Pub Date : 2024-02-20DOI: 10.1177/01708406241236608
Shoaib Ahmed
This study addresses how violence is mobilized through wage theft in feminized workplaces thriving within the global value chain. Guided by Judith Butler’s concept of derealization, this longitudinal case study on the Bangladesh garment industry advances the current debate on violence in Organization Studies. First, it re-conceptualizes the notion of an “ideal worker.” Empirical evidence reveals that, unlike in Western societies, young and childless women in the Global South and their vulnerabilities woven into poverty, inequality, climate change, patriarchy, social stratification, and limited employment opportunities make them “ideal workers.” This status remains valid as long as they remain vulnerable and demonstrate no agency in resisting the discourse on dehumanization, dispossession, and displacement. Second, this study illuminates the practice of wage theft, which has emerged as a dominant form of violence in feminized workplaces. Organizations also deploy secrecy to continue theft, thereby inflicting further physical and psychological violence. This study highlights the fact that socioeconomic vulnerabilities and unresisted violence oppress a docile workforce to become “ideal workers.” It is a neoliberal myth that helps powerful actors shore up their power and privileges through derealization.
{"title":"Wage theft, secrecy, and derealization of “ideal workers” in the Bangladesh garment industry","authors":"Shoaib Ahmed","doi":"10.1177/01708406241236608","DOIUrl":"https://doi.org/10.1177/01708406241236608","url":null,"abstract":"This study addresses how violence is mobilized through wage theft in feminized workplaces thriving within the global value chain. Guided by Judith Butler’s concept of derealization, this longitudinal case study on the Bangladesh garment industry advances the current debate on violence in Organization Studies. First, it re-conceptualizes the notion of an “ideal worker.” Empirical evidence reveals that, unlike in Western societies, young and childless women in the Global South and their vulnerabilities woven into poverty, inequality, climate change, patriarchy, social stratification, and limited employment opportunities make them “ideal workers.” This status remains valid as long as they remain vulnerable and demonstrate no agency in resisting the discourse on dehumanization, dispossession, and displacement. Second, this study illuminates the practice of wage theft, which has emerged as a dominant form of violence in feminized workplaces. Organizations also deploy secrecy to continue theft, thereby inflicting further physical and psychological violence. This study highlights the fact that socioeconomic vulnerabilities and unresisted violence oppress a docile workforce to become “ideal workers.” It is a neoliberal myth that helps powerful actors shore up their power and privileges through derealization.","PeriodicalId":48423,"journal":{"name":"Organization Studies","volume":"137 1","pages":""},"PeriodicalIF":5.4,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139946550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-20DOI: 10.1177/01708406241236604
Innan Sasaki, Masahiro Kotosaka, Alfredo De Massis
Use-of-the-past research has advanced our understanding of how top managers instrumentalize past knowledge, events, and rhetorical constructions to advance their present-day interests. However, it is unclear how they use the past when they have divergent understandings of the past and different visions of the future. Temporal tensions can lead to a period of unsettlement in organizations, undermine the top management’s power base, and open up space for middle managers to take a central role in using the past. Through a longitudinal case study of a Japanese craft firm with a history of over 200 years, we examine how middle managers progressively take an active role in using the past through three processes: temporal mobility, temporal socialization, and coalescing the past. Our findings challenge the somewhat linear conception of time in the use-of-the-past literature by elucidating the emergent, in-the-moment evolution of middle managers’ strategic use of the past. By adopting a process-analytic lens, our findings extend current understanding of the strategic use of the past as not undertaken by a few powerful individuals in a given moment, but a continually changing process enacted by multiple middle managers with different temporal orientations. Moreover, our findings contribute to the use-of-the-past literature by taking a relational perspective of temporality. Finally, we reconceptualize the strategic flexibility of middle managers from a temporality perspective, showing that they can alter the temporal orientations of those at the top and the bottom.
