{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T18:31:00Z","timestamp":1781289060997,"version":"3.54.1"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T00:00:00Z","timestamp":1738108800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Return\u2010to\u2010work (RTW) following lung transplant has been associated with increased quality of life, but little is known regarding the rates of and barriers to this in the Australian population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>We aimed to describe, characterise and determine predictors of return to work and social participation in Australian lung transplant recipients. We also sought to explore the relationship between return to work and quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a cross\u2010sectional questionnaire\u2010based study at the Alfred Hospital, Melbourne between October 2018 and August 2019. The questionnaire evaluated demographics, transplant history, respiratory parameters, employment history and social integration prior to and after lung transplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 172 lung transplant recipients were included for analysis. The population was mostly male (56.5%), median age 61\u2009years (interquartile range (IQR) 49.8\u201367.0) and median time from transplant 4\u2009years (IQR 2\u20137). A total of 19.2% of patients were working at time of transplant, with 35.5% working after transplant representing an increase in workforce engagement of 84.8% (<jats:italic>P<\/jats:italic> &lt;\u20090.001). A total of 96% of those who returned to work reported an improvement in quality of life. Median time to RTW after transplant was 180\u2009days (IQR 90\u2013360). Multivariable analysis demonstrated an increased rate of RTW in younger recipients (odds ratio (OR) 0.94, 95% confidence interval (CI) 0.89\u20130.99, adjusted <jats:italic>P<\/jats:italic> =\u20090.029), at greater length of time after transplant (OR 1.09, 95% CI 0.99\u20131.19, <jats:italic>P<\/jats:italic> =\u20090.084), among those working at the time of transplant (OR 9.55, 95% CI 2.70\u201333.75, <jats:italic>P<\/jats:italic> &lt;\u20090.001) and with higher socioeconomic status (OR 1.02, 95% CI 1.01\u20131.04, <jats:italic>P<\/jats:italic> =\u20090.009). Recipients with cystic fibrosis were more likely to RTW (65.8%) than those with other underlying conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>RTW should be encouraged in lung transplant recipients. Targeted supports and resources aimed at younger recipients may result in greater workforce engagement and overall outcomes after transplant.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.16641","type":"journal-article","created":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T09:25:28Z","timestamp":1738142728000},"page":"415-425","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Return\u2010to\u2010work in lung transplant recipients: an Australian perspective"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2755-4137","authenticated-orcid":false,"given":"Maitri","family":"Munsif","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2906-7364","authenticated-orcid":false,"given":"Matthew","family":"Donnan","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9093-3669","authenticated-orcid":false,"given":"Gregory","family":"Snell","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7039-2175","authenticated-orcid":false,"given":"Kovi","family":"Levin","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8223-7305","authenticated-orcid":false,"given":"Miranda","family":"Paraskeva","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2015.07.003"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201606-507OC"},{"key":"e_1_2_7_4_1","volume-title":"2022 Annual Report, Section 8: Deceased Donor Lung Donation","author":"Australia and New Zealand Dialysis and Transplant Registry"},{"key":"e_1_2_7_5_1","volume-title":"2019 Annual Report, Section 12: Deceased Organ Transplant Outcome Data","author":"Australia and New Zealand Dialysis and Transplant Registry"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1432-2277.2006.00440.x"},{"key":"e_1_2_7_7_1","unstructured":"Lung Foundation of Australia.Lung transplantation. 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