BACKGROUND: Several studies report an earlier return to work after minimal invasive kidney donation compared to open donor nephrectomy. However, this variation in outcome might be influenced by other factors than the surgical technique used, such as the advice given by the physician regarding return to work. In this study, we compare the absence from work after open (ODN), laparoscopic (LDN), and hand-assisted donor nephrectomy (HA) performed in the Netherlands, in relation to the advice given. METHODS: Questionnaires containing questions about return to work or return to daily activities were sent to 78 donors from three hospitals. In the HA and ODN hospitals, advice on full return to work was 3 months. In contrast, advice given in the LDN hospital was 6 weeks. RESULTS: After LDN, donors resumed their work after 6 weeks, 5 weeks faster compared to ODN (p = 0.002) and HA (p <0.001). Complete return to work occurred 9 weeks sooner in the LDN group compared to the ODN and HA groups (both p <0.001). In the unemployed group, there was no significant difference in length until full return to daily activities. CONCLUSION: Return to work is influenced by the advice on return to work given by the physician as well as the morbidity associated with the surgical approach.
BACKGROUND: Several studies report an earlier return to work after minimal invasive kidney donation compared to open donor nephrectomy. However, this variation in outcome might be influenced by other factors than the surgical technique used, such as the advice given by the physician regarding return to work. In this study, we compare the absence from work after open (ODN), laparoscopic (LDN), and hand-assisted donor nephrectomy (HA) performed in the Netherlands, in relation to the advice given. METHODS: Questionnaires containing questions about return to work or return to daily activities were sent to 78 donors from three hospitals. In the HA and ODN hospitals, advice on full return to work was 3 months. In contrast, advice given in the LDN hospital was 6 weeks. RESULTS: After LDN, donors resumed their work after 6 weeks, 5 weeks faster compared to ODN (p = 0.002) and HA (p <0.001). Complete return to work occurred 9 weeks sooner in the LDN group compared to the ODN and HA groups (both p <0.001). In the unemployed group, there was no significant difference in length until full return to daily activities. CONCLUSION: Return to work is influenced by the advice on return to work given by the physician as well as the morbidity associated with the surgical approach.
Authors: Steffan Jackobs; Thomas Becker; Rainer Lück; Mark D Jäger; Björn Nashan; Wilfried Gwinner; Anke Schwarz; Jürgen Klempnauer; Michael Neipp Journal: World J Urol Date: 2005-09-23 Impact factor: 4.226
Authors: Niels F M Kok; May Y Lind; Birgitta M E Hansson; Desiree Pilzecker; Ingrid R A M Mertens zur Borg; Ben C Knipscheer; Eric J Hazebroek; Ine M Dooper; Willem Weimar; Wim C J Hop; Eddy M M Adang; Gert Jan van der Wilt; Hendrik J Bonjer; Jordanus A van der Vliet; Jan N M IJzermans Journal: BMJ Date: 2006-07-17
Authors: Marieke J Krimphove; Stephen W Reese; Xi Chen; Maya Marchese; Daniel Pucheril; Eugene Cone; Wesley Chou; Karl H Tully; Adam S Kibel; Richard D Urman; Steven L Chang; Luis A Kluth; Prokar Dasgupta; Quoc Dien Trinh Journal: Investig Clin Urol Date: 2020-11-13
Authors: Ingrid R A M Mertens zur Borg; Manuela Di Biase; Serge Verbrugge; Jan N M Ijzermans; Diederik Gommers Journal: Surg Endosc Date: 2007-05-24 Impact factor: 4.584