Employment in the patient with chronic kidney disease related to renal replacement therapy.

Abstract

BACKGROUND: Chronic kidney disease (CKD) is a limiting condition, but they are shown the benefits the work activity occurs in these patients. The modality of renal replacement therapy (RRT) can influence the activity of work. OBJECTIVES: Analyze the employment of people with CKD related to of RRT in which they are: hemodialysis (HD), peritoneal dialysis manual (CAPD), automated peritoneal dialysis (APD) or transplantation (Tx). METHODS: Descriptive analysis of the employment about 243 kidney patients of both sexes between 16 and 64 years, conducting RRT with HD, CAPD, APD or Tx from 8 Spanish hospitals. RESULTS: Only 33.3% of patients with RRT in the working age were employed. Statistically significant differences are observed in the percentage of employed men (40.1%) and females (22.9%), between the average age of the employed (43.5 years) and unoccupied (49.6 years), and in the mean time to treatment of employees (4.8 years) and unoccupied (7.9 years). Finally there are also differences in the percentage of employed persons in the various forms of TSR considered, being much higher in APD patients (47.8%) than in patients on HD (21.7%) having the lowest percent. CONCLUSIONS: Chronic Kidney Disease (CKD) and RRT are a major source of disability. Active patients opt for treatment largely APD, so that almost half of the patients in this modality are working, while in HD only one of every five patients is working.