2023-09-28 14:46:10 +00:00
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abstract: 'Background: Patients with cystic fibrosis (CF) experience obstacles to
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employment, regardless of whether they have undergone lung
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transplantation (LTx). We investigated socioeconomic and clinical
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factors predicting long-term employment outcomes in CF patients
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receiving LTx.
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Methods: Data from the United Network for Organ Sharing registry were
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used to identify CF patients 18-59 years-old who received LTx between
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2000 and 2010 and survived greater than 5 years. Long-term employment
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status was determined by center-reported follow-up data on patients
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working for income, collected at the 5th transplant anniversary. After
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multiple imputation to complete missing data on covariates,
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multivariable logistic regression was used to identify associations
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between characteristics at or after LTx and long-term work
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participation.
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Results: There were 745 patients who met inclusion criteria and
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contributed employment data within 365 days of their 5th LTx
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anniversary. In this cohort, 48\% (358/745) were working for income 5
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years after LTx. Younger age, male gender, better pulmonary function
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attained post-transplant, pre-transplant work participation, and private
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health insurance (compared to government Medicaid or Medicare insurance)
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at the time of transplant predicted greater odds of post-transplant
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employment.
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Conclusions: Lack of work experience and reliance on government health
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insurance at the time of transplant predict lower long-term work
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participation among LTx recipients with CF. By contrast, long-term
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employment outcomes were not negatively affected by comorbidities at or
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after transplantation in this cohort. Despite resolving some
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physiological obstacles to employment in patients with CF, LTx may
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introduce new socioeconomic barriers to employment. (C) 2016 European
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Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.'
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affiliation: 'Krivchenia, K (Corresponding Author), Ohio State Univ, Coll Med, Dept
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Pediat, 370 W 9th Ave, Columbus, OH 43210 USA.
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Krivchenia, K (Corresponding Author), Nationwide Childrens Hosp, Ctr Epidemiol Study
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Organ Failure \& Transplantat, 700 Childrens Dr, Columbus, OH 43205 USA.
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Krivchenia, K (Corresponding Author), Nationwide Childrens Hosp, Sect Pulm Med,
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700 Childrens Dr, Columbus, OH 43205 USA.
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Krivchenia, Katelyn; Hayes, Don, Jr.; Tumin, Dmitry, Ohio State Univ, Coll Med,
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Dept Pediat, 370 W 9th Ave, Columbus, OH 43210 USA.
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Tobias, Joseph D., Ohio State Univ, Coll Med, Anesthesiol \& Pain Med, 370 W 9th
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Ave, Columbus, OH 43210 USA.
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Hayes, Don, Jr., Ohio State Univ, Coll Med, Internal Med, 370 W 9th Ave, Columbus,
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OH 43210 USA.
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Hayes, Don, Jr., Ohio State Univ, Coll Med, Surg, 370 W 9th Ave, Columbus, OH 43210
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USA.
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Krivchenia, Katelyn; Hayes, Don, Jr.; Tobias, Joseph D.; Tumin, Dmitry, Nationwide
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Childrens Hosp, Ctr Epidemiol Study Organ Failure \& Transplantat, 700 Childrens
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Dr, Columbus, OH 43205 USA.
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Tobias, Joseph D.; Tumin, Dmitry, Nationwide Childrens Hosp, Dept Anesthesiol \&
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Pain Med, 700 Childrens Dr, Columbus, OH 43205 USA.
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Krivchenia, Katelyn; Hayes, Don, Jr., Nationwide Childrens Hosp, Sect Pulm Med,
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700 Childrens Dr, Columbus, OH 43205 USA.'
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author: Krivchenia, Katelyn and Hayes Jr., Don and Tobias, Joseph D. and Tumin, Dmitry
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author-email: 'katelynicrivchenia@nationwidechildrens.org
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don.hayes@nationwidechildrens.org
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joseph.tobias@nationwidechildrens.org
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dmitry.tumin@nationwidechildrens.org'
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author_list:
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- family: Krivchenia
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given: Katelyn
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- family: Hayes Jr.
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given: Don
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- family: Tobias
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given: Joseph D.
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- family: Tumin
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given: Dmitry
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da: '2023-09-28'
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doi: 10.1016/j.jcf.2016.07.007
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eissn: 1873-5010
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files: []
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issn: 1569-1993
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journal: JOURNAL OF CYSTIC FIBROSIS
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keywords: Lung transplantation; Employment; Cystic fibrosis
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keywords-plus: EMPLOYMENT; ADULTS; DISABILITY; RETURN
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language: English
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month: NOV
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number: '6'
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number-of-cited-references: '18'
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orcid-numbers: Tumin, Dmitry/0000-0002-9180-7656
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pages: 846-849
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papis_id: 1b4a80a9e5ea14e1aaf703dae8ef4015
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ref: Krivchenia2016longtermwork
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researcherid-numbers: 'Tumin, Dmitry/AAG-6295-2021
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'
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times-cited: '13'
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title: Long-term work participation among cystic fibrosis patients undergoing lung
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transplantation
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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:000390517700023
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '15'
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web-of-science-categories: Respiratory System
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year: '2016'
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