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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

Authors

  • Fayez AlHejaili

    1   Department of Nephrology, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia

  • Muhammad N. Hashmi 

    1   Department of Nephrology, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia

  • Abdulkareem Alsuwaida 

    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
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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.

Keywords

employment - diabetes - chronic dialysis - chronic kidney disease - end-stage renal disease


Publikationsverlauf

Artikel online veröffentlicht:
21. Juni 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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