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Employment and Patient Satisfaction after Liver Transplantation

Background and Aims: This study serves to revisit the effects of liver transplantation (LT) on employment in an era of improving survival outcomes post-transplant, and to identify areas of improvement in the transplant process to better optimize post-LT employment and patient satisfaction. Methods:...

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Autores principales: Cao, Christopher, Halegoua-DeMarzio, Dina, Guirguis, Shady, Chen, Crystal, Fenkel, Jonathan M., Herrine, Steven
Formato: Online Artículo Texto
Lenguaje:English
Publicado: XIA & HE Publishing Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7562799/
https://www.ncbi.nlm.nih.gov/pubmed/33083253
http://dx.doi.org/10.14218/JCTH.2020.00010
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author Cao, Christopher
Halegoua-DeMarzio, Dina
Guirguis, Shady
Chen, Crystal
Fenkel, Jonathan M.
Herrine, Steven
author_facet Cao, Christopher
Halegoua-DeMarzio, Dina
Guirguis, Shady
Chen, Crystal
Fenkel, Jonathan M.
Herrine, Steven
author_sort Cao, Christopher
collection PubMed
description Background and Aims: This study serves to revisit the effects of liver transplantation (LT) on employment in an era of improving survival outcomes post-transplant, and to identify areas of improvement in the transplant process to better optimize post-LT employment and patient satisfaction. Methods: Prospectively, patients who had undergone LT at a single tertiary LT center were surveyed in person and by e-mail. Primary outcomes included employment rate pre- and post-LT, annual salary, weekly hours worked, barriers to re-employment, and patient satisfaction. Results: Responses were collected and analyzed from 121 patients who underwent LT. Pre-LT, 68 (56.1%) reported full-time employment, 13 (10.7%) part-time employment, and 40 (33.1%) unemployment. Post-LT, 26 (21.4%) reported continued full-time employment, 18 (14.9%) part-time employment, and 77 (63.6%) unemployment. Average weekly work hours decreased post-LT (16.1 h/week vs. 39.9 h/week). Mean annual salaries decreased post-LT (17 earning salary ≥$40,000 vs. 56 earning salary ≥$40,000). These outcomes differed from patient pre-LT expectations, with 81.0% of previously employed patients believing they would return to employment, resulting in decreased patient satisfaction. Patients working physically demanding jobs pre-LT were less likely to return to work. Reasons cited for lack of return to full employment included early fatigue and difficulty regaining physical strength. Conclusions: Re-employment rates remain low post-LT, which is particularly true for patients working physically active jobs. Fatigue is a significant barrier to re-employment and increased physical rehabilitation post-LT may prove to be beneficial. Patients should be given realistic expectations about return to employment prior to their LT.
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spelling pubmed-75627992020-10-19 Employment and Patient Satisfaction after Liver Transplantation Cao, Christopher Halegoua-DeMarzio, Dina Guirguis, Shady Chen, Crystal Fenkel, Jonathan M. Herrine, Steven J Clin Transl Hepatol Original Article Background and Aims: This study serves to revisit the effects of liver transplantation (LT) on employment in an era of improving survival outcomes post-transplant, and to identify areas of improvement in the transplant process to better optimize post-LT employment and patient satisfaction. Methods: Prospectively, patients who had undergone LT at a single tertiary LT center were surveyed in person and by e-mail. Primary outcomes included employment rate pre- and post-LT, annual salary, weekly hours worked, barriers to re-employment, and patient satisfaction. Results: Responses were collected and analyzed from 121 patients who underwent LT. Pre-LT, 68 (56.1%) reported full-time employment, 13 (10.7%) part-time employment, and 40 (33.1%) unemployment. Post-LT, 26 (21.4%) reported continued full-time employment, 18 (14.9%) part-time employment, and 77 (63.6%) unemployment. Average weekly work hours decreased post-LT (16.1 h/week vs. 39.9 h/week). Mean annual salaries decreased post-LT (17 earning salary ≥$40,000 vs. 56 earning salary ≥$40,000). These outcomes differed from patient pre-LT expectations, with 81.0% of previously employed patients believing they would return to employment, resulting in decreased patient satisfaction. Patients working physically demanding jobs pre-LT were less likely to return to work. Reasons cited for lack of return to full employment included early fatigue and difficulty regaining physical strength. Conclusions: Re-employment rates remain low post-LT, which is particularly true for patients working physically active jobs. Fatigue is a significant barrier to re-employment and increased physical rehabilitation post-LT may prove to be beneficial. Patients should be given realistic expectations about return to employment prior to their LT. XIA & HE Publishing Inc. 2020-07-14 2020-09-28 /pmc/articles/PMC7562799/ /pubmed/33083253 http://dx.doi.org/10.14218/JCTH.2020.00010 Text en © 2020 Authors. http://creativecommons.org/licenses/by-nc/4.0/ This article has been published under the terms of Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0), which permits noncommercial unrestricted use, distribution, and reproduction in any medium, provided that the following statement is provided. “This article has been published in Journal of Clinical and Translational Hepatology at DOI: 10.14218/JCTH.2020.00010 and can also be viewed on the Journal’s website at http://www.jcthnet.com”.
spellingShingle Original Article
Cao, Christopher
Halegoua-DeMarzio, Dina
Guirguis, Shady
Chen, Crystal
Fenkel, Jonathan M.
Herrine, Steven
Employment and Patient Satisfaction after Liver Transplantation
title Employment and Patient Satisfaction after Liver Transplantation
title_full Employment and Patient Satisfaction after Liver Transplantation
title_fullStr Employment and Patient Satisfaction after Liver Transplantation
title_full_unstemmed Employment and Patient Satisfaction after Liver Transplantation
title_short Employment and Patient Satisfaction after Liver Transplantation
title_sort employment and patient satisfaction after liver transplantation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7562799/
https://www.ncbi.nlm.nih.gov/pubmed/33083253
http://dx.doi.org/10.14218/JCTH.2020.00010
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