Sofue Tadashi, Nakai Shinichi, Nakagawa Naoki, Sakai Ken
Department of Cardiorenal and Cerebrovascular Medicine, Kagawa University, 1750-1 Ikenobe, Miki, Kagawa, 761-0793, Japan.
Japan Transplant Recipients Organization, Tokyo, Japan.
Clin Exp Nephrol. 2025 Mar 23. doi: 10.1007/s10157-025-02658-z.
Kidney transplant recipients are reported to have more opportunities for employment compared with patients on hemodialysis. However, comparisons of employment and lifestyle situations between kidney transplant recipients and patients on hemodialysis in Japan are lacking.
This cross-sectional study was conducted via a questionnaire survey in October and November 2023. The questionnaire covered patients' background, hospital visits, self-management, social assistance, and employment. Participants were members of the Japan Transplant Recipients Organization. We compared these participants with data from a survey of patients on hemodialysis conducted in September 2021 by the Japan Association of Dialysis Physicians.
Responses from 146 kidney transplant recipients were analyzed and compared with data for 7461 patients on hemodialysis. The overall employment rate for kidney transplant recipients was 41.0%, and was higher than that among patients on hemodialysis. Of the employed kidney transplant recipients, 67.8% worked at least 5 days per week, 45.8% had an annual income of more than 3 million yen, and 42.4% were in regular employment. The majority (78.7%) of kidney transplant recipients could visit hospital by themselves, with this proportion significantly higher than that among patients on hemodialysis. Substantially fewer kidney transplant recipients had been briefed by their hospital on disaster preparedness than patients on hemodialysis (20.4% vs. 53.2%).
We evaluated current employment status among kidney transplant recipients in Japan through a questionnaire survey. Compatibility with work among kidney transplant recipients was relatively favorable compared with that among those on hemodialysis.
据报道，与接受血液透析的患者相比，肾移植受者有更多的就业机会。然而，日本肾移植受者与接受血液透析的患者之间的就业和生活方式情况比较尚属空白。
这项横断面研究于2023年10月和11月通过问卷调查进行。问卷涵盖患者背景、就医情况、自我管理、社会救助和就业情况。参与者为日本移植受者组织的成员。我们将这些参与者与日本透析医师协会2021年9月对接受血液透析患者的调查数据进行了比较。
分析了146名肾移植受者的回复，并与7461名接受血液透析患者的数据进行了比较。肾移植受者的总体就业率为41.0%，高于接受血液透析的患者。在就业的肾移植受者中，67.8%每周至少工作5天，45.8%的年收入超过300万日元，42.4%为正式员工。大多数（78.7%）肾移植受者能够自行前往医院，这一比例显著高于接受血液透析的患者。与接受血液透析的患者相比，接受医院灾难准备简报的肾移植受者要少得多（20.4%对53.2%）。
我们通过问卷调查评估了日本肾移植受者目前的就业状况。与接受血液透析的患者相比，肾移植受者的工作适应性相对较好。
