Skip to main content
SpringerLink
Log in

Social participation and employment status after kidney transplantation: A systematic review

  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Objective: To summarize and assess literature regarding social participation of recipients after successful kidney transplantation.Methods: A systematic review including a literature search in Medline (1980–2003) and five other databases, and assessment of methodological quality of selected studies by two reviewers applying a checklist of twelve criteria. Results: Seventeen studies out of 1443 identified references were selected. Quality scores for internal validity ranged from 0% to 50% (median 20%). Employment was the most used indicator of social participation and two studies briefly reported on vacation and recreation. Employment rate ranged from 18% to 82%, however differences in defining categories of employment or lack of description were present. Study populations were heterogeneous with regard to demographic and clinical characteristics. Three studies identified pre-transplant employment status as predictor of post-transplant employment. Other potential risk factors were not consistent across studies. Conclusion: Measurement of social participation focuses mainly on employment status. Quality assessment revealed shortcomings in reporting and validity of studies, whereby valid conclusions regarding the degree of social participation after kidney transplantation cannot be drawn. Future research should supplement the focus on employment status by examining other aspects of social participation as well as potential risk factors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. AM Doyle RI Lechler LA Turka (2004) ArticleTitleOrgan transplantation: Halfway through the first century J Am Soc Nephrol 15 2965–2971 Occurrence Handle15579498 Occurrence Handle10.1097/01.ASN.0000145434.00279.DD

    Article  PubMed  Google Scholar 

  2. B Kaplan HU Meier-Kriesche (2004) ArticleTitleRenal transplantation: A half century of success and the long road ahead J Am Soc Nephrol 15 3270–3271 Occurrence Handle15579532 Occurrence Handle10.1097/01.ASN.0000146569.59482.8C

    Article  PubMed  Google Scholar 

  3. RA Wolfe VB Ashby EL Milford et al. (1999) ArticleTitleComparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant N Engl J Med 341 1725–1730 Occurrence Handle10580071 Occurrence Handle1:STN:280:DC%2BD3c%2FjslOltQ%3D%3D Occurrence Handle10.1056/NEJM199912023412303

    Article  PubMed  CAS  Google Scholar 

  4. RW Evans DJ Kitzmann (1998) ArticleTitleAn economic analysis of kidney transplantation Surg Clin North Am 78 149–174 Occurrence Handle9531941 Occurrence Handle1:STN:280:DyaK1c7ptlSqsA%3D%3D Occurrence Handle10.1016/S0039-6109(05)70640-X

    Article  PubMed  CAS  Google Scholar 

  5. GA Wit ParticleDe PG Ramsteijn FT De Charro (1998) ArticleTitleEconomic evaluation of end stage renal disease treatment Health Policy 44 215–232 Occurrence Handle10182294 Occurrence Handle10.1016/S0168-8510(98)00017-7

    Article  PubMed  Google Scholar 

  6. DS Parsons DC Harris (1997) ArticleTitleA review of quality of life in chronic renal failure Pharmacoeconomics 12 140–160 Occurrence Handle10169667 Occurrence Handle1:STN:280:DyaK2svitFGjuw%3D%3D Occurrence Handle10.2165/00019053-199712020-00005

    Article  PubMed  CAS  Google Scholar 

  7. R Jofre JM Lopez-Gomez F Valderrabano (2000) ArticleTitleQuality of life for patient groups Kidney Int 57 S121–S130 Occurrence Handle10.1046/j.1523-1755.2000.07420.x

    Article  Google Scholar 

  8. GH Franke U Heemann M Kohnle P Luetkes N Maehner J Reimer (2000) ArticleTitleQuality of life in patients before and after kidney transplantation Psychol Health 14 1037–1049

    Google Scholar 

  9. R Jofre JM Lopez-Gomez F Moreno D Sanz-Guajardo F Valderrabano (1998) ArticleTitleChanges in quality of life after renal transplantation Am J Kidney Dis 32 93–100 Occurrence Handle9669429 Occurrence Handle1:STN:280:DyaK1czjt1SqsA%3D%3D

