Journal of Clinical and Translational Hepatology

Journal of Clinical and Translational Hepatology

Tuesday, 06 / 15 / 2021



Employment and Patient Satisfaction after Liver Transplantation

Christopher Cao, Dina Halegoua-DeMarzioLei Zhang*,, Shady Guirguis, Crystal Chen, Jonathan M. Fenkel  and Steven Herrine

Department of Gastroenterology and Hepatology, Thomas Jefferson University Hospitals, Philadelphia, PA, USA
*Correspondence to: Dina Halegoua-DeMarzio, Gastroenterology and Hepatology, Thomas Jefferson University Hospitals, 132 South 10th Street, Main Building, Suite 480, Philadelphia, PA 19107, USA. Tel: +1-215-955-8900, Fax: +1-215-503-2146, E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Journal of Clinical and Translational Hepatology 2020;8(3):299-303 DOI: 10.14218/JCTH.2020.00010
Received: February 6, 2020 Accepted: June 21, 2020 Published online: July 14, 2020


Background and Aims: This study serves to revisit the effects of liver transplantation (LT) on employment in an era of improving survival outcomes post-transplant, and to identify areas of improvement in the transplant process to better optimize post-LT employment and patient satisfaction.

Methods: Prospectively, patients who had undergone LT at a single tertiary LT center were surveyed in person and by e-mail. Primary outcomes included employment rate pre- and post-LT, annual salary, weekly hours worked, barriers to re-employment, and patient satisfaction.

Results: Responses were collected and analyzed from 121 patients who underwent LT. Pre-LT, 68 (56.1%) reported full-time employment, 13 (10.7%) part-time employment, and 40 (33.1%) unemployment. Post-LT, 26 (21.4%) reported continued full-time employment, 18 (14.9%) part-time employment, and 77 (63.6%) unemployment. Average weekly work hours decreased post-LT (16.1 h/week vs. 39.9 h/week). Mean annual salaries decreased post-LT (17 earning salary ≥$40,000 vs. 56 earning salary ≥$40,000). These outcomes differed from patient pre-LT expectations, with 81.0% of previously employed patients believing they would return to employment, resulting in decreased patient satisfaction. Patients working physically demanding jobs pre-LT were less likely to return to work. Reasons cited for lack of return to full employment included early fatigue and difficulty regaining physical strength.

Conclusions: Re-employment rates remain low post-LT, which is particularly true for patients working physically active jobs. Fatigue is a significant barrier to re-employment and increased physical rehabilitation post-LT may prove to be beneficial. Patients should be given realistic expectations about return to employment prior to their LT.


Liver, Transplant, Liver transplant, Employment, Patient satisfaction

Journal of Clinical and Translational Hepatology 2020 vol. 8, 299-303  [ Html  ] [ PDF Full-text ]

© The Authors 2020. This article is published under the terms of the Creative Commons Attribution-Noncommercial License (CC BY-NC 4.0), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license.


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