{"title":"When Top Managers’ Temporal Orientations Collide: Middle Managers and the Strategic Use of the Past","authors":"Innan Sasaki, Masahiro Kotosaka, Alfredo De Massis","doi":"10.1177/01708406241236604","DOIUrl":"https://doi.org/10.1177/01708406241236604","url":null,"abstract":"Use-of-the-past research has advanced our understanding of how top managers instrumentalize past knowledge, events, and rhetorical constructions to advance their present-day interests. However, it is unclear how they use the past when they have divergent understandings of the past and different visions of the future. Temporal tensions can lead to a period of unsettlement in organizations, undermine the top management’s power base, and open up space for middle managers to take a central role in using the past. Through a longitudinal case study of a Japanese craft firm with a history of over 200 years, we examine how middle managers progressively take an active role in using the past through three processes: temporal mobility, temporal socialization, and coalescing the past. Our findings challenge the somewhat linear conception of time in the use-of-the-past literature by elucidating the emergent, in-the-moment evolution of middle managers’ strategic use of the past. By adopting a process-analytic lens, our findings extend current understanding of the strategic use of the past as not undertaken by a few powerful individuals in a given moment, but a continually changing process enacted by multiple middle managers with different temporal orientations. Moreover, our findings contribute to the use-of-the-past literature by taking a relational perspective of temporality. Finally, we reconceptualize the strategic flexibility of middle managers from a temporality perspective, showing that they can alter the temporal orientations of those at the top and the bottom.","PeriodicalId":48423,"journal":{"name":"Organization Studies","volume":"14 1","pages":""},"PeriodicalIF":5.4,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139946548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-20DOI: 10.1177/01708406241236606
Sharon Mavin, Marina Yusupova
This study addresses the lack of research into social processes of competition in organizations and explores women leaders self-positioning in relation to the discourses of gendered competition and neoliberal competition. The discourses carry contradictory obligations for women. While the gendered competition discourse socially punishes competitive women, the neoliberal competition discourse expects competition. Through a feminist approach and Critical Discourse Analysis of narratives from 52 women leaders we make two central contributions. First, we outline how the two discourses jostle together, fighting for attention and contradicting each other, provoking social ambiguity. We demonstrate how the women leaders adopt paradoxical self-positioning as ‘competitive - not competitive’ using four interconnected strategies of ‘Denying’, ‘Masking and Reframing’, ‘Moving On’ from, and ‘Diverting’ competition. Second, we extend studies of liminality and theorize how the discourses create liminality for women leaders. We elucidate how the women take up and disrupt the discourses by continually oscillating in-between paradoxical positions of being competitive, perceived as competitive, not competitive, no longer competitive, and competitive for organizations. Competition is identified as a toxic, gendered process, which is both harmful and aspirational, and both a liminal challenge and opportunity for women leaders. We extend understandings of those who experience liminality in organizations, to women leaders and demonstrate how their paradoxical self-positioning affords them opportunities to discursively present as competitive.
{"title":"Jostling Discourses of Competition: Women Leaders Self-Positioning","authors":"Sharon Mavin, Marina Yusupova","doi":"10.1177/01708406241236606","DOIUrl":"https://doi.org/10.1177/01708406241236606","url":null,"abstract":"This study addresses the lack of research into social processes of competition in organizations and explores women leaders self-positioning in relation to the discourses of gendered competition and neoliberal competition. The discourses carry contradictory obligations for women. While the gendered competition discourse socially punishes competitive women, the neoliberal competition discourse expects competition. Through a feminist approach and Critical Discourse Analysis of narratives from 52 women leaders we make two central contributions. First, we outline how the two discourses jostle together, fighting for attention and contradicting each other, provoking social ambiguity. We demonstrate how the women leaders adopt paradoxical self-positioning as ‘competitive - not competitive’ using four interconnected strategies of ‘Denying’, ‘Masking and Reframing’, ‘Moving On’ from, and ‘Diverting’ competition. Second, we extend studies of liminality and theorize how the discourses create liminality for women leaders. We elucidate how the women take up and disrupt the discourses by continually oscillating in-between paradoxical positions of being competitive, perceived as competitive, not competitive, no longer competitive, and competitive for organizations. Competition is identified as a toxic, gendered process, which is both harmful and aspirational, and both a liminal challenge and opportunity for women leaders. We extend understandings of those who experience liminality in organizations, to women leaders and demonstrate how their paradoxical self-positioning affords them opportunities to discursively present as competitive.","PeriodicalId":48423,"journal":{"name":"Organization Studies","volume":"51 1","pages":""},"PeriodicalIF":5.4,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139946547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1177/01708406231217143