    PubMed  CAS  Google Scholar 

  10. VH Karam I Gasquet V Delvart et al. (2003) ArticleTitleQuality of life in adult survivors beyond 10 years after liver, kidney, and heart transplantation Transplantation 76 1699–1704 Occurrence Handle14688519 Occurrence Handle10.1097/01.TP.0000092955.28529.1E

    Article  PubMed  Google Scholar 

  11. P Rebollo F Ortega JM Baltar et al. (1998) ArticleTitleHealth-related quality of life (HRQOL) in end stage renal disease (ESRD) patients over 65 years Geriatr Nephrol Urol 8 85–94 Occurrence Handle9893216 Occurrence Handle1:STN:280:DyaK1M7gvFSqtg%3D%3D Occurrence Handle10.1023/A:1008338802209

    Article  PubMed  CAS  Google Scholar 

  12. B Stengel S Billon PC Dijk Particlevan et al. (2003) ArticleTitleTrends in the incidence of renal replacement therapy for end-stage renal disease in Europe, 1990–1999 Nephrol Dial Transplant 18 1824–1833 Occurrence Handle12937231 Occurrence Handle10.1093/ndt/gfg233

    Article  PubMed  Google Scholar 

  13. S Moeller S Gioberge G Brown (2002) ArticleTitleESRD patients in 2001: Global overview of patients, treatment modalities and development trends Nephrol Dial Transplant 17 2071–2076 Occurrence Handle12454213 Occurrence Handle10.1093/ndt/17.12.2071

    Article  PubMed  Google Scholar 

  14. P Roderick R Davies C Jones T Feest S Smith K Farrington (2004) ArticleTitleSimulation model of renal replacement therapy: Predicting future demand in England Nephrol Dial Transplant 19 692–701 Occurrence Handle14767028 Occurrence Handle10.1093/ndt/gfg591

    Article  PubMed  Google Scholar 

  15. M Taillefer G Dupuis M Roberge S May ParticleLe (2003) ArticleTitleHealth-related quality of life models: Systematic review of the literature Soc Indic Res 64 293–323 Occurrence Handle10.1023/A:1024740307643

    Article  Google Scholar 

  16. ET Edgell SJ Coons WB Carter et al. (1996) ArticleTitleA review of health-related quality-of-life measures used in end-stage renal disease Clin Ther 18 887–938 Occurrence Handle8930432 Occurrence Handle1:STN:280:DyaK2s%2FosVSrug%3D%3D Occurrence Handle10.1016/S0149-2918(96)80049-X

    Article  PubMed  CAS  Google Scholar 

  17. SP Wainwright M Fallon D Gould (1999) ArticleTitlePsychosocial recovery from adult kidney transplantation: A literature review J Clin Nurs 8 233–245 Occurrence Handle10578745 Occurrence Handle1:STN:280:DC%2BD3c%2FksFOjtQ%3D%3D Occurrence Handle10.1046/j.1365-2702.1999.00220.x

    Article  PubMed  CAS  Google Scholar 

  18. F Valderrabano R Jofre JM Lopez-Gomez (2001) ArticleTitleQuality of life in end-stage renal disease patients Am J Kidney Dis 38 443–464 Occurrence Handle11532675 Occurrence Handle1:STN:280:DC%2BD3MvovFKhtA%3D%3D

    PubMed  CAS  Google Scholar 

  19. JT Joseph LS Baines MC Morris RM Jindal (2003) ArticleTitleQuality of life after kidney and pancreas transplantation: A review Am J Kidney Dis 42 431–445 Occurrence Handle12955671 Occurrence Handle10.1016/S0272-6386(03)00740-6

    Article  PubMed  Google Scholar 

  20. MA Dew GE Switzer JM Goycoolea et al. (1997) ArticleTitleDoes transplantation produce quality of life benefits? A quantitative analysis of the literature Transplantation 64 1261–1273 Occurrence Handle9371666 Occurrence Handle1:STN:280:DyaK1c%2FjslOitQ%3D%3D Occurrence Handle10.1097/00007890-199711150-00006

