Abstract
Background: Many liver transplant recipients return to work, but their patterns of employment are unclear. We examine patterns of employment 5 years after liver transplantation. Methods: First-time liver transplant recipients ages 18-60 years transplanted from 2002 to 2009 and surviving at least 5 years were identified in the United Network for Organ Sharing registry. Recipients' post-transplant employment status was classified as follows: (i) never employed; (ii) returned to work within 2 years and remained employed (continuous employment); (iii) returned to work within 2 years, but was subsequently unemployed (intermittent employment); or (iv) returned to work ≥3 years post-transplant (delayed employment). Results: Of 28 306 liver recipients identified during the study period, 12 998 survived at least 5 years and contributed at least 1 follow-up of employment status. A minority of patients (4654; 36%) were never employed, while 3780 (29%) were continuously employed, 3027 (23%) were intermittently employed, and 1537 (12%) had delayed employment. In multivariable logistic regression analysis, predictors of intermittent and delayed employment included lower socioeconomic status, higher local unemployment rates, and post-transplant comorbidities or complications. Conclusion: Never, intermittent, and delayed employment are common after liver transplantation. Socioeconomic and labor market characteristics may add to clinical factors that limit liver transplant recipients' continuous employment.
| Original language | English (US) |
|---|---|
| Journal | Clinical Transplantation |
| DOIs | |
| State | Accepted/In press - 2017 |
| Externally published | Yes |
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Keywords
- Employment
- Liver transplantation
- Unemployment
ASJC Scopus subject areas
- Transplantation
Cite this
Factors contributing to employment patterns after liver transplantation. / Beal, Eliza W.; Tumin, Dmitry; Mumtaz, Khalid; Nau, Michael; Tobias, Joseph D.; Hayes, Don; Washburn, Kenneth; Black, Sylvester M.
In: Clinical Transplantation, 2017.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Factors contributing to employment patterns after liver transplantation
AU - Beal, Eliza W.
AU - Tumin, Dmitry
AU - Mumtaz, Khalid
AU - Nau, Michael
AU - Tobias, Joseph D.
AU - Hayes, Don
AU - Washburn, Kenneth
AU - Black, Sylvester M.
PY - 2017
Y1 - 2017
N2 - Background: Many liver transplant recipients return to work, but their patterns of employment are unclear. We examine patterns of employment 5 years after liver transplantation. Methods: First-time liver transplant recipients ages 18-60 years transplanted from 2002 to 2009 and surviving at least 5 years were identified in the United Network for Organ Sharing registry. Recipients' post-transplant employment status was classified as follows: (i) never employed; (ii) returned to work within 2 years and remained employed (continuous employment); (iii) returned to work within 2 years, but was subsequently unemployed (intermittent employment); or (iv) returned to work ≥3 years post-transplant (delayed employment). Results: Of 28 306 liver recipients identified during the study period, 12 998 survived at least 5 years and contributed at least 1 follow-up of employment status. A minority of patients (4654; 36%) were never employed, while 3780 (29%) were continuously employed, 3027 (23%) were intermittently employed, and 1537 (12%) had delayed employment. In multivariable logistic regression analysis, predictors of intermittent and delayed employment included lower socioeconomic status, higher local unemployment rates, and post-transplant comorbidities or complications. Conclusion: Never, intermittent, and delayed employment are common after liver transplantation. Socioeconomic and labor market characteristics may add to clinical factors that limit liver transplant recipients' continuous employment.
AB - Background: Many liver transplant recipients return to work, but their patterns of employment are unclear. We examine patterns of employment 5 years after liver transplantation. Methods: First-time liver transplant recipients ages 18-60 years transplanted from 2002 to 2009 and surviving at least 5 years were identified in the United Network for Organ Sharing registry. Recipients' post-transplant employment status was classified as follows: (i) never employed; (ii) returned to work within 2 years and remained employed (continuous employment); (iii) returned to work within 2 years, but was subsequently unemployed (intermittent employment); or (iv) returned to work ≥3 years post-transplant (delayed employment). Results: Of 28 306 liver recipients identified during the study period, 12 998 survived at least 5 years and contributed at least 1 follow-up of employment status. A minority of patients (4654; 36%) were never employed, while 3780 (29%) were continuously employed, 3027 (23%) were intermittently employed, and 1537 (12%) had delayed employment. In multivariable logistic regression analysis, predictors of intermittent and delayed employment included lower socioeconomic status, higher local unemployment rates, and post-transplant comorbidities or complications. Conclusion: Never, intermittent, and delayed employment are common after liver transplantation. Socioeconomic and labor market characteristics may add to clinical factors that limit liver transplant recipients' continuous employment.
KW - Employment
KW - Liver transplantation
KW - Unemployment
UR - http://www.scopus.com/inward/record.url?scp=85018548153&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85018548153&partnerID=8YFLogxK
U2 - 10.1111/ctr.12967
DO - 10.1111/ctr.12967
M3 - Article
C2 - 28314069
AN - SCOPUS:85018548153
JO - Clinical Transplantation
JF - Clinical Transplantation
SN - 0902-0063
ER -