Rick Delbridge, Markus Helfen, Andreas Pekarek, Elke Schuessler, Charlene Zietsma
To confront the climate crisis requires fundamental system change in order to break the convention of relentless economic exploitation of nature. In this Special Issue we extend understanding of the opportunities for an organizing perspective on sustainability in order that organization studies might contribute more effectively to the challenges of organizing sustainably. This organizing perspective is particularly sensitive to (1) a variety of forms and practices of sustainable organizing in different societal spheres and on different levels, (2) the social institutions, logics and value systems in which these forms and practices are embedded, (3) the power and politics of promoting (or blocking) sustainable organization, and (4) the ways in which work, voice, participation, and inclusion are organized and contribute to developing societal capabilities. These features formed the basis of our original call for papers and we review selected literature on sustainability, including the contribution of organization studies and the articles in this Special Issue, through this organizing perspective. In so doing we identify four key themes of a future research agenda that builds from the foundations of existing research and addresses key current limitations in both theory and practice: sustainability requires social justice; connecting local and global scale shifts; democratizing governance; and acting collectively. We conclude with some implications for our own scholarship in organization studies if we are to meet the twin challenges of the need for new theorizing in combination with devising practically relevant support for change.
{"title":"Organizing Sustainably: Introduction to the Special Issue","authors":"Rick Delbridge, Markus Helfen, Andreas Pekarek, Elke Schuessler, Charlene Zietsma","doi":"10.1177/01708406231217143","DOIUrl":"https://doi.org/10.1177/01708406231217143","url":null,"abstract":"To confront the climate crisis requires fundamental system change in order to break the convention of relentless economic exploitation of nature. In this Special Issue we extend understanding of the opportunities for an organizing perspective on sustainability in order that organization studies might contribute more effectively to the challenges of organizing sustainably. This organizing perspective is particularly sensitive to (1) a variety of forms and practices of sustainable organizing in different societal spheres and on different levels, (2) the social institutions, logics and value systems in which these forms and practices are embedded, (3) the power and politics of promoting (or blocking) sustainable organization, and (4) the ways in which work, voice, participation, and inclusion are organized and contribute to developing societal capabilities. These features formed the basis of our original call for papers and we review selected literature on sustainability, including the contribution of organization studies and the articles in this Special Issue, through this organizing perspective. In so doing we identify four key themes of a future research agenda that builds from the foundations of existing research and addresses key current limitations in both theory and practice: sustainability requires social justice; connecting local and global scale shifts; democratizing governance; and acting collectively. We conclude with some implications for our own scholarship in organization studies if we are to meet the twin challenges of the need for new theorizing in combination with devising practically relevant support for change.","PeriodicalId":48423,"journal":{"name":"Organization Studies","volume":"347 10","pages":""},"PeriodicalIF":5.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139395116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-26DOI: 10.1177/01708406231225043
Amira Benali, Florence Villesèche
In this article, we investigate how women beneficiaries in a social enterprise in post-revolutionary Tunisia are agents in their emancipation, including through infrapolitical tactics. We conceptualize their position as beneficiaries as a form of subalternity induced from social, economic and political injustice. We deploy the extended case method in a Tunisian ecotourism social enterprise, connecting the micro-level experiences of the women beneficiaries to the macro-level context. Our findings show how beneficiaries engage in three forms of emancipation: Affirming their dreams; Navigating gender relations; and Defending their interests. We thus contribute to existing research by theoretically extending the emancipation–entrepreneurship locus beyond the lead entrepreneur. We also contribute by extending our understanding of subalternized people’s resistance repertoire beyond the hidden vs public resistance dichotomy. Finally, we challenge the representation of ‘subalterns’ as a homogenous and passive category by showing the intersectional differences that affect these women’s agentic possibilities and, thus, their pathways to emancipation.
