Reintegration Into the Workforce After Kidney Transplantation Based on Urbanization Status in Switzerland

Article Article scientifique Article Reintegration Into the Workforce After Kidney Transplantation Based on Urbanization Status in Switzerland eng 2024-11-06 2025-02 author Bocchi Federica Department of Nephrology and Hypertension, Inselspital, Bern University Hospital, Bern, Switzerland. 634128 author Müller Selina Department of Visceral Surgery and Medicine, Inselspital, University Hospital Bern, Bern, Switzerland. author Binet Françoise Isabelle Departement of Nephrology and Transplantation Medicine, Kantonspital St. Gallen, St. Gallen, Switzerland. 32973 author Golshayan Dela Transplantation Center, Department of Medicine, Lausanne University Hospital (CHUV), Lausanne, Switzerland. author Haidar Fadi Department of Medicine, Division of Nephrology, University Hospital of Geneva (HUG), Geneva, Switzerland. 960279 author Muller Thomas Department of Nephrology, USZ, University Hospital Zurich, Zurich, Switzerland. 95113 author Schaub Stefan Departement of Transplantation Immunology and Nephrology, University Hospital Basel, Basel, Switzerland. author Schnyder Aurelia Departement of Nephrology and Transplantation Medicine, Kantonspital St. Gallen, St. Gallen, Switzerland. author Sidler Daniel Department of Nephrology and Hypertension, Inselspital, Bern University Hospital, Bern, Switzerland. author Storni Federico Department of Visceral Surgery and Medicine, Inselspital, University Hospital Bern, Bern, Switzerland. Swiss Transplant Cohort Study collaborator Amico Patrizia collaborator Bachofner Adrian collaborator Banz Vanessa collaborator Beckmann Sonja collaborator Beldi Guido collaborator Berger Christoph 770127 collaborator Berishvili Berney Ekaterine 0000-0002-7969-1937 826237 Département de chirurgie (CHIRU) collaborator Berzigotti Annalisa collaborator Bochud Pierre-Yves 690825 collaborator Branca Sanda collaborator Bucher Heiner collaborator Cairoli Anne collaborator Catana-Pitteloud Emmanuelle 24218 collaborator Chalandon Yves 0000-0001-9341-8104 644957 Département de médecine (DEMED) collaborator De Geest Sabina collaborator De Seigneux Matthey Sophie 105798 Département de médecine (DEMED) collaborator Dickenmann Michael collaborator Dreifuss Joëlle Lynn collaborator Duchosal Michel collaborator Fehr Thomas collaborator Ferrari-Lacraz Sylvie 36049 Département de médecine (DEMED) collaborator Frossard Jaromil 660714 collaborator Garzoni Christian 135122 collaborator Golshayan Déla collaborator Goossens Nicolas 509893 Département de médecine (DEMED) collaborator Halter Jörg collaborator Heim Dominik collaborator Hess Christoph collaborator Hillinger Sven collaborator Hirsch Hans collaborator Hirth Patricia 39970 collaborator Hoessly Linard collaborator Hofbauer Günther collaborator Huynh-Do Uyen collaborator Immer Franz collaborator Koller Michael 830283 collaborator Kremer Andreas collaborator Krueger Thorsten collaborator Kuhn Christian Pierre 77940 collaborator Laesser Bettina collaborator Lamoth Frédéric collaborator Lehmann Roger collaborator Leichtle Alexander collaborator Manuel Oriol collaborator Marti Hans-Peter collaborator Martinelli Chenu Michèle 652437 collaborator Mclin Valérie Anne 799651 Département de Pédiatrie, Gynécologie et Obstétrique (PETRI) collaborator Mellac Katell collaborator Merçay Aurélia collaborator Mettler Karin collaborator Müller Nicolas collaborator Müller-Arndt Ulrike collaborator Müllhaupt Beat collaborator Nägeli Mirjam collaborator Oldani Graziano 776352 collaborator Pascual Manuel Antonio 23295 collaborator Passweg Jakob 632725 collaborator Pazeller Rosemarie collaborator Posfay Barbe Klara 39230 Département de Pédiatrie, Gynécologie et Obstétrique (PETRI) collaborator Reineke David collaborator Rick Juliane collaborator Rosselet Anne collaborator Rossi Simona collaborator Rothlin Silvia