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Return to work after deceased donor kidney transplant under the kidney allocation system.
Wherry, Kael S; Dowd, Bryan E; Kuntz, Karen M; Berg, Bjorn P; McGovern, Patricia M; Pruett, Timothy L.
Afiliación
  • Wherry KS; Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
  • Dowd BE; Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
  • Kuntz KM; Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
  • Berg BP; Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
  • McGovern PM; Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
  • Pruett TL; Division of Transplantation, Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
Clin Transplant ; 35(11): e14444, 2021 11.
Article en En | MEDLINE | ID: mdl-34318522
BACKGROUND: The Kidney Allocation System (KAS) includes a scoring system to match transplant candidate life expectancy with expected longevity of the donor kidney, and a backdating policy that gives waitlist time credit to patients waitlisted after starting dialysis treatment (post-dialysis). We estimated the effect of the KAS on employment among patient subgroups targeted by the policy. METHODS: We used a sample selection model to compare employment after transplant before and after KAS implementation among patients on the kidney-only transplant waitlist between December 4, 2011 and December 31, 2017. RESULTS: Post-dialysis transplant recipients aged 18-49 were significantly more likely to be employed 1-year post transplant in the post-KAS era compared to the pre-KAS era. Transplant recipients aged 35-64 with no dialysis treatment were significantly less likely to be employed 1 year after transplant in the post-KAS era compared to the pre-KAS era. CONCLUSIONS: This study provides the first assessment of employment after DDKT under the KAS and provides important information about both the methods used to measure employment after transplant and the outcome under the KAS. Changes in employment after DDKT among various patient subgroups have important implications for assessing long-term patient and societal effects of the KAS and organ allocation policy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obtención de Tejidos y Órganos / Trasplante de Riñón Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: Clin Transplant Asunto de la revista: TRANSPLANTE Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Dinamarca
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obtención de Tejidos y Órganos / Trasplante de Riñón Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: Clin Transplant Asunto de la revista: TRANSPLANTE Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Dinamarca