Evidence map›Paper›PMID 31585975›Full record

ArticleBMJ open2019

Predictors of return to work after kidney transplantation: a 12-month cohort of the Japan Academic Consortium of Kidney Transplantation study.

Katsunori Miyake, Motoki Endo, Masayoshi Okumi, Kohei Unagami, Yoichi Kakuta, Miyuki Furusawa, Tomokazu Shimizu, Kazuya Omoto, Hiroki Shirakawa, Hideki Ishida and 1 more

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In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Katsunori MiyakeDepartment of Urology, Tokyo Women's Medical University, Shinjuku-ku, Japan.ORCID 0000-0001-8356-9646
Motoki EndoDepartment of Public Health, Juntendo University, Bunkyo-ku, Japan.
Masayoshi OkumiDepartment of Urology, Tokyo Women's Medical University, Shinjuku-ku, Japan okumi@twmu.ac.jp.
Kohei UnagamiDepartment of Organ Transplant Medicine, Tokyo Women's Medical University, Shinjuku-ku, Japan.
Yoichi KakutaDepartment of Urology, Tokyo Women's Medical University, Shinjuku-ku, Japan.
Miyuki FurusawaDepartment of Urology, Tokyo Women's Medical University, Shinjuku-ku, Japan.
Tomokazu ShimizuDepartment of Urology, Tokyo Women's Medical University, Shinjuku-ku, Japan.
Kazuya OmotoDepartment of Urology, Tokyo Women's Medical University, Shinjuku-ku, Japan.
Hiroki ShirakawaTokyo Women's Medical University, Shinjuku-ku, Japan.
Hideki IshidaDepartment of Organ Transplant Medicine, Tokyo Women's Medical University, Shinjuku-ku, Japan.
Kazunari TanabeDepartment of Urology, Tokyo Women's Medical University, Shinjuku-ku, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the cumulative return-to-work (RTW) rate and to identify predictors of employment after kidney transplantation (KT).

designRetrospective, outpatient-based cohort study.

settingThis was a single-centre study of the largest Japanese kidney transplant centre.

participantsWe selected Japanese kidney transplant recipients aged 20-64 years who were employed in paid jobs at the time of transplantation and who visited an outpatient clinic from December 2017 to March 2018. From 797 patients, we evaluated 515 in this study.

interventionsWe interviewed patients at an outpatient clinic and investigated the timing and predictors of RTW using logistic regression models. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was the cumulative RTW rate, and the secondary outcome was to investigate the predictors of RTW after KT.

resultsAmong the 515 included recipients, the cumulative overall partial/full RTW rates at 2, 4, 6 and 12 months were 22.3%, 59.0%, 77.1% and 85.0%, respectively. The median duration from transplantation to RTW was 4 months. Regarding partial/full RTW, according to the multivariable analysis including all variables, male sex was a greater predictor for RTW than female sex (OR 2.05, 95% CI 1.32 to 3.20), and a managerial position was a greater predictor than a non-managerial position (OR 2.23, 95% CI 1.42 to 3.52). Regarding full RTW, male sex (OR 1.95, 95% CI 1.25 to 3.06) and managerial position (OR 1.95, 95% CI 1.25 to 3.06) were also good predictors.

conclusionsThe cumulative RTW rate was 85.0% 1-year post-transplantation. Given that cumulative RTW rates varied by sex and position, transplant and occupational physicians should support kidney transplant recipients in the aspect of returning to work. TRIAL REGISTRATION NUMBER: UMIN000033449.

Indexed as

AdultFemaleHumansJapanKidney Failure, ChronicKidney TransplantationMaleMiddle AgedOccupationsPostoperative PeriodRetrospective StudiesReturn to WorkSex FactorsTime FactorsYoung Adultend-stage renal diseasekidney transplantationreturn to work

Identifiers

PMID31585975
PMCPMC6797409

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.