2023-09-28 14:46:10 +00:00
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abstract: 'Background Kidney transplantation is considered a superior treatment for
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end-stage renal disease compared with dialysis although little is known
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about the wider effects, especially on labor market outcomes. The
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objective is to estimate the treatment effect of kidney transplantation
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compared with dialysis on labor market outcomes, controlling for the
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nonrandom selection into treatment.
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Methods The average treatment effect is estimated using an
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inverse-probability weighting regression adjustment approach on all
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patients in renal replacement therapy 1995 to 2012.
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Results Kidney transplantation is associated with a treatment advantage
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over dialysis on employment, labor force participation, early
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retirement, and labor income. The probability of being employed 1 year
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after treatment is 21 (95\% confidence interval, 16-25) percentage
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points higher for transplantation. The positive effect increases to 38
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(95\% confidence interval, 30-46) percentage points after 5 years,
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mainly due to worsening outcomes on dialysis. The effect on labor income
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is mainly mediated through employment probability. The productivity
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gains of transplantation compared to dialysis amounts to Euro33 000 over
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5 years.
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Conclusions Transplantation is superior to dialysis in terms of
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potential to return to work as well as in terms of labor income and risk
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of early retirement, after controlling for treatment selection. This
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positive effect increases over time after transplantation.'
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affiliation: 'Jarl, J (Corresponding Author), Box 117, S-22100 Lund, Sweden.
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Jarl, Johan; Gerdtham, Ulf-G., Lund Univ, Dept Clin Sci, Hlth Econ, Lund, Sweden.
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Gerdtham, Ulf-G., Lund Univ, Dept Econ, Lund, Sweden.
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Desatnik, Peter, Helsingborg Hosp, Anesthesia \& Intens Care, Helsingborg, Sweden.
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Prutz, Karl-Goran, Helsingborg Hosp, Dept Internal Med, Helsingborg, Sweden.
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Prutz, Karl-Goran, Ryhov Hosp, Swedish Renal Registry, Jonkoping, Sweden.'
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author: Jarl, Johan and Gerdtham, Ulf-G. and Desatnik, Peter and Prutz, Karl-Goran
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author-email: johan.jarl@med.lu.se
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author_list:
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- family: Jarl
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given: Johan
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- family: Gerdtham
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given: Ulf-G.
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- family: Desatnik
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given: Peter
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- family: Prutz
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given: Karl-Goran
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da: '2023-09-28'
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doi: 10.1097/TP.0000000000002228
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eissn: 1534-6080
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files: []
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issn: 0041-1337
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journal: TRANSPLANTATION
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keywords-plus: 'QUALITY-OF-LIFE; RENAL-TRANSPLANTATION; ORGAN-TRANSPLANTATION;
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EMPLOYMENT; WORK; HEALTH; DISPARITIES; RECIPIENTS; DIALYSIS; PATTERNS'
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language: English
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month: AUG
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number: '8'
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number-of-cited-references: '25'
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orcid-numbers: 'Gerdtham, Ulf-Göran/0000-0002-0647-7817
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Jarl, Johan/0000-0002-9274-2479'
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pages: 1375-1381
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papis_id: af0769897618c5f286f9fd54c0c740f9
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ref: Jarl2018effectskidney
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researcherid-numbers: 'Gerdtham, Ulf-Göran/I-6766-2018
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'
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times-cited: '8'
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title: Effects of Kidney Transplantation on Labor Market Outcomes in Sweden
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000440684300039
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usage-count-last-180-days: '0'
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usage-count-since-2013: '2'
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volume: '102'
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web-of-science-categories: Immunology; Surgery; Transplantation
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year: '2018'
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