Journal article
The Impact of Pediatric Chronic Kidney Disease on Educational and Employment Outcomes
Kidney360, Vol.4(10), pp.1389-1396
10/2023
DOI: 10.34067/KID.0000000000000206
PMCID: PMC10615373
PMID: 37418621
Abstract
Background Pediatric patients with chronic kidney disease (CKD) are at risk for neurocognitive deficits and academic underachievement. This population may be at risk for lower educational attainment and higher rates of unemployment; however, published data has focused on patients with advanced CKD and exist in isolation from assessment of neurocognition and kidney function. Methods Data from the Chronic Kidney Disease in Children (CKiD) cohort study were used to characterize educational attainment and employment status in young adults with CKD. We utilized ratings of executive function as a predictor of future educational attainment and employment status. Linear regression models predicted the highest grade level completed. Logistic regression models predicted unemployment. Results 296 CKiD participants aged 18 years or older had available educational data. 220/296 had employment data. By age 22, 97% had completed high school and 48% completed 2+ years of college. Among those reporting employment status, 58% were part- or full-time employed, 22% were non-working students, and 20% were unemployed and/or receiving disability. In adjusted models, lower kidney function (p=0.02), worse executive function (p=0.02), and poor performance on achievement testing (p=0.004) predicted lower grade level completed relative to expectation for age. Conclusions CKiD study patients appear to have a better high school graduation rates (97%) than the adjusted national high school graduation rate (86%). Conversely, roughly 20% of participants were unemployed or receiving disability at study follow-up. Tailored interventions may benefit CKD patients with lower kidneyfunction and/or executive function deficits to optimize educational/employment outcomes in adulthood.
Details
- Title: Subtitle
- The Impact of Pediatric Chronic Kidney Disease on Educational and Employment Outcomes
- Creators
- Lyndsay A. Harshman - University of IowaRyan C. Ward - University of IowaMatthew B. Matheson - Johns Hopkins UniversityAnne Dawson - Nationwide Children's HospitalAmy J. Kogon - Children's Hospital of PhiladelphiaMarc B. Lande - University of RochesterStephen J. Molitor - Medical College of WisconsinRebecca J. Johnson - Children's Mercy HospitalCamille Wilson - Nationwide Children's HospitalBradley A. Warady - Children's Mercy HospitalSusan L. Furth - University of PennsylvaniaStephen R. Hooper - University of North Carolina at Chapel Hill
- Resource Type
- Journal article
- Publication Details
- Kidney360, Vol.4(10), pp.1389-1396
- DOI
- 10.34067/KID.0000000000000206
- PMID
- 37418621
- PMCID
- PMC10615373
- NLM abbreviation
- Kidney360
- ISSN
- 2641-7650
- eISSN
- 2641-7650
- Grant note
- DOI: 10.13039/100000002, name: National Institutes of Health, award: R01DK128835; DOI: 10.13039/100000002, name: National Institutes of Health, award: U01 DK066143; DOI: 10.13039/100000002, name: National Institutes of Health, award: U01 DK066174; DOI: 10.13039/100000002, name: National Institutes of Health, award: U24 DK082194; DOI: 10.13039/100000002, name: National Institutes of Health, award: U24 DK066116; DOI: 10.13039/100000002, name: National Institutes of Health, award: R01DK128835; DOI: 10.13039/100000002, name: National Institutes of Health, award: U01 DK066143; DOI: 10.13039/100000002, name: National Institutes of Health, award: U01 DK066174; DOI: 10.13039/100000002, name: National Institutes of Health, award: U24 DK082194; DOI: 10.13039/100000002, name: National Institutes of Health, award: U24 DK066116
- Language
- English
- Electronic publication date
- 07/07/2023
- Date published
- 10/2023
- Academic Unit
- Nephrology, Dialysis and Transplantation; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Radiation Oncology
- Record Identifier
- 9984444766202771
Metrics
17 Record Views