Kidney Transplantation Program, University Hospitals of Leuven, Leuven, Belgium.
Transplantation. 2010 Apr 27;89(8):1009-15. doi: 10.1097/TP.0b013e3181ce77e5.
Return to work and social participation are objective parameters to evaluate the success of transplantation. Existing reports never compared return to work rates between different organ transplant groups, few European studies were published, and information on patients having a volunteer job or being an active club member is scarce. These outcomes have never been compared with the general population.
In a cross-sectional sample of 281 kidney, heart, liver, and lung transplant patients, we assessed self-reported return to work (i.e., having a paid job) and social participation (i.e., having a volunteer job or being an active member of a club). These data were compared with the general population. We also explored possible correlates of return to work (multivariable regression analysis).
Kidney transplant patients had the highest employment rate (58.6%), followed by heart (43.6%), liver (37.5%), and lung transplant patients (28.1%). Except for kidney patients, these numbers are lower than the 62% population's employment rate. Return to work was more likely if the transplanted organ was other than lung, with younger age at time of transplantation, being male, being married, having a positive perception of one's capability to work, and having worked until at least 1 year before transplant. Volunteer work was similar to the general population (17.4% vs. 21.5%), although less patients were an active club member (28.5% vs. 61%).
Obtaining a paid or voluntary job posttransplantation is possible and should be strongly recommended by transplant professionals as a meaningful way to contribute to the society.
重返工作岗位和社会参与是评估移植成功的客观参数。现有的报告从未比较过不同器官移植组的重返工作率，发表的欧洲研究较少，关于有志愿者工作或积极参与俱乐部的患者的信息也很少。这些结果从未与普通人群进行过比较。
在 281 名肾、心、肝和肺移植患者的横断面样本中，我们评估了自我报告的重返工作（即有薪工作）和社会参与（即有志愿者工作或积极参与俱乐部）。这些数据与普通人群进行了比较。我们还探讨了重返工作的可能相关因素（多变量回归分析）。
肾移植患者的就业率最高（58.6%），其次是心脏（43.6%）、肝脏（37.5%）和肺移植患者（28.1%）。除了肾移植患者外，这些数字低于 62%的人群就业率。如果移植的器官不是肺，年龄较小，为男性，已婚，对自己的工作能力有积极的看法，并且在移植前至少工作了 1 年，那么重返工作的可能性就更大。志愿者工作与普通人群相似（17.4%对 21.5%），尽管较少的患者是积极的俱乐部成员（28.5%对 61%）。
移植后获得有偿或志愿工作是可能的，移植专业人员应强烈建议这样做，因为这是为社会做出有意义贡献的一种方式。
