywords: dialysis; disability; employment; kidney transplant; social participation