CC BY 4.0 · Avicenna J Med 2024; 14(02): 110-114
DOI: 10.1055/s-0044-1786869
Original Article

Burden of Chronic Hemodialysis on the Ability to Work: Time for Action

Fayez AlHejaili
1   Department of Nephrology, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
,
1   Department of Nephrology, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia
,
2   Department of Medicine, King Saud University Medical City, King Saud University, Riyadh, Kingdom of Saudi Arabia
,
Ghada A. Ankawi
3   Department of Medicine, College of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia
,
Shahad A. ALMehaideb
2   Department of Medicine, King Saud University Medical City, King Saud University, Riyadh, Kingdom of Saudi Arabia
,
Anas A. Alsuwaida
2   Department of Medicine, King Saud University Medical City, King Saud University, Riyadh, Kingdom of Saudi Arabia
,
Mohammed T. AlZahrani
2   Department of Medicine, King Saud University Medical City, King Saud University, Riyadh, Kingdom of Saudi Arabia
,
Ali E. Shehadah
2   Department of Medicine, King Saud University Medical City, King Saud University, Riyadh, Kingdom of Saudi Arabia
,
Hatem A. AlNasser
2   Department of Medicine, King Saud University Medical City, King Saud University, Riyadh, Kingdom of Saudi Arabia
› Author Affiliations

Abstract

Background Understanding the factors that contribute to unemployment will help in the design of creative resolutions to enable hemodialysis patients to return to a productive life.

Methods We examined employment among 625 patients aged 18 to 60 years who were on hemodialysis in 8 dialysis units.

Results Overall employment was low among patients on chronic hemodialysis at 49.7%. Unemployment was significantly higher in women than in men (86.6% vs 17.1%, p < 0.0001). The employment rate was 70.5% for those with no diabetes and hypertension, 29.5% for those with diabetes, and 25.9% for those with diabetes and hypertension. Furthermore, the results of the Cox regression showed that the variables of gender, level of education, capability of driving, and diabetes were related to employment of patients.

Conclusions The majority of patients on hemodialysis are unemployed or exit paid employment due to early retirement. Patients with diabetes and women are a vulnerable population with a higher unemployment rate.



Publication History

Article published online:
21 June 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • Reference

  • 1 Al Attar B. Renal replacement therapy in the Kingdom of Saudi Arabia. Saudi J Kidney Dis Transpl 2021; 32 (04) 1188-1200
  • 2 European Commission. The 2012 Ageing Report: economic and budgetary projections for the 27 EU Member States (2010–2060). European Economy; 2012 :63. Accessed May 6, 2023 at: https://ec.europa.eu/economy_finance/publications/european_economy/2012/pdf/ee-2012-2_en.pdf
  • 3 Bloom DE, Cafiero ET, Jané-llopis E. et al. The Global Economic Burden of Noncommunicable Diseases. Geneva: World Economic Forum; 2011 . Accessed May 6, 2023 at: http://www3.weforum.org/docs/WEF_Harvard_HE_GlobalEconomicBurdenNonCommunicableDiseases_2011.pdf
  • 4 Mouelhi Y, Jouve E, Alessandrini M. et al. Factors associated with health-related quality of life in kidney transplant recipients in France. BMC Nephrol 2018; 19 (01) 99
  • 5 de Jong M, de Boer AGEM, Tamminga SJ, Frings-Dresen MHW. Quality of working life issues of employees with a chronic physical disease: a systematic review. J Occup Rehabil 2015; 25 (01) 182-196
  • 6 Chang YT, Wang F, Huang WY, Hsiao H, Wang JD, Lin CC. Estimated loss of lifetime employment duration for patients undergoing maintenance dialysis in Taiwan. Clin J Am Soc Nephrol 2021; 16 (05) 746-756
  • 7 GlobalEconomy.com. Female unemployment – country rankings [Internet]. [Accessed on the 22nd March, 2024]. Available at: https://www.theglobaleconomy.com/rankings/female_unemployment/.
  • 8 Seuring T, Goryakin Y, Suhrcke M. The impact of diabetes on employment in Mexico. Econ Hum Biol 2015; 18: 85-100
  • 9 Latif E. The impact of diabetes on employment in Canada. Health Econ 2009; 18 (05) 577-589
  • 10 Kim JH, Lee WY, Lim SS, Kim YT, Hong YP. Gender differences in the relationship between type 2 diabetes mellitus and employment: evidence from the Korea Health Panel Study. Int J Environ Res Public Health 2020; 17 (19) 7040
  • 11 Nazarov S, Manuwald U, Leonardi M. et al. Chronic diseases and employment: which interventions support the maintenance of work and return to work among workers with chronic illnesses? A systematic review. Int J Environ Res Public Health 2019; 16 (10) 1864
  • 12 Masakane I, Ito M, Tanida H, Nawano T. Patient-centered care could improve quality of life and survival of dialysis patients: dialysis prescription and daily practice. Blood Purif 2023; 52 (Suppl. 01) 1-12
  • 13 Robinson BM, Akizawa T, Jager KJ, Kerr PG, Saran R, Pisoni RL. Factors affecting outcomes in patients reaching end-stage kidney disease worldwide: differences in access to renal replacement therapy, modality use, and haemodialysis practices. Lancet 2016; 388 (10041): 294-306
  • 14 Knobbe TJ, Kremer D, Abma FI. et al; TransplantLines Investigators. Employment status and work functioning among kidney transplant recipients. Clin J Am Soc Nephrol 2022; 17 (10) 1506-1514
  • 15 Tomori K, Okada H. Home hemodialysis: benefits, risks, and barriers. Contrib Nephrol 2018; 196: 178-183
  • 16 Zazzeroni L, Pasquinelli G, Nanni E, Cremonini V, Rubbi I. Comparison of quality of life in patients undergoing hemodialysis and peritoneal dialysis: a systematic review and meta-analysis. Kidney Blood Press Res 2017; 42 (04) 717-727
  • 17 Chen JY, Wan EYF, Choi EPH. et al. The health-related quality of life of Chinese patients on hemodialysis and peritoneal dialysis. Patient 2017; 10 (06) 799-808
  • 18 Almutary H, Tayyib N. Evaluating self-efficacy among patients undergoing dialysis therapy. Nurs Rep 2021; 11 (01) 195-201