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- W2063181504 abstract "Abstract 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 429 409 patients (age of ESRD onset 64.2 ± 15.2 yr, 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 < 0.001) and to receive a transplant once on the waiting list ( HR 1.65, p < 0.001). Results indicate that recipient's employment status is strongly associated with access to renal transplantation, with unemployed and partially employed patients at a disadvantage. Adding insurance status to the model reduces the effect size, but the association still remains significant, indicating additional contribution from other factors." @default.
- W2063181504 created "2016-06-24" @default.
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- W2063181504 date "2013-06-30" @default.
- W2063181504 modified "2023-10-18" @default.
- W2063181504 title "Recipient's unemployment restricts access to renal transplantation" @default.
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- W2063181504 doi "https://doi.org/10.1111/ctr.12177" @default.
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