{"title":"Revisiting Entrepreneurship as Emancipation: Learning from subalternized women in post-revolutionary Tunisia","authors":"Amira Benali, Florence Villesèche","doi":"10.1177/01708406231225043","DOIUrl":"https://doi.org/10.1177/01708406231225043","url":null,"abstract":"In this article, we investigate how women beneficiaries in a social enterprise in post-revolutionary Tunisia are agents in their emancipation, including through infrapolitical tactics. We conceptualize their position as beneficiaries as a form of subalternity induced from social, economic and political injustice. We deploy the extended case method in a Tunisian ecotourism social enterprise, connecting the micro-level experiences of the women beneficiaries to the macro-level context. Our findings show how beneficiaries engage in three forms of emancipation: Affirming their dreams; Navigating gender relations; and Defending their interests. We thus contribute to existing research by theoretically extending the emancipation–entrepreneurship locus beyond the lead entrepreneur. We also contribute by extending our understanding of subalternized people’s resistance repertoire beyond the hidden vs public resistance dichotomy. Finally, we challenge the representation of ‘subalterns’ as a homogenous and passive category by showing the intersectional differences that affect these women’s agentic possibilities and, thus, their pathways to emancipation.","PeriodicalId":48423,"journal":{"name":"Organization Studies","volume":"16 5part1","pages":""},"PeriodicalIF":5.4,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139157470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-26DOI: 10.1177/01708406231225041
Ari Kuismin, Alice Wickström, J. Hietanen, S. Katila
In this paper, we examine the relationship between space and entrepreneurship, understood as organization-creation, by drawing on Deleuze and Guattari’s spatial theorizing. Building on an ethnographic study of the Nordic Start-Up Incubator, we focus on the ongoing material, discursive, and affective reconfiguration of space to promote entrepreneurial ‘buzz’. We show how emancipatory promises (smoothings) are entangled with a logic of enterprise (striations), and how this ambiguity is enacted (folds) as organization-creation emerges spatially. This allows us to problematize the distinction often made between entrepreneurial spaces of emancipation and managerial spaces of control and to consider how they may co-constitute each other through subtle twists and turns. We conclude by discussing this multiplicity and ambiguity with regard to the politics of entrepreneurial spaces.
{"title":"From dust to buzz: Reconfiguring space for organization-creation","authors":"Ari Kuismin, Alice Wickström, J. Hietanen, S. Katila","doi":"10.1177/01708406231225041","DOIUrl":"https://doi.org/10.1177/01708406231225041","url":null,"abstract":"In this paper, we examine the relationship between space and entrepreneurship, understood as organization-creation, by drawing on Deleuze and Guattari’s spatial theorizing. Building on an ethnographic study of the Nordic Start-Up Incubator, we focus on the ongoing material, discursive, and affective reconfiguration of space to promote entrepreneurial ‘buzz’. We show how emancipatory promises (smoothings) are entangled with a logic of enterprise (striations), and how this ambiguity is enacted (folds) as organization-creation emerges spatially. This allows us to problematize the distinction often made between entrepreneurial spaces of emancipation and managerial spaces of control and to consider how they may co-constitute each other through subtle twists and turns. We conclude by discussing this multiplicity and ambiguity with regard to the politics of entrepreneurial spaces.","PeriodicalId":48423,"journal":{"name":"Organization Studies","volume":"46 11","pages":""},"PeriodicalIF":5.4,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139155067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-02DOI: 10.1177/01708406231213964
Lauren McCarthy, Scott Taylor
Misogyny is a significant but unspoken presence in organization studies, in terms of people’s experiences of work and as a theorised concept. In this essay we argue that our community should dare to name misogyny for its unique insight into the enduring patriarchal power relations that condition so many organizations and so much of our organization theory. We develop this argument in two ways: first, we suggest that misogyny provides a unique descriptive linguistic label for experiences of gendered hatred, violence, and social policing; and second, a philosophical understanding of misogyny enables analysis, understanding, and challenges to the physical or symbolic violence that women experience in and around organizations as sites for the reproduction of patriarchy. Drawing on recent developments in feminist analytic philosophy, we follow the movement away from understanding misogyny-as-individual-emotions to misogyny-as-affective-practice. This allows us to frame two related concepts, organized and organizational misogyny, demonstrating the potential that misogyny brings to understanding individual experiences, collective affect, and influential social forces. Despite the discomfort produced by hate-based concepts such as misogyny, we conclude that their exclusion from organization studies has two effects: the continuing reproduction of violent hostility, and acceptance of a partial account of multiple forms of oppression and inequality. Our research agenda, founded on this need for naming such experiences, the significance of affect, and aggregated oppressions, demonstrates the potential contribution of misogyny to addressing these issues and finding some hope for change.