    Article  PubMed  CAS  Google Scholar 

  21. JI Cameron C Whiteside J Katz GM Devins (2000) ArticleTitleDifferences in quality of life across renal replacement therapies: A meta-analytic comparison Am J Kidney Dis 35 629–637 Occurrence Handle10739783 Occurrence Handle1:STN:280:DC%2BD3c3gs1aqsw%3D%3D

    PubMed  CAS  Google Scholar 

  22. M Egger GD Smith (2001) Principles of and procedures for systematic reviews M Egger GD Smith DG Altman (Eds) Systematic Reviews in Health Care: Meta-Analysis in Context BMJ Publishing Group London 23–42

    Google Scholar 

  23. AP Verhagen HC Vet Particlede RA Bie Particlede et al. (1998) ArticleTitleThe Delphi list: A criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi consensus J Clin Epidemiol 51 1235–1241 Occurrence Handle10086815 Occurrence Handle1:STN:280:DyaK1M7osVKiuw%3D%3D Occurrence Handle10.1016/S0895-4356(98)00131-0

    Article  PubMed  CAS  Google Scholar 

  24. AP Verhagen HC Vet Particlede RA Bie Particlede M Boers PA Brandt Particlevan den (2001) ArticleTitleThe art of quality assessment of RCTs included in systematic reviews J Clin Epidemiol 54 651–654 Occurrence Handle11438404 Occurrence Handle1:STN:280:DC%2BD3MzotVyntA%3D%3D Occurrence Handle10.1016/S0895-4356(00)00360-7

    Article  PubMed  CAS  Google Scholar 

  25. DA Windt ParticleVan der MP Zeegers HC Kemper WJ Assendelft RJ Scholten (2000) ArticleTitleDe praktijk van systematische reviews. VI. Zoeken, selecteren en methodologisch beoordelen van etiologisch onderzoek. [Practice of systematic reviews. VI. Searching, selection and methodological evaluation of etiological research] Ned Tijdschr Geneeskd 144 1210–1214 Occurrence Handle10897300

    PubMed  Google Scholar 

  26. WE Hoogendoorn MN Poppel Particlevan PM Bongers BW Koes LM Bouter (2000) ArticleTitleSystematic review of psychosocial factors at work and private life as risk factors for back pain Spine 25 2114–2125 Occurrence Handle10954644 Occurrence Handle1:STN:280:DC%2BD3cvktVyjsw%3D%3D Occurrence Handle10.1097/00007632-200008150-00017

    Article  PubMed  CAS  Google Scholar 

  27. DA Windt ParticleVan der E Thomas DP Pope et al. (2000) ArticleTitleOccupational risk factors for shoulder pain: A systematic review Occup Environ Med 57 433–442 Occurrence Handle10854494 Occurrence Handle10.1136/oem.57.7.433

    Article  PubMed  Google Scholar 

  28. F Hoodin S Weber (2003) ArticleTitleA systematic review of psychosocial factors affecting survival after bone marrow transplantation Psychosomatics 44 181–195 Occurrence Handle12724499 Occurrence Handle10.1176/appi.psy.44.3.181

    Article  PubMed  Google Scholar 

  29. J Waiser K Budde M Schreiber et al. (1998) ArticleTitleThe quality of life in end stage renal disease care Transpl Int 11 IssueIDSuppl 1 S42–S45 Occurrence Handle9664941 Occurrence Handle10.1007/s001470050423

    Article  PubMed  Google Scholar 

  30. SM Flechner AC Novick WE Braun KL Popowniak D Steinmuller (1983) ArticleTitleFunctional capacity and rehabilitation of recipients with a functioning renal allograft for ten years or more Transplantation 35 572–576 Occurrence Handle6408771 Occurrence Handle1:STN:280:DyaL3s3ltVWqug%3D%3D

    PubMed  CAS  Google Scholar 

  31. JP Johnson CR McCauley JB Copley (1982) ArticleTitleThe quality of life of hemodialysis and transplant patients Kidney Int 22 286–291 Occurrence Handle6757524 Occurrence Handle1:STN:280:DyaL3s%2Fos1Ojsw%3D%3D