collaborator Ruschitzka Frank collaborator Schachtner Thomas collaborator Scherrer Alexandra collaborator Schneidawind Dominik collaborator Schuurmans Macé collaborator Schwab Simon collaborator Sengstag Thierry collaborator Simonetta Federico 936876 Département de médecine (DEMED) collaborator Steiger Jürg collaborator Stirniman Guido collaborator Stürzinger Ueli collaborator Van Delden Christian 24088 Département de médecine (DEMED) collaborator Venetz Jean-Pierre collaborator Villard Jean 29595 Département de médecine (DEMED) collaborator Vionnet Julien collaborator Wick Madeleine collaborator Wilhlem Markus collaborator Yerly Patrick Oliver 90910 565-573 10.1016/j.ekir.2024.10.029 39990912 2468-0249 PMC11843122 https://www.sciencedirect.com/science/article/pii/S2468024924019971 Introduction: Most of Switzerland's population and employment opportunities are concentrated in urban areas. Although kidney transplantation (KT) is the preferred therapy for eligible candidates, individuals in rural areas face challenges accessing specialized medical services due to longer travel distances. Limited understanding exists regarding patients' perspectives on returning to work after KT and whether this correlates with their urbanization status, potentially influencing outcomes. Methods: Retrospective, nationwide (Swiss Transplant Cohort Study [STCS]) study, from May 2008 to 2020, including 1926 patients aged 18 to 60 years who underwent KT. We investigated the self-reported work reintegration at 1, 3, and 5 years after the KT, the recipient and allograft survival, and the allograft function at 12 months, contingent on urbanization status (urban, suburban, rural). Results: The return rate of sufficiently filled-in questionnaires was 81% (1053 participants). Urban recipients were younger, had longer dialysis time before KT, and had less living donor KT. At baseline, the level of education, as well as the workforce defined as work capacity > 50%, were lower in urban areas (37% urban, 39% suburban, and 47% rural). Regression analysis revealed significantly higher odds ratio for employment 1 year post-KT among patients residing in rural and suburban areas (odds ratio: 1.31 [confidence interval: 1.04-1.65] and 1.52 [confidence interval: 1.16-1.98], respectively) compared to patients from urban regions. Stratified according to urbanization environment, recipient and allograft survival were comparable across groups. Conclusion: Patient and graft outcomes were favorable, with improved work reintegration observed at the 1-year mark post-KT for recipients from rural backgrounds compared to those from suburban and urban areas. Graft outcomes Kidney transplantation Urbanization Work capacity Work reintegration Dewey 616 Dewey 617 Dewey 618 56 Département de médecine 221 57 Département de chirurgie 222 58 Département de pédiatrie, gynécologie et obstétrique 223 false 1323 Création de tissus par bio-ingénieurie et régénération d'organes 1021 1216 Leucémie et transplantation allogénique de cellules souches hématopoïétiques 982 897 Insuffisance rénale chronique 941 559 Pathologies hépatiques congénitales et acquises de l'enfant 900 515 Recherche en infectiologie pédiatrique et en pédiatrie générale 853 1426 Thérapie cellulaire et transplantation 1054 235 Perception du Quorum et gènes de virulence 301 298 Immunologie de transplantation, immunogénétique et thérapie cellulaire 561 Kidney international reports 10 2 71940a04-cf28-4b19-8178-de12688a56db Article (Published version) Public 1-s2.0-S2468024924019971-main_2025.pdf 1674943 application/pdf CC BY-4.0 84881c7aabf3e086f4bfbeabc0a90e7c74d4c5b3b4069a5e2c77abbcc094459f openAccess Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Section de médecine clinique / Département de chirurgie Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

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Catana-Pitteloud, Emmanuelle