Evidence map›Paper›PMID 36315355›Full record

ArticleJournal of nephrology2023

Sustained employment, work disability and work functioning in CKD patients: a cross-sectional survey study.

Manna A Alma, Sijrike F van der Mei, Sandra Brouwer, Luuk B Hilbrands, Paul J M van der Boog, Herma Uiterwijk, Femke Waanders, Maaike Hengst, Ron T Gansevoort, Annemieke Visser

Open access · hybridAbstract read
In one paragraph

Article in Journal of nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
7.2field-weighted citation impact, top 2% of its field
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

25 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
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  5. [Social security burden due to work-related disability due to kidney failure].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Observational
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  11. A qualitative study on the return to work experiences and views of young and middle-aged patient with chronic kidney disease.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Manna A AlmaDepartment of Health Sciences, Applied Health Research, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. m.a.alma@umcg.nl.ORCID http://orcid.org/0000-0002-8203-2713
Sijrike F van der MeiDepartment of Health Sciences, Applied Health Research, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID http://orcid.org/0000-0003-0100-4882
Sandra BrouwerDepartment of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID http://orcid.org/0000-0002-3819-4360
Luuk B HilbrandsDepartment of Nephrology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-4935-9765
Paul J M van der BoogDepartment of Nephrology, Leiden University Medical Center, Leiden, The Netherlands.ORCID http://orcid.org/0000-0002-8178-1413
Herma UiterwijkDialysis Center Groningen, Groningen, The Netherlands.
Femke WaandersDepartment of Internal Medicine, Isala Hospital, Zwolle, The Netherlands.ORCID http://orcid.org/0000-0003-4417-7732
Maaike HengstDepartment of Internal Medicine, Catharina Hospital, Eindhoven, The Netherlands.
Ron T GansevoortDepartment of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID http://orcid.org/0000-0002-3223-0906
Annemieke VisserDepartment of Health Sciences, Applied Health Research, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID http://orcid.org/0000-0002-2684-096X
University Medical Center Groningen · NLRadboud University Nijmegen · NLDialyse Centrum Groningen · NLIsala · NLLeiden University Medical Center · NL

Funding

Nierstichting SWO14.01
6 · The paper itself

Abstract

introductionKidney failure negatively affects opportunities for work participation. Little is known about work functioning of employed CKD patients. This study investigates work-related outcomes, and examines associations between patient characteristics and employment status.

methodsWe performed a cross-sectional survey study in nine nephrology outpatient clinics in the Netherlands among working age (18-67 years) CKD Stage G3b-G5, dialysis and transplant patients (n = 634; mean age 53.4 years (SD 10); 53% male; 47% Stage G3b-G5, 9% dialysis, 44% transplantation). We assessed employment status, work disability, work-related characteristics (i.e., work situation, working hours, job demands), work functioning (i.e., perceived ability to work, productivity loss, limitations in work), work environment (i.e., work accommodations, psychosocial work environment), as well as health status and fatigue.

resultsSixty-five percent were employed reporting moderate work ability. Of those, 21% received supplementary work disability benefits, 37% were severely fatigued, 7% expected to drop out of the workforce, and 49% experienced CKD-related work limitations. Work accommodations included reduced working hours, working at a slower pace, adjustment of work tasks or work schedule, and working from home. Multivariable analysis of sustained employment showed associations with younger age, male gender, higher level of education, better general and physical health and pre-emptive transplantation. Transplant patients had the highest work ability and highest expectation to maintain work. Dialysis patients had the highest productivity loss and perceived the most limitations regarding functioning in work. Stage G3b-G5 patients reported the lowest social support from colleagues and highest conflict in work and private life.

conclusionsEmployed CKD patients experience difficulties regarding functioning in work requiring adjustment of work or partial work disability. In addition to dialysis patients, stage G3b-G5 patients are vulnerable concerning sustained employment and work functioning.

Indexed as

EmploymentRenal Insufficiency, ChronicAdolescentAdultAgedCross-Sectional StudiesFemaleHealth StatusHumansMaleMiddle AgedRenal DialysisYoung AdultChronic Kidney DiseaseSurvey studySustained employmentWork functioning

Identifiers

PMID36315355
PMCPMC10090013
OpenAlexW4307774252

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.