Return to work after deceased donor kidney transplant under the kidney allocation system.
Return to work after deceased donor kidney transplant under the kidney allocation system.
复制标题
在肾脏分配系统下，死者供肾移植后返回工作岗位。
DOI：
10.1111/ctr.14444
复制
发表时间：
2021
影响因子：
2.1
通讯作者：
Pruett,TimothyL
中科院分区：
文献类型：
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作者：
Wherry,KaelS;Dowd,BryanE;Kuntz,KarenM;Berg,BjornP;McGovern,PatriciaM;Pruett,TimothyL
肾脏分配系统（KAS）包括一个评分系统，用于将移植候选人的预期寿命与供体肾脏的预期寿命相匹配，以及一个回溯政策，该政策在开始透析治疗后（透析后）给予等待名单上的患者等待时间。我们估计的效果KAS对就业的患者亚组的目标由policy.MethodsWe使用了一个样本选择模型比较就业后移植之前和之后KAS实施之间的肾脏移植等待名单上的患者在2011年12月4日和12月31日，2017.结果与前KAS时代相比，18-49岁的透析后移植受者在后KAS时代移植后1年就业的可能性显著增加。年龄在35-64岁之间的移植受者没有透析治疗显着不太可能被雇用1年后移植在后KAS时代相比，前KAS erad.ConclusionsThis研究提供了第一次评估DDKT后就业根据KAS和提供了重要的信息，用于衡量移植后就业的方法和结果根据KAS。DDKT后不同患者亚组的就业变化对评估KAS和器官分配政策的长期患者和社会影响具有重要意义。
BackgroundThe Kidney Allocation System (KAS) includes a scoring system to match transplant candidate life expectancy with expected longevity of the donor kidney, and a backdating policy that gives waitlist time credit to patients waitlisted after starting dialysis treatment (post‐dialysis). We estimated the effect of the KAS on employment among patient subgroups targeted by the policy.MethodsWe used a sample selection model to compare employment after transplant before and after KAS implementation among patients on the kidney‐only transplant waitlist between December 4, 2011 and December 31, 2017.ResultsPost‐dialysis transplant recipients aged 18–49 were significantly more likely to be employed 1‐year post transplant in the post‐KAS era compared to the pre‐KAS era. Transplant recipients aged 35–64 with no dialysis treatment were significantly less likely to be employed 1 year after transplant in the post‐KAS era compared to the pre‐KAS era.ConclusionsThis study provides the first assessment of employment after DDKT under the KAS and provides important information about both the methods used to measure employment after transplant and the outcome under the KAS. Changes in employment after DDKT among various patient subgroups have important implications for assessing long‐term patient and societal effects of the KAS and organ allocation policy.