Clinical Factors Influencing Participation in Society after Successful Kidney Transplantation
- 15 July 2006
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Transplantation
- Vol. 82 (1), 80-85
- https://doi.org/10.1097/01.tp.0000225768.56981.aa
Abstract
Background. Little information is available on the degree of actual social functioning after successful kidney transplantation. Moreover, information on factors that influence participation in social activities is scarce. The aim of this study was to examine the influence of clinical factors on social outcome. Methods. A retrospective study was performed on a cohort of primary kidney transplantation patients, transplanted between 1996 and 2001. Cross-sectional data on participation in obligatory activities (i.e. employment, education, household tasks), leisure activities (i.e. volunteer work, assisting others, sports, clubs/associations, recreation, socializing, going out) and change in participation were collected by in-home interviews (n=239). Multivariate regression analysis was performed. Results. Thirty-six percent of the patients scored low on obligatory participation and only 52.4% was employed. Patients were actively involved in a wide range of leisure activities. Twenty-six percent participated in sports. Multivariate analysis (age-, sex-, and education-adjusted) of participation in obligatory activities showed negative associations with advanced age (PPPP<0.01). Multivariate analysis of diversity of participation in leisure activities and perceived change in participation after transplantation showed no statistically significant associations with clinical factors. Conclusions. Besides age, clinical factors such as type of donation (cadaveric versus living), comorbidity (previous cardiovascular events), and time since transplantation were associated with participation in obligatory activities such as employment, education and household tasks. Diversity of leisure activities and change in participation was not affected by clinical factors.This publication has 18 references indexed in Scilit:
- Quality of life of patients having renal replacement therapyJournal of Advanced Nursing, 2005
- Renal TransplantationJournal of the American Society of Nephrology, 2004
- Quality of life in end-stage renal disease patientsAmerican Journal of Kidney Diseases, 2001
- Differences in quality of life across renal replacement therapies: A meta-analytic comparisonAmerican Journal of Kidney Diseases, 2000
- Quality of life in patients before and after kidney transplantationPsychology & Health, 2000
- Comparison of Mortality in All Patients on Dialysis, Patients on Dialysis Awaiting Transplantation, and Recipients of a First Cadaveric TransplantThe New England Journal of Medicine, 1999
- DOES TRANSPLANTATION PRODUCE QUALITY OF LIFE BENEFITS?Transplantation, 1997
- A Review of Quality of Life in Chronic Renal FailurePharmacoEconomics, 1997
- EMPLOYMENT PATTERNS AFTER SUCCESSFUL KIDNEY TRANSPLANTATION1Transplantation, 1996
- THE QUALITY OF LIFE IN RENAL TRANSPLANTATION—A PROSPECTIVE STUDYTransplantation, 1992