    PubMed  CAS  Google Scholar 

  32. AJ Matas W Lawson L McHugh et al. (1996) ArticleTitleEmployment patterns after successful kidney transplantation Transplantation 61 729–733 Occurrence Handle8607175 Occurrence Handle1:STN:280:DyaK287nvFSntQ%3D%3D Occurrence Handle10.1097/00007890-199603150-00010

    Article  PubMed  CAS  Google Scholar 

  33. MS Markell A DiBenedetto V Maursky et al. (1997) ArticleTitleUnemployment in inner-city renal transplant recipients: Predictive and sociodemographic factors Am J Kidney Dis 29 881–887 Occurrence Handle9186074 Occurrence Handle1:STN:280:DyaK2szivFKjsg%3D%3D

    PubMed  CAS  Google Scholar 

  34. L Raiz (1997) ArticleTitleThe transplant trap: The impact of health policy on employment status following renal transplantation J Health Soc Policy 8 67–87 Occurrence Handle10173004 Occurrence Handle1:STN:280:DyaK2szhsFClsQ%3D%3D Occurrence Handle10.1300/J045v08n04_05

    Article  PubMed  CAS  Google Scholar 

  35. U Koch FA Muthny (1990) ArticleTitleQuality of life in patients with end-stage renal disease in relation to the method of treatment Psychother Psychosom 54 161–171 Occurrence Handle2098778 Occurrence Handle1:STN:280:DyaK3M3nvFyrtg%3D%3D Occurrence Handle10.1159/000132984

    Article  PubMed  CAS  Google Scholar 

  36. RG Simmons L Abress CR Anderson (1988) ArticleTitleQuality of life after kidney transplantation. A prospective, randomized comparison of cyclosporine and conventional immunosuppressive therapy Transplantation 45 415–421 Occurrence Handle3278436 Occurrence Handle1:STN:280:DyaL1c7ks1amtw%3D%3D

    PubMed  CAS  Google Scholar 

  37. JD Russell ML Beecroft D Ludwin DN Churchill (1992) ArticleTitleThe quality of life in renal transplantation – A prospective study Transplantation 54 656–660 Occurrence Handle1412757 Occurrence Handle1:STN:280:DyaK3s%2Fjt1ajsQ%3D%3D

    PubMed  CAS  Google Scholar 

  38. LS Baines JT Joseph RM Jindal (2002) ArticleTitleEmotional issues after kidney transplantation: A prospective psychotherapeutic study Clin Transplant 16 455–460 Occurrence Handle12437627 Occurrence Handle10.1034/j.1399-0012.2002.02080.x

    Article  PubMed  Google Scholar 

  39. GH Franke J Reimer M Kohnle P Luetkes N Maehner U Heemann (1999) ArticleTitleQuality of life in end-stage renal disease patients after successful kidney transplantation: Development of the ESRD symptom checklist – Transplantation module Nephron 83 31–39 Occurrence Handle10461033 Occurrence Handle1:STN:280:DyaK1MzptFynsA%3D%3D Occurrence Handle10.1159/000045470

    Article  PubMed  CAS  Google Scholar 

  40. SM Taber HA Lee M Slapak (1982) ArticleTitleA rehabilitation assessment of renal transplantees (based on United Kingdom experience) Nephrol Nurse 4 9–14 Occurrence Handle6755285 Occurrence Handle1:STN:280:DyaL3s%2FmtlSrtg%3D%3D

    PubMed  CAS  Google Scholar 

  41. M Ostrowski T Wesolowski D Makar R Bohatyrewicz (2000) ArticleTitleChanges in patients’ quality of life after renal transplantation Transplant Proc 32 1371–1374 Occurrence Handle10995983 Occurrence Handle1:STN:280:DC%2BD3cvosVGktQ%3D%3D Occurrence Handle10.1016/S0041-1345(00)01261-6

