Abstract

JULIAN-MAURO, Juan C.; MOLINUEVO-TOBALINA, Jesús Á.  and  SANCHEZ-GONZALEZ, Juan C.. The occupational situation of chronic kidney disease patients based on the type of renal replacement therapy. Nefrología (Madr.) [online]. 2012, vol.32, n.4, pp.439-445. ISSN 1989-2284.  https://dx.doi.org/10.3265/Nefrologia.pre2012.Apr.11366.

Background: Chronic kidney disease (CKD) is a limiting condition, but studies have shown the benefits of work activity in these patients. The modality of renal replacement therapy (RRT) can influence a patient's capacity for work. Objectives: To analyse the occupational situation of people with CKD in relation to the type of RRT administered: haemodialysis (HD), continuous ambulatory peritoneal dialysis (CAPD), automated peritoneal dialysis (APD) or transplantation (Tx). Methods: Descriptive analysis of the employment of 243 kidney patients of both sexes between 16 and 64 years of age, receiving RRT with HD, CAPD, APD or Tx, from 8 Spanish hospitals. Results: Only 33.3% of working age patients with CKD were employed. Statistically significant differences are observed in the percentage of employed men (40.1%) and women (22.9%), between the average age of employed (43.5 years) and unemoloyed (49.6 years) patients, and in the mean time to treatment of employed (4.8 years) versus unemployed (7.9 years). Finally there are also differences in the percentage of employed persons in the various forms of TSR considered, being much higher in APD patients (47.8%) than in patients on HD (21.7%) having the lowest percent. Conclusions: Chronic Kidney Disease (CKD) and RRT are a major source of disability. Active patients opt for treatment largely in the form of APD, such that almost half of patients in this modality are working, while in HD only one of every five patients is working.

Keywords : Employment; Renal replacement therapy; Chronic kidney failure.

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