Skip to main content

Main menu

  • Home
  • Content
    • Published Ahead of Print
    • Current Issue
    • Podcasts
    • Subject Collections
    • Archives
    • ASN Meeting Abstracts
    • Saved Searches
  • Authors
    • Submit a Manuscript
    • Author Resources
    • Reprint Information
  • Trainees
    • Peer Review Program
    • Prize Competition
  • About CJASN
    • About CJASN
    • Editorial Team
    • CJASN Impact
    • CJASN Recognitions
  • More
    • Alerts
    • Advertising
    • Reprint Information
    • Subscriptions
    • Feedback
  • ASN Kidney News
  • Other
    • JASN
    • Kidney360
    • Kidney News Online
    • American Society of Nephrology

User menu

  • Subscribe
  • My alerts
  • Log in
  • My Cart

Search

  • Advanced search
American Society of Nephrology
  • Other
    • JASN
    • Kidney360
    • Kidney News Online
    • American Society of Nephrology
  • Subscribe
  • My alerts
  • Log in
  • My Cart
Advertisement
American Society of Nephrology

Advanced Search

  • Home
  • Content
    • Published Ahead of Print
    • Current Issue
    • Podcasts
    • Subject Collections
    • Archives
    • ASN Meeting Abstracts
    • Saved Searches
  • Authors
    • Submit a Manuscript
    • Author Resources
    • Reprint Information
  • Trainees
    • Peer Review Program
    • Prize Competition
  • About CJASN
    • About CJASN
    • Editorial Team
    • CJASN Impact
    • CJASN Recognitions
  • More
    • Alerts
    • Advertising
    • Reprint Information
    • Subscriptions
    • Feedback
  • ASN Kidney News
  • Visit ASN on Facebook
  • Follow CJASN on Twitter
  • CJASN RSS
  • Community Forum
Original ArticlesMaintenance Dialysis
You have accessRestricted Access

Employment among Patients Starting Dialysis in the United States

Kevin F. Erickson, Bo Zhao, Vivian Ho and Wolfgang C. Winkelmayer
CJASN February 2018, 13 (2) 265-273; DOI: https://doi.org/10.2215/CJN.06470617
Kevin F. Erickson
1Section of Nephrology and Selzman Institute for Kidney Health, Baylor College of Medicine, Houston, Texas; and
2Baker Institute for Public Policy and Department of Economics, Rice University, Houston, Texas
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Bo Zhao
1Section of Nephrology and Selzman Institute for Kidney Health, Baylor College of Medicine, Houston, Texas; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Vivian Ho
2Baker Institute for Public Policy and Department of Economics, Rice University, Houston, Texas
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Wolfgang C. Winkelmayer
1Section of Nephrology and Selzman Institute for Kidney Health, Baylor College of Medicine, Houston, Texas; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Wolfgang C. Winkelmayer
  • Article
  • Figures & Data Supps
  • Info & Metrics
  • View PDF
Loading

Abstract

Background and objectives Patients with ESRD face significant challenges to remaining employed. It is unknown when in the course of kidney disease patients stop working.

Design, setting, participants, & measurements We examined employment trends over time among patients ages 18–54 years old who initiated dialysis in the United States between 1996 and 2013 from a national ESRD registry. We compared unadjusted trends in employment at the start of dialysis and 6 months before ESRD and used linear probability models to estimate changes in employment over time after adjusting for patient characteristics and local unemployment rates in the general population. We also examined employment among selected vulnerable patient populations and changes in employment in the 6 months preceding dialysis initiation.

Results Employment was low among patients starting dialysis throughout the study period at 23%–24%, and 38% of patients who were employed 6 months before ESRD stopped working by dialysis initiation. However, after adjusting for observed characteristics, the probability of employment increased over time; patients starting dialysis between 2008 and 2013 had a 4.7% (95% confidence interval, 4.3% to 5.1%) increase in the absolute probability of employment at the start of dialysis compared with patients starting dialysis between 1996 and 2001. Black and Hispanic patients were less likely to be employed than other patients starting dialysis, but this gap narrowed during the study period.

Conclusions Although working-aged patients in the United States starting dialysis have experienced increases in the adjusted probability of employment over time, employment at the start of dialysis has remained low.

