Sustained employment, work disability and work functioning in CKD patients: a cross-sectional survey study

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Abstract

Introduction

Kidney failure negatively affects opportunities for work participation. Little is known about work functioning of employed CKD patients. This study investigates work-related outcomes, and examines associations between patient characteristics and employment status.

Methods

We performed a cross-sectional survey study in nine nephrology outpatient clinics in the Netherlands among working age (18–67 years) CKD Stage G3b-G5, dialysis and transplant patients ( n = 634; mean age 53.4 years (SD 10); 53% male; 47% Stage G3b-G5, 9% dialysis, 44% transplantation). We assessed employment status, work disability, work-related characteristics (i.e., work situation, working hours, job demands), work functioning (i.e., perceived ability to work, productivity loss, limitations in work), work environment (i.e., work accommodations, psychosocial work environment), as well as health status and fatigue.

Results

Sixty-five percent were employed reporting moderate work ability. Of those, 21% received supplementary work disability benefits, 37% were severely fatigued, 7% expected to drop out of the workforce, and 49% experienced CKD-related work limitations. Work accommodations included reduced working hours, working at a slower pace, adjustment of work tasks or work schedule, and working from home. Multivariable analysis of sustained employment showed associations with younger age, male gender, higher level of education, better general and physical health and pre-emptive transplantation. Transplant patients had the highest work ability and highest expectation to maintain work. Dialysis patients had the highest productivity loss and perceived the most limitations regarding functioning in work. Stage G3b-G5 patients reported the lowest social support from colleagues and highest conflict in work and private life.

Conclusions

Employed CKD patients experience difficulties regarding functioning in work requiring adjustment of work or partial work disability. In addition to dialysis patients, stage G3b-G5 patients are vulnerable concerning sustained employment and work functioning.

Supplementary Information

The online version contains supplementary material available at 10.1007/s40620-022-01476-w.

Related collections

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Author and article information

Contributors

Manna A. Alma:

ORCID: http://orcid.org/0000-0002-8203-2713

m.a.alma@umcg.nl

Journal

Journal ID (nlm-ta): J Nephrol

Journal ID (iso-abbrev): J Nephrol

Title: Journal of Nephrology

Publisher: Springer International Publishing (Cham )

ISSN (Print): 1121-8428

ISSN (Electronic): 1724-6059

Publication date (Electronic): 31 October 2022

Publication date PMC-release: 31 October 2022

Publication date (Print): 2023

Volume: 36

Issue: 3

Pages: 731-743

Affiliations

[1 ]GRID grid.4494.d, ISNI 0000 0000 9558 4598, Department of Health Sciences, , Applied Health Research, University Medical Center Groningen, University of Groningen, ; Groningen, The Netherlands

[2 ]GRID grid.4830.f, ISNI 0000 0004 0407 1981, Department of Health Sciences, Community and Occupational Medicine, , University Medical Center Groningen, University of Groningen, ; Groningen, The Netherlands

[3 ]GRID grid.10417.33, ISNI 0000 0004 0444 9382, Department of Nephrology, , Radboud University Medical Center, ; Nijmegen, The Netherlands

[4 ]GRID grid.10419.3d, ISNI 0000000089452978, Department of Nephrology, , Leiden University Medical Center, ; Leiden, The Netherlands

[5 ]GRID grid.491130.e, Dialysis Center Groningen, ; Groningen, The Netherlands

[6 ]GRID grid.452600.5, ISNI 0000 0001 0547 5927, Department of Internal Medicine, , Isala Hospital, ; Zwolle, The Netherlands

[7 ]GRID grid.413532.2, ISNI 0000 0004 0398 8384, Department of Internal Medicine, , Catharina Hospital, ; Eindhoven, The Netherlands

[8 ]GRID grid.4830.f, ISNI 0000 0004 0407 1981, Department of Nephrology, , University Medical Center Groningen, University of Groningen, ; Groningen, The Netherlands

Author information

Manna A. Alma http://orcid.org/0000-0002-8203-2713

Sijrike F. van der Mei http://orcid.org/0000-0003-0100-4882

Sandra Brouwer http://orcid.org/0000-0002-3819-4360

Luuk B. Hilbrands http://orcid.org/0000-0002-4935-9765

Paul J. M. van der Boog http://orcid.org/0000-0002-8178-1413

Femke Waanders http://orcid.org/0000-0003-4417-7732

Ron T. Gansevoort http://orcid.org/0000-0002-3223-0906

Annemieke Visser http://orcid.org/0000-0002-2684-096X

Article

Publisher ID: 1476

DOI: 10.1007/s40620-022-01476-w

PMC ID: 10090013

PubMed ID: 36315355

SO-VID: b6154aa2-6c9d-4b2a-a272-f0c501a67f94

License:

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

History

Date received : 11 April 2022

Date accepted : 1 October 2022

Funding

Funded by: FundRef http://dx.doi.org/10.13039/501100002997, Nierstichting;

Award ID: SWO14.01

Award Recipient : Sijrike F. van der Mei

Custom metadata

Keywords: sustained employment,work functioning,chronic kidney disease,survey study

Data availability:

Keywords: sustained employment, work functioning, chronic kidney disease, survey study