Predictors of return to work after kidney transplantation: a 12-month cohort of the Japan Academic Consortium of Kidney Transplantation study
Objectives To investigate the cumulative return-to-work (RTW) rate and to identify predictors of employment after kidney transplantation (KT).Design Retrospective, outpatient-based cohort study.Setting This was a single-centre study of the largest Japanese kidney transplant centre.Participants We se...
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BMJ Publishing Group
2019-10-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/10/e031231.full |
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| author | Katsunori Miyake Motoki Endo Masayoshi Okumi Kohei Unagami Yoichi Kakuta Miyuki Furusawa Tomokazu Shimizu Kazuya Omoto Hiroki Shirakawa Hideki Ishida Kazunari Tanabe |
| author_facet | Katsunori Miyake Motoki Endo Masayoshi Okumi Kohei Unagami Yoichi Kakuta Miyuki Furusawa Tomokazu Shimizu Kazuya Omoto Hiroki Shirakawa Hideki Ishida Kazunari Tanabe |
| author_sort | Katsunori Miyake |
| collection | DOAJ |
| description | Objectives To investigate the cumulative return-to-work (RTW) rate and to identify predictors of employment after kidney transplantation (KT).Design Retrospective, outpatient-based cohort study.Setting This was a single-centre study of the largest Japanese kidney transplant centre.Participants We selected Japanese kidney transplant recipients aged 20–64 years who were employed in paid jobs at the time of transplantation and who visited an outpatient clinic from December 2017 to March 2018. From 797 patients, we evaluated 515 in this study.Interventions We interviewed patients at an outpatient clinic and investigated the timing and predictors of RTW using logistic regression models.Primary and secondary outcome measures The primary outcome was the cumulative RTW rate, and the secondary outcome was to investigate the predictors of RTW after KT.Results Among the 515 included recipients, the cumulative overall partial/full RTW rates at 2, 4, 6 and 12 months were 22.3%, 59.0%, 77.1% and 85.0%, respectively. The median duration from transplantation to RTW was 4 months. Regarding partial/full RTW, according to the multivariable analysis including all variables, male sex was a greater predictor for RTW than female sex (OR 2.05, 95% CI 1.32 to 3.20), and a managerial position was a greater predictor than a non-managerial position (OR 2.23, 95% CI 1.42 to 3.52). Regarding full RTW, male sex (OR 1.95, 95% CI 1.25 to 3.06) and managerial position (OR 1.95, 95% CI 1.25 to 3.06) were also good predictors.Conclusions The cumulative RTW rate was 85.0% 1-year post-transplantation. Given that cumulative RTW rates varied by sex and position, transplant and occupational physicians should support kidney transplant recipients in the aspect of returning to work.Trial registration number UMIN000033449 |
| format | Article |
| id | doaj-art-18571fe4f6d140babd9e49de4ba09a7c |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-18571fe4f6d140babd9e49de4ba09a7c2025-08-20T02:38:49ZengBMJ Publishing GroupBMJ Open2044-60552019-10-0191010.1136/bmjopen-2019-031231Predictors of return to work after kidney transplantation: a 12-month cohort of the Japan Academic Consortium of Kidney Transplantation studyKatsunori Miyake0Motoki Endo1Masayoshi Okumi2Kohei Unagami3Yoichi Kakuta4Miyuki Furusawa5Tomokazu Shimizu6Kazuya Omoto7Hiroki Shirakawa8Hideki Ishida9Kazunari Tanabe10Department of Urology, Tokyo Women’s Medical University, Shinjuku-ku, Japan1 Department of Public Health, Juntendo University Graduate School of Medicine, Bunkyo-ku, Tokyo, JapanDepartment of Urology, Tokyo Women’s Medical University, Shinjuku-ku, JapanDepartment of Organ Transplant Medicine, Tokyo Women’s Medical University, Shinjuku-ku, JapanDepartment of Urology, Tokyo Women’s Medical University, Shinjuku-ku, JapanDepartment of Urology, Tokyo Women’s Medical University, Shinjuku-ku, JapanDepartment of Urology, Tokyo Women’s Medical University, Shinjuku-ku, JapanDepartment of Urology, Tokyo Women’s Medical University, Shinjuku-ku, JapanDepartment of Urology, Tokyo Women’s Medical University, Shinjuku-ku, JapanDepartment of Organ Transplant Medicine, Tokyo Women’s Medical University, Shinjuku-ku, JapanDepartment of Urology, Tokyo Women’s Medical University, Shinjuku-ku, JapanObjectives To investigate the cumulative return-to-work (RTW) rate and to identify predictors of employment after kidney transplantation (KT).Design Retrospective, outpatient-based cohort study.Setting This was a single-centre study of the largest Japanese kidney transplant centre.Participants We selected Japanese kidney transplant recipients aged 20–64 years who were employed in paid jobs at the time of transplantation and who visited an outpatient clinic from December 2017 to March 2018. From 797 patients, we evaluated 515 in this study.Interventions We interviewed patients at an outpatient clinic and investigated the timing and predictors of RTW using logistic regression models.Primary and secondary outcome measures The primary outcome was the cumulative RTW rate, and the secondary outcome was to investigate the predictors of RTW after KT.Results Among the 515 included recipients, the cumulative overall partial/full RTW rates at 2, 4, 6 and 12 months were 22.3%, 59.0%, 77.1% and 85.0%, respectively. The median duration from transplantation to RTW was 4 months. Regarding partial/full RTW, according to the multivariable analysis including all variables, male sex was a greater predictor for RTW than female sex (OR 2.05, 95% CI 1.32 to 3.20), and a managerial position was a greater predictor than a non-managerial position (OR 2.23, 95% CI 1.42 to 3.52). Regarding full RTW, male sex (OR 1.95, 95% CI 1.25 to 3.06) and managerial position (OR 1.95, 95% CI 1.25 to 3.06) were also good predictors.Conclusions The cumulative RTW rate was 85.0% 1-year post-transplantation. Given that cumulative RTW rates varied by sex and position, transplant and occupational physicians should support kidney transplant recipients in the aspect of returning to work.Trial registration number UMIN000033449https://bmjopen.bmj.com/content/9/10/e031231.full |
| spellingShingle | Katsunori Miyake Motoki Endo Masayoshi Okumi Kohei Unagami Yoichi Kakuta Miyuki Furusawa Tomokazu Shimizu Kazuya Omoto Hiroki Shirakawa Hideki Ishida Kazunari Tanabe Predictors of return to work after kidney transplantation: a 12-month cohort of the Japan Academic Consortium of Kidney Transplantation study BMJ Open |
| title | Predictors of return to work after kidney transplantation: a 12-month cohort of the Japan Academic Consortium of Kidney Transplantation study |
| title_full | Predictors of return to work after kidney transplantation: a 12-month cohort of the Japan Academic Consortium of Kidney Transplantation study |
| title_fullStr | Predictors of return to work after kidney transplantation: a 12-month cohort of the Japan Academic Consortium of Kidney Transplantation study |
| title_full_unstemmed | Predictors of return to work after kidney transplantation: a 12-month cohort of the Japan Academic Consortium of Kidney Transplantation study |
| title_short | Predictors of return to work after kidney transplantation: a 12-month cohort of the Japan Academic Consortium of Kidney Transplantation study |
| title_sort | predictors of return to work after kidney transplantation a 12 month cohort of the japan academic consortium of kidney transplantation study |
| url | https://bmjopen.bmj.com/content/9/10/e031231.full |
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