The effect of peritoneal dialysis on labor market outcomes compared with institutional hemodialysis
Ghani, Zartashia LU ; Rydell, Helena LU and Jarl, Johan LU
(2019)
In Peritoneal Dialysis International
39(1).
p.59-65
- Abstract
BACKGROUND: The aim of this study is to compare the impact of peritoneal dialysis (PD) and institutional hemodialysis (IHD), the 2 most common dialysis modalities, on employment, work income, and disability pension in Sweden.
METHODS: Included in this study were 4,734 patients in IHD and PD, aged 20 - 60 years, starting treatment in Sweden during 1995 - 2012, and surviving the first year of dialysis therapy. Both "intention to treat" and "on treatment" analyses were performed by including transplant patients into the former and censoring them at the date of transplant in the latter analysis. A reduced bias treatment effect of PD vs IHD on labor market outcomes was esti-mated while accounting for non-random selection into... (More)
BACKGROUND: The aim of this study is to compare the impact of peritoneal dialysis (PD) and institutional hemodialysis (IHD), the 2 most common dialysis modalities, on employment, work income, and disability pension in Sweden.
METHODS: Included in this study were 4,734 patients in IHD and PD, aged 20 - 60 years, starting treatment in Sweden during 1995 - 2012, and surviving the first year of dialysis therapy. Both "intention to treat" and "on treatment" analyses were performed by including transplant patients into the former and censoring them at the date of transplant in the latter analysis. A reduced bias treatment effect of PD vs IHD on labor market outcomes was esti-mated while accounting for non-random selection into treatment.
RESULTS: Peritoneal dialysis was found to be associated with a 4-percentage-point increased probability of employment compared with IHD in the "on treatment" analysis. Also, PD was associated with a reduced disability pension by 6 percentage points, as well as increased work income (EUR 3,477 for employed) compared with IHD during the first year of treatment. The "intention to treat" analysis tended to give higher effect sizes compared with "on treatment."
CONCLUSIONS: The results indicate that PD is associated with a treatment advantage over IHD in terms of increased employment, work income, and reduced disability pension in the Swedish popu-lation after controlling for non-random selection into treatment.
(Less)
- author
- Ghani, Zartashia
LU
; Rydell, Helena
LU
and Jarl, Johan
LU
- organization
- publishing date
- 2019-01-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- disability pension, employment rate, propensity score matching, Renal dialysis, renal replacement therapy, treatment effect, work income
- in
- Peritoneal Dialysis International
- volume
- 39
- issue
- 1
- pages
- 7 pages
- publisher
- Multimed Inc.
- external identifiers
-
- scopus:85060652862
- pmid:30257994
- pmid:30257994
- ISSN
- 1718-4304
- DOI
- 10.3747/pdi.2017.00236
- language
- English
- LU publication?
- yes
- id
- a3b4079d-c97c-4c5d-8fec-7b8e805dd397
- date added to LUP
- 2018-10-05 07:37:59
- date last changed
- 2024-06-10 18:30:08
@article{a3b4079d-c97c-4c5d-8fec-7b8e805dd397,
abstract = {{<p>BACKGROUND: The aim of this study is to compare the impact of peritoneal dialysis (PD) and institutional hemodialysis (IHD), the 2 most common dialysis modalities, on employment, work income, and disability pension in Sweden.</p><p>METHODS: Included in this study were 4,734 patients in IHD and PD, aged 20 - 60 years, starting treatment in Sweden during 1995 - 2012, and surviving the first year of dialysis therapy. Both "intention to treat" and "on treatment" analyses were performed by including transplant patients into the former and censoring them at the date of transplant in the latter analysis. A reduced bias treatment effect of PD vs IHD on labor market outcomes was esti-mated while accounting for non-random selection into treatment.</p><p>RESULTS: Peritoneal dialysis was found to be associated with a 4-percentage-point increased probability of employment compared with IHD in the "on treatment" analysis. Also, PD was associated with a reduced disability pension by 6 percentage points, as well as increased work income (EUR 3,477 for employed) compared with IHD during the first year of treatment. The "intention to treat" analysis tended to give higher effect sizes compared with "on treatment."</p><p>CONCLUSIONS: The results indicate that PD is associated with a treatment advantage over IHD in terms of increased employment, work income, and reduced disability pension in the Swedish popu-lation after controlling for non-random selection into treatment.</p>}},
author = {{Ghani, Zartashia and Rydell, Helena and Jarl, Johan}},
issn = {{1718-4304}},
keywords = {{disability pension; employment rate; propensity score matching; Renal dialysis; renal replacement therapy; treatment effect; work income}},
language = {{eng}},
month = {{01}},
number = {{1}},
pages = {{59--65}},
publisher = {{Multimed Inc.}},
series = {{Peritoneal Dialysis International}},
title = {{The effect of peritoneal dialysis on labor market outcomes compared with institutional hemodialysis}},
url = {{http://dx.doi.org/10.3747/pdi.2017.00236}},
doi = {{10.3747/pdi.2017.00236}},
volume = {{39}},
year = {{2019}},
}