{"title":"X and OS: Misogyny and Organization Studies","authors":"Lauren McCarthy, Scott Taylor","doi":"10.1177/01708406231213964","DOIUrl":"https://doi.org/10.1177/01708406231213964","url":null,"abstract":"Misogyny is a significant but unspoken presence in organization studies, in terms of people’s experiences of work and as a theorised concept. In this essay we argue that our community should dare to name misogyny for its unique insight into the enduring patriarchal power relations that condition so many organizations and so much of our organization theory. We develop this argument in two ways: first, we suggest that misogyny provides a unique descriptive linguistic label for experiences of gendered hatred, violence, and social policing; and second, a philosophical understanding of misogyny enables analysis, understanding, and challenges to the physical or symbolic violence that women experience in and around organizations as sites for the reproduction of patriarchy. Drawing on recent developments in feminist analytic philosophy, we follow the movement away from understanding misogyny-as-individual-emotions to misogyny-as-affective-practice. This allows us to frame two related concepts, organized and organizational misogyny, demonstrating the potential that misogyny brings to understanding individual experiences, collective affect, and influential social forces. Despite the discomfort produced by hate-based concepts such as misogyny, we conclude that their exclusion from organization studies has two effects: the continuing reproduction of violent hostility, and acceptance of a partial account of multiple forms of oppression and inequality. Our research agenda, founded on this need for naming such experiences, the significance of affect, and aggregated oppressions, demonstrates the potential contribution of misogyny to addressing these issues and finding some hope for change.","PeriodicalId":48423,"journal":{"name":"Organization Studies","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135934728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-02DOI: 10.1177/01708406231213963
Alessandro Gandini, Alessandro Gerosa
Existing research has highlighted a global return into fashion of craft work in the new century. Within this context, the term ‘neo-craft’ work has been used to identify innovative craft work practices characterised by an aura of ‘coolness’, which promise a less alienated form of work; yet, the specific contours of this new form of work remain uncertain. In this article we develop a theoretical conceptualisation of neo-craft work. We define it as an emergent form of post-industrial craft work whereby work that was previously considered low-status, or performed by the working class, is: a) ‘resignified’ into status-producing activity through the integration of craft practices and values; and, b) conferred new meaningfulness as the outcome of a specific process of discursive materiality, by which the intra-action of discursive and material practices provides meaning to work activity. Neo-craft work, we contend, finds roots in the cultural milieu of hipster culture, where extenuating cultural negotiations around authenticity and ‘the particular’ constitute the baseline for a quest for social status based on practices of ‘marginal distinction’, and sets itself as an alternative not only to industrial work but, primarily, to the precarious, low-paid or otherwise unsatisfactory ‘bullshit jobs’ of the knowledge and creative economy.
{"title":"Special Issue: What is ‘neo-craft’ work, and why it matters","authors":"Alessandro Gandini, Alessandro Gerosa","doi":"10.1177/01708406231213963","DOIUrl":"https://doi.org/10.1177/01708406231213963","url":null,"abstract":"Existing research has highlighted a global return into fashion of craft work in the new century. Within this context, the term ‘neo-craft’ work has been used to identify innovative craft work practices characterised by an aura of ‘coolness’, which promise a less alienated form of work; yet, the specific contours of this new form of work remain uncertain. In this article we develop a theoretical conceptualisation of neo-craft work. We define it as an emergent form of post-industrial craft work whereby work that was previously considered low-status, or performed by the working class, is: a) ‘resignified’ into status-producing activity through the integration of craft practices and values; and, b) conferred new meaningfulness as the outcome of a specific process of discursive materiality, by which the intra-action of discursive and material practices provides meaning to work activity. Neo-craft work, we contend, finds roots in the cultural milieu of hipster culture, where extenuating cultural negotiations around authenticity and ‘the particular’ constitute the baseline for a quest for social status based on practices of ‘marginal distinction’, and sets itself as an alternative not only to industrial work but, primarily, to the precarious, low-paid or otherwise unsatisfactory ‘bullshit jobs’ of the knowledge and creative economy.","PeriodicalId":48423,"journal":{"name":"Organization Studies","volume":"10 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135936135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-01Epub Date: 2022-04-08DOI: 10.1177/11297298221089851
Ramon Roca-Tey, Jordi Comas, Jaume Tort
Background: Kidney transplantation (KT) is considered to be the best kidney replacement therapy (KRT) option for most end-stage kidney disease (ESKD) patients. Arteriovenous fistula (AVF) is considered to be the best vascular access (VA) for most haemodialysis (HD) patients. In this study, we investigated the effect of KT activity on AVF use in prevalent HD patients. The probability of receiving a kidney graft (KTx) over time, depending on the first VA used to start the HD program, was also evaluated.
