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Employment Status and Associations with Workability, Quality of Life and Mental Health after Kidney Transplantation in Austria

Kidney transplantation (KTx) in end-stage renal disease is associated with a significant increase in quality of life (QoL) and self-perceived health, optimally leading to the maintenance of employment or return to work (RTW) in working-age patients. The aim of this study was to assess individual fac...

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Autores principales: Jordakieva, Galateja, Grabovac, Igor, Steiner, Margarete, Winnicki, Wolfgang, Zitta, Sabine, Stefanac, Sinisa, Brooks, Moritz, Sunder-Plaßmann, Gere, Rosenkranz, Alexander R., Godnic-Cvar, Jasminka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068411/
https://www.ncbi.nlm.nih.gov/pubmed/32075277
http://dx.doi.org/10.3390/ijerph17041254
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author Jordakieva, Galateja
Grabovac, Igor
Steiner, Margarete
Winnicki, Wolfgang
Zitta, Sabine
Stefanac, Sinisa
Brooks, Moritz
Sunder-Plaßmann, Gere
Rosenkranz, Alexander R.
Godnic-Cvar, Jasminka
author_facet Jordakieva, Galateja
Grabovac, Igor
Steiner, Margarete
Winnicki, Wolfgang
Zitta, Sabine
Stefanac, Sinisa
Brooks, Moritz
Sunder-Plaßmann, Gere
Rosenkranz, Alexander R.
Godnic-Cvar, Jasminka
author_sort Jordakieva, Galateja
collection PubMed
description Kidney transplantation (KTx) in end-stage renal disease is associated with a significant increase in quality of life (QoL) and self-perceived health, optimally leading to the maintenance of employment or return to work (RTW) in working-age patients. The aim of this study was to assess individual factors including the QoL and mental health of kidney transplant recipients (KTRs) associated with employment after transplantation. A cross-sectional study including working-age patients with a history of KTx after 2012 was conducted at two Austrian study centers (Vienna and Graz). Brief Symptom Inventory (BSI-18), World Health Organization Quality of Life (WHOQOL-Bref) and Workability Index (WAI) were assessed along with detailed questionnaires on employment status. Out of n = 139 KTRs (43.2 ± 9.07 years; 57.6% male), 72 (51.8%) were employed. Employed patients were more frequently in a partnership (p = 0.018) and had higher education levels (p = 0.01) and QoL scores (<0.001). Unemployed KTRs reported fatigue and mental health issues more often (p < 0.001), and had significantly higher anxiety, depression and somatization scores (BSI-18). In unadjusted logistical regression, workability score (WAS; odds ratio (OR) = 3.39; 95% confidence interval (CI) = 1.97–5.82; p < 0.001), partnership (OR = 5.47; 95% CI 1.43–20.91; p = 0.013) and no psychological counseling after KTx (OR = 0.06; 95% CI = 0.003–0.969; p = 0.048) were independently associated with employment. Self-assessed mental health, workability and QoL were significantly associated with employment status after KTx. Thus, in order to facilitate RTW after KTx in Austria, vocational rehabilitation and RTW programs addressing KTRs should focus on increasing social support and care for their mental health.
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spelling pubmed-70684112020-03-19 Employment Status and Associations with Workability, Quality of Life and Mental Health after Kidney Transplantation in Austria Jordakieva, Galateja Grabovac, Igor Steiner, Margarete Winnicki, Wolfgang Zitta, Sabine Stefanac, Sinisa Brooks, Moritz Sunder-Plaßmann, Gere Rosenkranz, Alexander R. Godnic-Cvar, Jasminka Int J Environ Res Public Health Article Kidney transplantation (KTx) in end-stage renal disease is associated with a significant increase in quality of life (QoL) and self-perceived health, optimally leading to the maintenance of employment or return to work (RTW) in working-age patients. The aim of this study was to assess individual factors including the QoL and mental health of kidney transplant recipients (KTRs) associated with employment after transplantation. A cross-sectional study including working-age patients with a history of KTx after 2012 was conducted at two Austrian study centers (Vienna and Graz). Brief Symptom Inventory (BSI-18), World Health Organization Quality of Life (WHOQOL-Bref) and Workability Index (WAI) were assessed along with detailed questionnaires on employment status. Out of n = 139 KTRs (43.2 ± 9.07 years; 57.6% male), 72 (51.8%) were employed. Employed patients were more frequently in a partnership (p = 0.018) and had higher education levels (p = 0.01) and QoL scores (<0.001). Unemployed KTRs reported fatigue and mental health issues more often (p < 0.001), and had significantly higher anxiety, depression and somatization scores (BSI-18). In unadjusted logistical regression, workability score (WAS; odds ratio (OR) = 3.39; 95% confidence interval (CI) = 1.97–5.82; p < 0.001), partnership (OR = 5.47; 95% CI 1.43–20.91; p = 0.013) and no psychological counseling after KTx (OR = 0.06; 95% CI = 0.003–0.969; p = 0.048) were independently associated with employment. Self-assessed mental health, workability and QoL were significantly associated with employment status after KTx. Thus, in order to facilitate RTW after KTx in Austria, vocational rehabilitation and RTW programs addressing KTRs should focus on increasing social support and care for their mental health. MDPI 2020-02-15 2020-02 /pmc/articles/PMC7068411/ /pubmed/32075277 http://dx.doi.org/10.3390/ijerph17041254 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jordakieva, Galateja
Grabovac, Igor
Steiner, Margarete
Winnicki, Wolfgang
Zitta, Sabine
Stefanac, Sinisa
Brooks, Moritz
Sunder-Plaßmann, Gere
Rosenkranz, Alexander R.
Godnic-Cvar, Jasminka
Employment Status and Associations with Workability, Quality of Life and Mental Health after Kidney Transplantation in Austria
title Employment Status and Associations with Workability, Quality of Life and Mental Health after Kidney Transplantation in Austria
title_full Employment Status and Associations with Workability, Quality of Life and Mental Health after Kidney Transplantation in Austria
title_fullStr Employment Status and Associations with Workability, Quality of Life and Mental Health after Kidney Transplantation in Austria
title_full_unstemmed Employment Status and Associations with Workability, Quality of Life and Mental Health after Kidney Transplantation in Austria
title_short Employment Status and Associations with Workability, Quality of Life and Mental Health after Kidney Transplantation in Austria
title_sort employment status and associations with workability, quality of life and mental health after kidney transplantation in austria
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068411/
https://www.ncbi.nlm.nih.gov/pubmed/32075277
http://dx.doi.org/10.3390/ijerph17041254
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