Labor Force Participation in Patients with Hemodialysis and Peritoneal Dialysis Treatment

  • Nazila Javadi-Pashaki Social Determinants of Health Research Center (SDHRC), Guilan University of Medical Sciences, Rasht, Iran
  • Rasoul tabari-Khomeiran Social Determinants of Health Research Center (SDHRC), Guilan University of Medical Sciences, Rasht, Iran
  • Amjad Mohamadi Bolbanabad Social Determinants of Health Research Center, Research Institute for Health development, Kurdistan University of Medical Sciences, Sanandaj, Iran
  • Hakimeh Mostafavi Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Enayatollah Homaie Rad Social Determinants of Health Research Center (SDHRC), Guilan University of Medical Sciences, Rasht, Iran

Abstract

Background: The prevalence of End-Stage Renal Disease (ESRD) has significantly increased in developing countries and similar to the worldwide trend, the number of incident Chronic Kidney Disease (CKD) stage 5 patients is also increasing in the Iran. This study aims to compare the Labor force participation in patients with hemodialysis and Peritoneal Dialysis (PD) treatment. Method: The cross sectional study was conducted on 208 patients referred to dialysis centers of north of Iran and Tehran, between January 2015 and January 2016. A checklist was designed to gather data of labor participation and socio-economic status of patients. In addition Kidney Disease Quality of Life (KDQOL) questionnaire was used to calculate mental and physical health of patients. All statistical analysis were done using STATA SE software version 13.1. Results: The study highlights several findings including the higher mental and physical health quality of life, higher average monthly income in PD employed patients. Also, the type of treatment had significant relationship with labor force participation and it was higher for patients using peritoneal dialysis. Conclusion: It seems the government and especially ministry of health and medical education should give more attention to inform the public about the advantages of PD and especially its positive impact on employment of patients

References

Rad EH, Mostafavi H, Delavari S, Mostafavi S. Health-related Quality of Life in Patients on Hemodialysis and Peritoneal Dialysis. Iranian Journal of Kidney Diseases. 2015;9(5).

Chanouzas D, Ng KP, Fallouh B, Baharani J. What influences patient choice of treatment modality at the pre-dialysis stage? Nephrology Dialysis Transplantation. 2011;27(4):1542-7.

Karopadi AN, Mason G, Rettore E, Ronco C. Cost of peritoneal dialysis and haemodialysis across the world. Nephrology Dialysis Transplantation. 2013;28(10):2553-69.

Nakayama M, Ishida M, Ogihara M, Hanaoka K, Tamura M, Kanai H, et al. Social functioning and socioeconomic changes after introduction of regular dialysis treatment and impact of dialysis modality: A multi‐centre survey of Japanese patients. Nephrology. 2015;20(8):523-30.

Law MC, Chow KM, Fung JSF, Szeto CC, Li PKT. Employment status in peritoneal-dialysis patients. Hong Kong Journal of Nephrology. 2016;18:11-4.

Arefzadeh A, Lessanpezeshki M, Seifi S. The cost of hemodialysis in Iran. Saudi Journal of Kidney Diseases and Transplantation. 2009;20(2):307.

Chronic diseases factsheet. In: Education MohaM, editor. dialysis patients. Tehran: Ministry of health and Medical Education; 2016.

Aghighi M, MAHDAVI MM, Zamyadi M, HEYDARI RA, Rajolani H, NOUROUZI S. Changing epidemiology of end-stage renal disease in last 10 years in Iran. 2009.

Pakpour AH, Saffari M, Yekaninejad MS, Panahi D, Harrison AP, Molsted S. Health-related quality of life in a sample of Iranian patients on hemodialysis. Iran J Kidney Dis. 2010;4(1):50-9.

Kutner N, Bowles T, Zhang R, Huang Y, Pastan S. Dialysis facility characteristics and variation in employment rates: a national study. Clinical Journal of the American Society of Nephrology. 2008;3(1):111-6.

Muehrer RJ, Schatell D, Witten B, Gangnon R, Becker BN, Hofmann RM. Factors affecting employment at initiation of dialysis. Clinical Journal of the American Society of Nephrology. 2011;6(3):489-96.

Julian Mauro JC, Molinuevo Tobalina JA, Sanchez Gonzalez JC. Employment in the patient with chronic kidney disease related to renal replacement therapy. Nefrologia. 2012;32(4):439-45.

Helanterä I, Haapio M, Koskinen P, Grönhagen-Riska C, Finne P. Employment of patients receiving maintenance dialysis and after kidney transplant: a cross-sectional study from Finland. American Journal of Kidney Diseases. 2012;59(5):700-6.

Murray PD, Dobbels F, Lonsdale DC, Harden PN. Impact of end-stage kidney disease on academic achievement and employment in young adults: a mixed methods study. Journal of Adolescent Health. 2014;55(4):505-12.

Walker RC, Morton RL, Palmer SC, Marshall MR, Tong A, Howard K. A Discrete Choice Study of Patient Preferences for Dialysis Modalities. Clinical Journal of the American Society of Nephrology. 2017:CJN. 06830617.

Just PM, de Charro FT, Tschosik EA, Noe LL, Bhattacharyya SK, Riella MC. Reimbursement and economic factors influencing dialysis modality choice around the world. Nephrology Dialysis Transplantation. 2008;23(7):2365-73.

Rubin HR, Fink NE, Plantinga LC, Sadler JH, Kliger AS, Powe NR. Patient ratings of dialysis care with peritoneal dialysis vs hemodialysis. Jama. 2004;291(6):697-703.

Blake P, Just P. Economics of dialysis. Replacement of renal function by dialysis: Springer; 2004. p. 1455-86.

Lakshmi B, Kumar A, Reddy H, Gopal J, Chaitanya V, Chandra V, et al. Employment status of patients receiving maintenance dialysis–peritoneal and hemodialysis: A cross-sectional study. Indian journal of nephrology. 2017;27(5):384.

Tzvetanov I, D'Amico G, Walczak D, Jeon H, Garcia-Roca R, Oberholzer J, et al., editors. High rate of unemployment after kidney transplantation: analysis of the United network for organ sharing database. Transplantation proceedings; 2014: Elsevier.

Hope J. A patient perspective on the barriers to home dialysis. Journal of renal care. 2013;39(S1):3-8.

Published
2020-09-12
Section
Original Research