    Article  PubMed  CAS  Google Scholar 

  42. CR Gross C Limwattananon B Matthees JL Zehrer K Savik (2000) ArticleTitleImpact of transplantation on quality of life in patients with diabetes and renal dysfunction Transplantation 70 1736–1746 Occurrence Handle11152106 Occurrence Handle1:STN:280:DC%2BD3M%2FptlOhsQ%3D%3D Occurrence Handle10.1097/00007890-200012270-00013

    Article  PubMed  CAS  Google Scholar 

  43. DK Hathaway RP Winsett C Johnson et al. (1998) ArticleTitlePost kidney transplant quality of life prediction models Clin Transplant 12 168–174 Occurrence Handle9642506 Occurrence Handle1:STN:280:DyaK1czgs1Cktg%3D%3D

    PubMed  CAS  Google Scholar 

  44. F Gouge JJ Moore BA Bremer CR McCauly JP Johnson (1990) ArticleTitleThe quality of life of donors, potential donors, and recipients of living-related donor renal transplantation Transplant Proc 22 2409–2413 Occurrence Handle2219414 Occurrence Handle1:STN:280:DyaK3M%2FitVGmsw%3D%3D

    PubMed  CAS  Google Scholar 

  45. K Griva JP Ziegelmann D Thompson et al. (2002) ArticleTitleQuality of life and emotional responses in cadaver and living related renal transplant recipients Nephrol Dial Transplant 17 2204–2211 Occurrence Handle12454234 Occurrence Handle10.1093/ndt/17.12.2204

    Article  PubMed  Google Scholar 

  46. UK Renal Registry Report 2003. Retrieved December 21, 2005 from http://renalreg.com

  47. P Keown (2001) ArticleTitleImproving quality of life – The new target for transplantation Transplantation 72 S67–S74 Occurrence Handle11833144 Occurrence Handle1:STN:280:DC%2BD387gtFGmsA%3D%3D

    PubMed  CAS  Google Scholar 

  48. RW Evans DL Manninen L-PJ Garrison et al. (1985) ArticleTitleThe quality of life of patients with end-stage renal disease N Engl J Med 312 553–559 Occurrence Handle3918267 Occurrence Handle1:STN:280:DyaL2M7htFSksw%3D%3D Occurrence Handle10.1056/NEJM198502283120905

    Article  PubMed  CAS  Google Scholar 

  49. M Egger GD Smith M. Schneider (2001) Systematic reviews of observational studies M Egger GD Smith DG Altman (Eds) Systematic Reviews in Health Care: Meta-Analysis in Context BMJ Publishing group London 211–227

    Google Scholar 

  50. InstitutionalAuthorNameWorld Health Organization (2001) International Classification of Functioning, Disability and Health WHO Geneva

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Health Sciences, Northern Centre for Healthcare Research (NCH), University Medical Centre Groningen (UMCG), University of Groningen, P.O. Box 196, 9700 AD, Groningen, The Netherlands

    Sijrike F. van der Mei, Boudien Krol & Johan W. Groothoff

  2. Institute for Rehabilitation Research (IRv), Hoensbroek, The Netherlands

    Sijrike F. van der Mei & Wim J. A. van den Heuvel

  3. Department of Health Sciences, UMCG, The Netherlands

    Boudien Krol & Johan W. Groothoff

  4. Department of Internal Medicine, Division of Nephrology, UMCG, The Netherlands

    Willem J. van Son & Paul E. de Jong

  5. Netherlands School of Primary Health Care Research (CaRe), University Maastricht, The Netherlands

    Wim J. A. van den Heuvel

Authors
  1. Sijrike F. van der Mei
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Boudien Krol
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Willem J. van Son
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Paul E. de Jong
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Johan W. Groothoff
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Wim J. A. van den Heuvel
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sijrike F. van der Mei.

Rights and permissions

Reprints and permissions

About this article

Cite this article

van der Mei, S.F., Krol, B., van Son, W.J. et al. Social participation and employment status after kidney transplantation: A systematic review. Qual Life Res 15, 979–994 (2006). https://doi.org/10.1007/s11136-006-0045-5

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-006-0045-5

Keywords

Search

Navigation