Methods: Data from the Catalan Registry of prevalent patients on KRT by either KT or HD were examined over a 20-year period (1997-2017).
Results: The percentage of prevalent ESKD patients with a functioning KTx increased from 40.5% in 1997 to 57.0% in 2017 and, conversely, the percentage of AVF utilisation in HD patients decreased from 86.0% to 63.2% during the same period (for both comparisons, p < 0.001). This inverse relationship was also demonstrated in other countries and regions worldwide by performing a simple linear regression analysis (R2 = 0.4974, p = 0.002). The probability of prevalent patients dialysed through an AVF in Catalonia was independently associated with the percentage of functioning KTx among KRT population, after adjusting by age, gender, primary kidney disease, time on KRT, cardiovascular disease and type of HD Unit. Incident patients starting HD through an AVF had a significantly higher probability of receiving a KTx over time in comparison to patients who initiated HD through a catheter (hazard ratio 1.68 [95% confidence interval: 1.41-2.00], p < 0.001).
Conclusions: In addition to some demographical and clinical characteristics of patients and type of HD Unit, KT activity can be a determining factor in AVF use in prevalent HD patients. Starting an HD programme through an AVF is independently associated with a greater probability of receiving a KTx as compared to starting HD through a catheter.
{"title":"Effect of kidney transplantation activity on arteriovenous fistula use in prevalent haemodialysis patients: A registry-based study.","authors":"Ramon Roca-Tey, Jordi Comas, Jaume Tort","doi":"10.1177/11297298221089851","DOIUrl":"10.1177/11297298221089851","url":null,"abstract":"<p><strong>Background: </strong>Kidney transplantation (KT) is considered to be the best kidney replacement therapy (KRT) option for most end-stage kidney disease (ESKD) patients. Arteriovenous fistula (AVF) is considered to be the best vascular access (VA) for most haemodialysis (HD) patients. In this study, we investigated the effect of KT activity on AVF use in prevalent HD patients. The probability of receiving a kidney graft (KTx) over time, depending on the first VA used to start the HD program, was also evaluated.</p><p><strong>Methods: </strong>Data from the Catalan Registry of prevalent patients on KRT by either KT or HD were examined over a 20-year period (1997-2017).</p><p><strong>Results: </strong>The percentage of prevalent ESKD patients with a functioning KTx increased from 40.5% in 1997 to 57.0% in 2017 and, conversely, the percentage of AVF utilisation in HD patients decreased from 86.0% to 63.2% during the same period (for both comparisons, <i>p</i> < 0.001). This inverse relationship was also demonstrated in other countries and regions worldwide by performing a simple linear regression analysis (<i>R</i><sup>2</sup> = 0.4974, <i>p</i> = 0.002). The probability of prevalent patients dialysed through an AVF in Catalonia was independently associated with the percentage of functioning KTx among KRT population, after adjusting by age, gender, primary kidney disease, time on KRT, cardiovascular disease and type of HD Unit. Incident patients starting HD through an AVF had a significantly higher probability of receiving a KTx over time in comparison to patients who initiated HD through a catheter (hazard ratio 1.68 [95% confidence interval: 1.41-2.00], <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>In addition to some demographical and clinical characteristics of patients and type of HD Unit, KT activity can be a determining factor in AVF use in prevalent HD patients. Starting an HD programme through an AVF is independently associated with a greater probability of receiving a KTx as compared to starting HD through a catheter.</p>","PeriodicalId":48423,"journal":{"name":"Organization Studies","volume":"29 1","pages":"1381-1389"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87134488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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