2023-09-28 14:46:10 +00:00
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abstract: 'Rationale \& Objective: Although patients with chronic kidney disease
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(CKD) are at risk for work disability and loss of employment, not all
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experience work disruption. We aimed to describe the barriers to and
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facilitators of sustained employment experienced by Dutch patients with
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CKD.
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Study Design: Qualitative study using semi-structured interviews.
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Setting \& Participants: 27 patients with CKD glomerular filtration rate
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categories 3b-5 (G3b-G5) from 4 nephrology outpatient clinics in The
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Netherlands.
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Analytical Approach: Content analyses with constant comparison of
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interview data based on the International Classification of Functioning,
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Disability and Health framework.
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Results: Participants were 6 patients with CKD G3b-G4, 8 patients
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receiving maintenance dialysis, and 13 patients with functioning kidney
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transplants. We identified health-related barriers (symptoms, physical
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toll of dialysis/transplantation, limited work capacity) and
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facilitators (few physical symptoms, successful posttransplantation
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recovery, absence of comorbidities, good physical condition), personal
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barriers (psychological impact, limited work experience) and
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facilitators (positive disposition, job satisfaction, work attitude,
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person-job fit), and environmental barriers and facilitators.
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Environmental barriers were related to nephrology care (waiting time,
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use of a hemodialysis catheter) and work context (reorganization,
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temporary contract, working hours, physical demands); environmental
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facilitators were related to nephrology care (personalized dialysis,
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preemptive transplant), work context (large employer, social climate,
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job requiring mental rather than physical labor, flexible working hours,
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adjustment of work tasks, reduced hours, remote working, support at
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work, peritoneal dialysis exchange facility), and support at home.
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Occupational health services and social security could be barriers or
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facilitators.
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Limitations: The study sample of Dutch patients may limit the
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transferability of these findings to other countries.
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Conclusions: The wide range of barriers and facilitators in all
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International Classification of Functioning, Disability and Health
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components suggests great diversity among patients and their
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circumstances. These findings underline the importance of personalized
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nephrology and occupational health care as well as the importance of
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individually tailored workplace accommodations to promote sustained
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employment for patients with CKD.'
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affiliation: 'van der Mei, SF (Corresponding Author), Univ Groningen, Dept Hlth Sci
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Appl Hlth Res, Univ Med Ctr Groningen, Groningen, Netherlands.
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van der Mei, Sijrike F.; Alma, Manna A.; Visser, Annemieke, Univ Groningen, Dept
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Hlth Sci Appl Hlth Res, Univ Med Ctr Groningen, Groningen, Netherlands.
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Brouwer, Sandra, Univ Groningen, Dept Hlth Sci Community \& Occupat Med, Univ Med
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Ctr Groningen, Groningen, Netherlands.
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Gansevoort, Ron T.; Franssen, Casper F. M.; Bakker, Stephan J. L., Univ Groningen,
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Dept Internal Med, Univ Med Ctr Groningen, Groningen, Netherlands.
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Westerhuis, Ralf, Dialysis Ctr Groningen, Groningen, Netherlands.
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de Rijk, Angelique E., Maastricht Univ, Fac Hlth Med \& Life Sci, CAPHRI Care \&
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Publ Hlth Res Inst, Dept Social Med, Maastricht, Netherlands.
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Hemmelder, Marc H., Med Ctr Leeuwarden, Dept Internal Med, Leeuwarden, Netherlands.
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van Buren, Marjolijn, HagaHosp, Dept Internal Med, The Hague, Netherlands.
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van Buren, Marjolijn, Leiden Univ Med Ctr, Dept Nephrol, Leiden, Netherlands.'
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author: van der Mei, Sijrike F. and Alma, Manna A. and de Rijk, Angelique E. and Brouwer,
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Sandra and Gansevoort, Ron T. and Franssen, Casper F. M. and Bakker, Stephan J.
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L. and Hemmelder, Marc H. and Westerhuis, Ralf and van Buren, Marjolijn and Visser,
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Annemieke
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author-email: s.f.van.der.mei@umcg.nl
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author_list:
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- family: van der Mei
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given: Sijrike F.
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- family: Alma
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given: Manna A.
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- family: de Rijk
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given: Angelique E.
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- family: Brouwer
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given: Sandra
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- family: Gansevoort
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given: Ron T.
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- family: Franssen
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given: Casper F. M.
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- family: Bakker
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given: Stephan J. L.
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- family: Hemmelder
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given: Marc H.
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- family: Westerhuis
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given: Ralf
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- family: van Buren
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given: Marjolijn
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- family: Visser
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given: Annemieke
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da: '2023-09-28'
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doi: 10.1053/j.ajkd.2021.04.008
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earlyaccessdate: NOV 2021
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eissn: 1523-6838
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files: []
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issn: 0272-6386
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journal: AMERICAN JOURNAL OF KIDNEY DISEASES
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keywords-plus: 'KIDNEY-TRANSPLANTATION; WORK; HEALTH; DIALYSIS; DISEASE; LIFE;
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PARTICIPATION; INTERVENTION; MAINTENANCE; OUTCOMES'
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language: English
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month: DEC
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number: '6'
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number-of-cited-references: '45'
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orcid-numbers: 'Alma, Manna/0000-0002-8203-2713
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van der Mei, Sijrike/0000-0003-0100-4882
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Franssen, Casper/0000-0003-1004-9994'
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pages: 780-792
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papis_id: 7e4177aa0a3b2a180fc13f408c2e31bc
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ref: Vandermei2021barriersfacilitators
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researcherid-numbers: 'Alma, Manna/G-7987-2011
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Hemmelder, Marc/AFQ-0383-2022
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'
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times-cited: '8'
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title: 'Barriers to and Facilitators of Sustained Employment: A Qualitative Study
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of Experiences in Dutch Patients With CKD'
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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:000720942500007
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usage-count-last-180-days: '2'
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usage-count-since-2013: '8'
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volume: '78'
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web-of-science-categories: Urology \& Nephrology
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year: '2021'
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