Stigma, quality of life, and return-to-work outcomes among organ and tissue transplant recipients in Brazil: a cross-sectional study

Return-to-work was observed in 53.7% of transplant recipients, with rates declining over time. Higher return-to-work was associated with pre-transplant employment, higher socioeconomic status, and organ transplant type. Stigma negatively impacted both return-to-work and quality of life. Return-to-work disparities were evident in terms of age, race, and income. Pre-transplant employment has emerged as the strongest return-to-work predictor. Overcoming these structural barriers is essential for optimizing long-term outcomes and ensuring that transplant recipients fully reintegrate into their occupational lives.