Skip to main content

Post-transplant Employment and Return to Work

  • Chapter
  • First Online:
Transplant Psychiatry

Abstract

Mental health professionals can play an important role in return to work for transplant recipients. For many, employment can provide identity, structure, purpose, and necessary income. Mental health professionals may uncover return to work issues when interviewing transplant patients and may be more likely to encounter these issues following transplantation when return to work needs are more immediate. Depression, cognitive impairment, and financial issues can contribute to a recipient’s ability to and likelihood of being able to return to work. Proactive planning prior to surgery can avoid return to work difficulties after transplant. While return to work interventions are not widely available, mental health professionals can improve return to work outcomes by identifying and treating depression, assessing for cognitive impairments, and referring to cognitive rehabilitation programs or return to work vocational rehabilitation programs.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. D’Egidio V, Mannocci A, Ciaccio D, Sestili C, Cocchiara RA, Del Cimmuto A, et al. Return to work after kidney transplant: a systematic review. Occup Med. 2019;69(6):412–8.

    Article  Google Scholar 

  2. Dew MA, Switzer GE, Goycoolea JM, Allen AS, DiMartini A, Kormos RL, et al. Does transplantation produce quality of life benefits? A quantitative analysis of the literature. Transplantation. 1997;64(9):1261–73.

    Article  CAS  Google Scholar 

  3. Tome S, Wells JT, Said A, Lucey MR. Quality of life after liver transplantation. A systematic review. J Hepatol. 2008;48(4):567–77. Epub 2008 Jan 28.

    Article  Google Scholar 

  4. Aberg F. From prolonging life to prolonging working life: tackling unemployment among liver-transplant recipients. World J Gastroenterol. 2016;22:3701–11.

    Article  Google Scholar 

  5. Huda A, Newcomer R, Harrington C, et al. Employment after liver transplantation: a review. Transplant Proc. 2015;47:233–9.

    Article  CAS  Google Scholar 

  6. Vieux L, Simcox AA, Mediouni Z, Wild P, Koller M, Studer RK, Danuser B. Predictors of return to work at 12 months after solid organ transplantation: results from the Swiss Transplant Cohort Study. J Occup Rehabil. 2018;29:462–79.

    Article  Google Scholar 

  7. Waclawski ER, Noone P. Systematic review: impact of liver transplantation on employment. Occup Med. 2018;68(2):88–95.

    Article  CAS  Google Scholar 

  8. De Baere C, Delva D, Kloeck A, Remans K, Vanrenterghem Y, Verleden G, Vanhaecke J, Nevens F, Dobbels F. Return to work and social participation: does type of organ transplantation matter? Transplantation. 2010;89(8):1009–15.

    Article  Google Scholar 

  9. Miyake K, Endo M, Okumi M, et al. Predictors of return to work after kidney transplantation: a 12-month cohort of the Japan Academic Consortium of Kidney Transplantation study [published correction appears in BMJ Open. 2019 Dec 19;9(12):e031231corr1]. BMJ Open. 2019;9(10):e031231. Published 2019 Oct 3.

    Article  Google Scholar 

  10. Langer D, Gosselink R, Pitta F, Burtin C, Verleden G, Dupont L, et al. Physical activity in daily life 1 year after lung transplantation. J Heart Lung Transplant. 2009;28(6):572–8.

    Article  Google Scholar 

  11. Ruppert K, Kuo S, DiMartini A, Balan V. In a 12-year study, sustainability of quality of life benefits after liver transplant varies with pre-transplant diagnosis. Gastroenterology. 2010;139:1619–29.

    Article  Google Scholar 

  12. Holtzman S, Abbey SE, Stewart DE, Ross HJ. Pain after heart transplantation. Prevalence and implications for quality of life. Psychosomatics. 2010;51(3):230–6.

    Article  Google Scholar 

  13. Sandhu G, Khattak M, Pavlakis M, Woodward R, Hanto DW, Wasilewski MA, et al. Recipient’s unemployment restricts access to renal transplantation. Clin Transpl. 2013;27(4):598–606.

    Article  Google Scholar 

  14. DiMartini A, Crone C, Fireman M, Dew MA. Psychiatric aspects of organ transplantation in critical care. Crit Care Clin. 2008;24(4):949–81, x.

    Article  Google Scholar 

  15. Rosenberger EM, DiMartini AF, DeVito Dabbs AJ, et al. Psychiatric predictors of long-term transplant-related outcomes in lung transplant recipients. Transplantation. 2016;100(1):239–47.

    Article  CAS  Google Scholar 

  16. Gorevski E, Succop P, Sachdeva J, Scott R, Benjey J, Varughese G, Martin-Boone J. Factors influencing posttransplantation employment: does depression have an impact? Transplant Proc. 2011;43(10):3835–9.

