Employment among Patients Starting Dialysis in the United States

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dc.citation.issueNumber6en_US
dc.citation.journalTitleClinical Journal of the American Society of Nephrologyen_US
dc.citation.volumeNumber13en_US
dc.contributor.authorErickson, Kevin F.en_US
dc.contributor.authorZhao, Boen_US
dc.contributor.authorHo, Vivianen_US
dc.contributor.authorWinkelmayer, Wolfgang C.en_US
dc.contributor.orgBaker Institute for Public Policyen_US
dc.date.accessioned2018-06-28T20:50:03Zen_US
dc.date.available2018-06-28T20:50:03Zen_US
dc.date.issued2018en_US
dc.description.abstractBACKGROUND AND OBJECTIVES: Patients with ESRD face significant challenges to remaining employed. It is unknown when in the course of kidney disease patients stop working. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We examined employment trends over time among patients ages 18-54 years old who initiated dialysis in the United States between 1996 and 2013 from a national ESRD registry. We compared unadjusted trends in employment at the start of dialysis and 6 months before ESRD and used linear probability models to estimate changes in employment over time after adjusting for patient characteristics and local unemployment rates in the general population. We also examined employment among selected vulnerable patient populations and changes in employment in the 6 months preceding dialysis initiation. RESULTS: Employment was low among patients starting dialysis throughout the study period at 23%-24%, and 38% of patients who were employed 6 months before ESRD stopped working by dialysis initiation. However, after adjusting for observed characteristics, the probability of employment increased over time; patients starting dialysis between 2008 and 2013 had a 4.7% (95% confidence interval, 4.3% to 5.1%) increase in the absolute probability of employment at the start of dialysis compared with patients starting dialysis between 1996 and 2001. Black and Hispanic patients were less likely to be employed than other patients starting dialysis, but this gap narrowed during the study period. CONCLUSIONS: Although working-aged patients in the United States starting dialysis have experienced increases in the adjusted probability of employment over time, employment at the start of dialysis has remained low.en_US
dc.identifier.citationErickson, Kevin F., Zhao, Bo, Ho, Vivian, et al.. "Employment among Patients Starting Dialysis in the United States." <i>Clinical Journal of the American Society of Nephrology,</i> 13, no. 6 (2018) American Society of Nephrology: https://doi.org/10.2215/CJN.06470617.en_US
dc.identifier.doihttps://doi.org/10.2215/CJN.06470617en_US
dc.identifier.urihttps://hdl.handle.net/1911/102313en_US
dc.language.isoengen_US
dc.publisherAmerican Society of Nephrologyen_US
dc.rightsThis is an author's peer-reviewed final manuscript, as accepted by the publisher. The published article is copyrighted by the American Society of Nephrology.en_US
dc.subject.keywordAfrican Americansen_US
dc.subject.keywordEconomic Analysisen_US
dc.subject.keywordEmploymenten_US
dc.subject.keywordEpidemiology and outcomesen_US
dc.subject.keywordHispanic Americansen_US
dc.subject.keywordHumansen_US
dc.subject.keywordKidney Diseasesen_US
dc.subject.keywordKidney Failure, Chronicen_US
dc.subject.keywordProbabilityen_US
dc.subject.keywordRegistriesen_US
dc.subject.keywordUnemploymenten_US
dc.subject.keywordUnited Statesen_US
dc.subject.keywordUnited States Renal Data Systemen_US
dc.subject.keywordchronic dialysisen_US
dc.subject.keywordclinical epidemiologyen_US
dc.subject.keywordcyclo(Arg-Pro)en_US
dc.subject.keywordend-stage renal diseaseen_US
dc.subject.keywordethnicityen_US
dc.subject.keywordquality of lifeen_US
dc.subject.keywordrenal dialysisen_US
dc.titleEmployment among Patients Starting Dialysis in the United Statesen_US
dc.typeJournal articleen_US
dc.type.dcmiTexten_US
dc.type.publicationpost-printen_US
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