  • chronic dialysis
  • clinical epidemiology
  • Economic Analysis
  • end-stage renal disease
  • Epidemiology and outcomes
  • United States Renal Data System
  • ethnicity
  • quality of life
  • Humans
  • United States
  • Unemployment
  • cyclo(Arg-Pro)
  • Employment
  • Hispanic Americans
  • African Americans
  • Registries
  • Kidney Diseases
  • Kidney Failure, Chronic
  • Probability
  • renal dialysis
  • Received June 20, 2017.
  • Accepted October 19, 2017.
  • Copyright © 2018 by the American Society of Nephrology
View Full Text
PreviousNext
Back to top

In this issue

Clinical Journal of the American Society of Nephrology: 13 (2)
Clinical Journal of the American Society of Nephrology
Vol. 13, Issue 2
February 07, 2018
  • Table of Contents
  • Table of Contents (PDF)
  • About the Cover
  • Index by author
View Selected Citations (0)
Print
Download PDF
Sign up for Alerts
Email Article
Thank you for your help in sharing the high-quality science in CJASN.
Enter multiple addresses on separate lines or separate them with commas.
Employment among Patients Starting Dialysis in the United States
(Your Name) has sent you a message from American Society of Nephrology
(Your Name) thought you would like to see the American Society of Nephrology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Employment among Patients Starting Dialysis in the United States
Kevin F. Erickson, Bo Zhao, Vivian Ho, Wolfgang C. Winkelmayer
CJASN Feb 2018, 13 (2) 265-273; DOI: 10.2215/CJN.06470617

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Request Permissions
Share
Employment among Patients Starting Dialysis in the United States
Kevin F. Erickson, Bo Zhao, Vivian Ho, Wolfgang C. Winkelmayer
CJASN Feb 2018, 13 (2) 265-273; DOI: 10.2215/CJN.06470617
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like

Jump to section

  • Article
    • Abstract
    • Introduction
    • Materials and Methods
    • Results
    • Discussion
    • Disclosures
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data Supps
  • Info & Metrics
  • View PDF

More in this TOC Section

Original Articles

  • Trends in Discard of Kidneys from Hepatitis C Viremic Donors in the United States
  • Availability, Accessibility, and Quality of Conservative Kidney Management Worldwide
  • Zolpidem Versus Trazodone Initiation and the Risk of Fall-Related Fractures among Individuals Receiving Maintenance Hemodialysis
Show more Original Articles

Maintenance Dialysis

  • The Mobile Health Readiness of People Receiving In-Center Hemodialysis and Home Dialysis
  • Effect of Phosphate-Specific Diet Therapy on Phosphate Levels in Adults Undergoing Maintenance Hemodialysis
  • Zolpidem Versus Trazodone Initiation and the Risk of Fall-Related Fractures among Individuals Receiving Maintenance Hemodialysis
Show more Maintenance Dialysis

Cited By...

  • A Validation Study of Employment Status in Late-Stage CKD
  • Employment among Patients on Dialysis: An Unfulfilled Promise
  • Google Scholar

Similar Articles

Related Articles

  • Employment among Patients on Dialysis
  • PubMed
  • Google Scholar

Keywords

  • chronic dialysis
  • clinical epidemiology
  • economic analysis
  • end-stage renal disease
  • epidemiology and outcomes
  • United States Renal Data System
  • ethnicity
  • quality of life
  • Humans
  • United States
  • Unemployment
  • cyclo(Arg-Pro)
  • Employment
  • Hispanic Americans
  • African Americans
  • registries
  • kidney diseases
  • Kidney Failure, Chronic
  • Probability
  • renal dialysis

Articles

  • Current Issue
  • Early Access
  • Subject Collections
  • Article Archive
  • ASN Meeting Abstracts

Information for Authors

  • Submit a Manuscript
  • Trainee of the Year
  • Author Resources
  • ASN Journal Policies
  • Reuse/Reprint Policy

About

  • CJASN
  • ASN
  • ASN Journals
  • ASN Kidney News

Journal Information

  • About CJASN
  • CJASN Email Alerts
  • CJASN Key Impact Information
  • CJASN Podcasts
  • CJASN RSS Feeds
  • Editorial Board

More Information

  • Advertise
  • ASN Podcasts
  • ASN Publications
  • Become an ASN Member
  • Feedback
  • Follow on Twitter
  • Password/Email Address Changes
  • Subscribe

© 2021 American Society of Nephrology

Print ISSN - 1555-9041 Online ISSN - 1555-905X

Powered by HighWire