    Article  CAS  Google Scholar 

  17. Newton SE. Relationship between depression and work outcomes following liver transplantation. Gastroenterol Nurs. 2003;26(2):68–72.

    Article  Google Scholar 

  18. Harnois G, Gabriel P. Mental health and work: impact, issues and good practices. World Health Organization & International Labour Organisation; 2000.

    Google Scholar 

  19. Gupta A, Mahnken JD, Johnson DK, et al. Prevalence and correlates of cognitive impairment in kidney transplant recipients. BMC Nephrol. 2017;18(1):158.

    Article  Google Scholar 

  20. Pantiga C, Rodrigo LR, Cuesta M, Lopez L, Arias J. Cognitive deficits in patients with hepatic cirrhosis and in liver transplant recipients. J Neuropsychiatry Clin Neurosci. 2003;15(1):84–9.

    Article  Google Scholar 

  21. Burker BS, Gullestad L, Gude E, Authen AR, Grov I, Hol PK, et al. Cognitive function after heart transplantation: comparing everolimus-based and calcineurin inhibitor-based regimens. Clin Transpl. 2017;31(4).

    Google Scholar 

  22. Bornstein RA, Starling RC, Myerowitz P, Haas GJ. Neuropsychological function in patients with end-stage heart failure before and after transplantation. Acta Neurol Scand. 1995;91:260–5.

    Article  CAS  Google Scholar 

  23. Smith PJ, Rivelli S, Waters A, et al. Neurocognitive changes after lung transplantation. Ann Am Thorac Soc. 2014;11(10):1520–7.

    Article  Google Scholar 

  24. Joshee P, Wood AG, Wood ER, Grunfeld EA. Meta-analysis of cognitive functioning in patients following kidney transplantation. Nephrol Dial Transplant. 2018;33(7):1268–77.

    Article  CAS  Google Scholar 

  25. Cohen DG, Christie JD, Anderson BJ, Diamond JM, Judy RP, Shah RJ, et al. Cognitive function, mental health, and health-related quality of life after lung transplantation. Ann Am Thorac Soc. 2013;11(4):522–30.

    Article  Google Scholar 

  26. Disability Evaluation Under Social Security—Listing of Impairments—Adult Listings (Part A).

    Google Scholar 

  27. Slakey DP, Rosner M. Disability following kidney transplantation: the link to medication coverage. Clin Transpl. 2007;21(2):224–8.

    Article  CAS  Google Scholar 

  28. Social Security Administration Tick to Work Program.

    Google Scholar 

  29. Access to Employment Support Services for Social Security Disability Beneficiaries Who Want to Work—Ticket to Work Program.

    Google Scholar 

  30. Messias AA, Reichelt AJ, dos Santos EF, Albuquerque GC, Kramer JSP, Hirakata VN, et al. Return to work after renal transplantation a study of the Brazilian Public Social Security System. Transplantation. 2014;98:1199–204.

    Article  Google Scholar 

  31. Langer D, Burtin C, Schepers L, Ivanova A, Verleden G, Decramer M, et al. Exercise training after lung transplantation improves participation in daily activity: a randomized controlled trial. Am J Transplant. 2012;12:1584–92.

    Article  CAS  Google Scholar 

  32. Tzvetanov I, West-Thielke P, D’Amico G, Johnsen M, Ladik A, Hachaj G, et al. A novel and personalized rehabilitation program for obese kidney transplant patients. Transplant Proc. 2014;46(10):3431–7.

    Article  CAS  Google Scholar 

  33. Lentine KL, Lam NN, Naik AS, Axelrod DA, Zhang Z, Dharnidharka VR, et al. Prescription opioid use before and after kidney transplant: implications for posttransplant outcomes. Am J Transplant. 2018;18(12):2987–99.

    Article  CAS  Google Scholar 

  34. Randall HB, Alhamad T, Schnitzler MA, Zhang Z, Ford-Glanton S, Axelrod DA, et al. Survival implications of opioid use before and after liver transplantation. Liver Transpl. 2017;23(3):305–14.

    Article  Google Scholar 

  35. Chang CF, Winsett RP, Gaber AO, Hathaway DK. Cost-effectiveness of post-transplantation quality of life intervention among kidney recipients. Clin Transpl. 2004;18(4):407–14.

    Article  Google Scholar 

  36. Wilkins F, Bozik K, Bennett K. The impact of patient education and psychosocial supports on return to normalcy 36 months post-kidney transplant. Clin Transpl. 2003;17(Suppl 9):78–80.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andrea F. DiMartini .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Hovis, E., Dew, M.A., DiMartini, A.F. (2022). Post-transplant Employment and Return to Work. In: Zimbrean, P.C., Sher, Y., Crone, C., DiMartini, A.F. (eds) Transplant Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-031-15052-4_30

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-15052-4_30

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-15051-7

  • Online ISBN: 978-3-031-15052-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics