{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T14:40:00Z","timestamp":1786372800830,"version":"build-2736575974"},"reference-count":41,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["CJASN"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Key Points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>While maintaining employment is a priority for patients with kidney disease, many stop working when they develop kidney failure.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>We examined the association between access to alternative dialysis schedules (home dialysis and evening shifts) and employment.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Access to alternative dialysis schedules was associated with a 6%\u201310% higher rate of employment among patients receiving dialysis.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Maintaining employment is a priority for many patients with kidney disease. Yet, only 30% to 35% of working aged patients with advanced CKD in the United States (US) report employment before starting dialysis, and many patients stop working at the onset of ESKD. While access to a dialysis treatment schedule outside of working hours may help patients to remain employed, the effects of alternative dialysis options on employment after starting dialysis are not well understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using the US Renal Disease System national registry, we identified dialysis facilities from 2016 to 2019. We examined the associations of access to alternative dialysis schedules (home dialysis and\/or evening dialysis shifts) with rates of employment among working aged (18\u201354 years) adults at each dialysis facility. Access to alternative dialysis was defined as receiving dialysis at a facility that offered home dialysis and\/or evening shifts. Multivariable regression models adjusted for patient, dialysis facility, socioeconomic, and geographic characteristics, including information about individual patient employment at the onset of dialysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 7246 US dialysis facilities with patient employment information in 2016\u20132019. In adjusted models, access to home dialysis was associated with a 10% (95% confidence interval, 8% to 12%) higher rate of employment. Access to a facility offering an evening dialysis shift was significantly associated with a 6% (95% confidence interval, 4% to 8%) higher rate of employment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Access to alternative dialysis options, such as in-home dialysis or evening schedules, was associated with higher employment among patients with ESKD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2215\/cjn.0000000819","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T16:01:10Z","timestamp":1759939270000},"page":"1594-1603","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Association between Access to Alternatives to Daytime In-Center Hemodialysis and Employment among Patients with Kidney Failure"],"prefix":"10.2215","volume":"20","author":[{"given":"Jose","family":"Perez","sequence":"first","affiliation":[{"name":"Section of Nephrology, Baylor College of Medicine, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingbo","family":"Niu","sequence":"additional","affiliation":[{"name":"Section of Nephrology, Baylor College of Medicine, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3750-7855","authenticated-orcid":false,"given":"Elliot","family":"Baerman","sequence":"additional","affiliation":[{"name":"Section of Nephrology, Baylor College of Medicine, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5272-425X","authenticated-orcid":false,"given":"Wolfgang C.","family":"Winkelmayer","sequence":"additional","affiliation":[{"name":"Section of Nephrology, Baylor College of Medicine, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4031-1714","authenticated-orcid":false,"given":"Kerri L.","family":"Cavanaugh","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4742-4380","authenticated-orcid":false,"given":"Monique R.","family":"Pappadis","sequence":"additional","affiliation":[{"name":"Department of Population Health and Health Disparities, Sealy Center on Aging, School of Public and Population Health, The University of Texas Medical Branch, Galveston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin F.","family":"Erickson","sequence":"additional","affiliation":[{"name":"Section of Nephrology, Baylor College of Medicine, Houston, Texas"},{"name":"Baker Institute for Public Policy, Rice University, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"issue":"5","key":"B1-20251110","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1111\/sdi.12620","article-title":"Health-related quality of life of patients on chronic dialysis: the need for a focused effort","volume":"30","author":"Bossola","year":"2017","journal-title":"Semin Dial."},{"issue":"3","key":"B2-20251110","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1177\/08968608221086734","article-title":"Symptom dimensions of anxiety and depression in patients receiving peritoneal dialysis compared to haemodialysis","volume":"42","author":"Nadort","year":"2022","journal-title":"Perit Dial Int."},{"key":"B3-20251110","doi-asserted-by":"crossref","first-page":"577","DOI":"10.2147\/PPA.S156356","article-title":"The impact on quality of life of dialysis patients with renal 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