abstract: 'Background Kidney transplantation is considered a superior treatment for

  end-stage renal disease compared with dialysis although little is known

  about the wider effects, especially on labor market outcomes. The

  objective is to estimate the treatment effect of kidney transplantation

  compared with dialysis on labor market outcomes, controlling for the

  nonrandom selection into treatment.

  Methods The average treatment effect is estimated using an

  inverse-probability weighting regression adjustment approach on all

  patients in renal replacement therapy 1995 to 2012.

  Results Kidney transplantation is associated with a treatment advantage

  over dialysis on employment, labor force participation, early

  retirement, and labor income. The probability of being employed 1 year

  after treatment is 21 (95\% confidence interval, 16-25) percentage

  points higher for transplantation. The positive effect increases to 38

  (95\% confidence interval, 30-46) percentage points after 5 years,

  mainly due to worsening outcomes on dialysis. The effect on labor income

  is mainly mediated through employment probability. The productivity

  gains of transplantation compared to dialysis amounts to Euro33 000 over

  5 years.

  Conclusions Transplantation is superior to dialysis in terms of

  potential to return to work as well as in terms of labor income and risk

  of early retirement, after controlling for treatment selection. This

  positive effect increases over time after transplantation.'
affiliation: 'Jarl, J (Corresponding Author), Box 117, S-22100 Lund, Sweden.

  Jarl, Johan; Gerdtham, Ulf-G., Lund Univ, Dept Clin Sci, Hlth Econ, Lund, Sweden.

  Gerdtham, Ulf-G., Lund Univ, Dept Econ, Lund, Sweden.

  Desatnik, Peter, Helsingborg Hosp, Anesthesia \& Intens Care, Helsingborg, Sweden.

  Prutz, Karl-Goran, Helsingborg Hosp, Dept Internal Med, Helsingborg, Sweden.

  Prutz, Karl-Goran, Ryhov Hosp, Swedish Renal Registry, Jonkoping, Sweden.'
author: Jarl, Johan and Gerdtham, Ulf-G. and Desatnik, Peter and Prutz, Karl-Goran
author-email: johan.jarl@med.lu.se
author_list:
- family: Jarl
  given: Johan
- family: Gerdtham
  given: Ulf-G.
- family: Desatnik
  given: Peter
- family: Prutz
  given: Karl-Goran
da: '2023-09-28'
doi: 10.1097/TP.0000000000002228
eissn: 1534-6080
files: []
issn: 0041-1337
journal: TRANSPLANTATION
keywords-plus: 'QUALITY-OF-LIFE; RENAL-TRANSPLANTATION; ORGAN-TRANSPLANTATION;

  EMPLOYMENT; WORK; HEALTH; DISPARITIES; RECIPIENTS; DIALYSIS; PATTERNS'
language: English
month: AUG
number: '8'
number-of-cited-references: '25'
orcid-numbers: 'Gerdtham, Ulf-Göran/0000-0002-0647-7817

  Jarl, Johan/0000-0002-9274-2479'
pages: 1375-1381
papis_id: af0769897618c5f286f9fd54c0c740f9
ref: Jarl2018effectskidney
researcherid-numbers: 'Gerdtham, Ulf-Göran/I-6766-2018

  '
times-cited: '8'
title: Effects of Kidney Transplantation on Labor Market Outcomes in Sweden
type: Article
unique-id: WOS:000440684300039
usage-count-last-180-days: '0'
usage-count-since-2013: '2'
volume: '102'
web-of-science-categories: Immunology; Surgery; Transplantation
year: '2018'