Recipient's unemployment restricts access to renal transplantation
Recipient's unemployment restricts access to renal transplantation
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DOI：
10.1111/ctr.12177
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发表时间：
2013-07-01
影响因子：
2.1
通讯作者：
Goldfarb-Rumyantzev, Alexander
中科院分区：
文献类型：
--
作者：
Sandhu, Gurprataap S.;Khattak, Muhammad;Goldfarb-Rumyantzev, Alexander
Equitable distribution of a scarce resource such as kidneys for transplantation can be a challenging task for transplant centers. In this study, we evaluated the association between recipient's employment status and access to renal transplantation in patients with end-stage renal disease (ESRD). We used data from the United States Renal Data System (USRDS). The primary variable of interest was employment status at ESRD onset. Two outcomes were analyzed in Cox model: (i) being placed on the waiting list for renal transplantation or being transplanted (whichever occurred first); and (ii) first transplant in patients who were placed on the waiting list. We analyzed 429409 patients (age of ESRD onset 64.2 +/- 15.2yr, 55.0% males, 65.1% White). Compared with patients who were unemployed, patients working full time were more likely to be placed on the waiting list/transplanted (HR 2.24, p
