Return-to-work in lung transplant recipients: an Australian perspective

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Internal Medicine Journal Pub Date : 2025-01-29 DOI:10.1111/imj.16641

Maitri Munsif, Matthew Donnan, Gregory Snell, Kovi Levin, Miranda Paraskeva

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引用次数: 0

Abstract

Background

Return-to-work (RTW) following lung transplant has been associated with increased quality of life, but little is known regarding the rates of and barriers to this in the Australian population.

Aims

We aimed to describe, characterise and determine predictors of return to work and social participation in Australian lung transplant recipients. We also sought to explore the relationship between return to work and quality of life.

Methods

We conducted a cross-sectional questionnaire-based study at the Alfred Hospital, Melbourne between October 2018 and August 2019. The questionnaire evaluated demographics, transplant history, respiratory parameters, employment history and social integration prior to and after lung transplantation.

Results

A total of 172 lung transplant recipients were included for analysis. The population was mostly male (56.5%), median age 61 years (interquartile range (IQR) 49.8–67.0) and median time from transplant 4 years (IQR 2–7). A total of 19.2% of patients were working at time of transplant, with 35.5% working after transplant representing an increase in workforce engagement of 84.8% (P < 0.001). A total of 96% of those who returned to work reported an improvement in quality of life. Median time to RTW after transplant was 180 days (IQR 90–360). Multivariable analysis demonstrated an increased rate of RTW in younger recipients (odds ratio (OR) 0.94, 95% confidence interval (CI) 0.89–0.99, adjusted P = 0.029), at greater length of time after transplant (OR 1.09, 95% CI 0.99–1.19, P = 0.084), among those working at the time of transplant (OR 9.55, 95% CI 2.70–33.75, P < 0.001) and with higher socioeconomic status (OR 1.02, 95% CI 1.01–1.04, P = 0.009). Recipients with cystic fibrosis were more likely to RTW (65.8%) than those with other underlying conditions.

Conclusions

RTW should be encouraged in lung transplant recipients. Targeted supports and resources aimed at younger recipients may result in greater workforce engagement and overall outcomes after transplant.

Abstract Image

查看原文本刊更多论文

肺移植受者重返工作岗位：澳大利亚人的观点。

背景：肺移植后重返工作岗位（RTW）与生活质量的提高有关，但对澳大利亚人口中这一比例和障碍知之甚少。目的：我们旨在描述、描述和确定澳大利亚肺移植受者重返工作和社会参与的预测因素。我们还试图探索重返工作岗位与生活质量之间的关系。方法：我们于2018年10月至2019年8月在墨尔本阿尔弗雷德医院进行了一项基于横断面问卷的研究。问卷评估了肺移植前后的人口统计、移植史、呼吸参数、就业史和社会融入情况。结果：共纳入172例肺移植受者进行分析。人群以男性为主（56.5%），中位年龄61岁（四分位间距（IQR） 49.8 ~ 67.0），中位移植时间4年（IQR 2 ~ 7）。移植时工作的患者占19.2%，移植后工作的患者占35.5%，工作参与率增加了84.8% (P结论：应鼓励肺移植受者进行RTW。针对年轻受者的有针对性的支持和资源可能会导致更大的劳动力参与和移植后的总体结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Internal Medicine Journal 医学-医学：内科

CiteScore

3.50

自引率

4.80%

发文量

600

审稿时长

3-6 weeks

期刊介绍： The Internal Medicine Journal is the official journal of the Adult Medicine Division of The Royal Australasian College of Physicians (RACP). Its purpose is to publish high-quality internationally competitive peer-reviewed original medical research, both laboratory and clinical, relating to the study and research of human disease. Papers will be considered from all areas of medical practice and science. The Journal also has a major role in continuing medical education and publishes review articles relevant to physician education.