Analysis of economic impact between the modality of renal replacement therapy
Abstract Introduction: Chronic kidney disease (CKD) is a major health problem, determining the reduction in life expectancy and an increased risk of cardiovascular disease. Method: An observational, cohort, retrospective, based on patient's medical records data with CKD under hemodialysis, pe...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Nefrologia
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| Series: | Brazilian Journal of Nephrology |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002017000200162&lng=en&tlng=en |
| _version_ | 1819242576271638528 |
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| author | Denise Sbrissia e Silva Gouveia Alexandre Tortoza Bignelli Silvia Regina Hokazono Itamara Danucalov Tobias August Siemens Fernando Meyer Luiz Sergio Santos Ziliane Caetano Lopes Martins Tiago César Mierzwa Raquel Furquim |
| author_facet | Denise Sbrissia e Silva Gouveia Alexandre Tortoza Bignelli Silvia Regina Hokazono Itamara Danucalov Tobias August Siemens Fernando Meyer Luiz Sergio Santos Ziliane Caetano Lopes Martins Tiago César Mierzwa Raquel Furquim |
| author_sort | Denise Sbrissia e Silva Gouveia |
| collection | DOAJ |
| description | Abstract Introduction: Chronic kidney disease (CKD) is a major health problem, determining the reduction in life expectancy and an increased risk of cardiovascular disease. Method: An observational, cohort, retrospective, based on patient's medical records data with CKD under hemodialysis, peritoneal dialysis and kidney transplantation in the city of Curitiba, in the period from January to June 2014, evacuativo the financial impact on the Unified Health System (SUS) and the supplementary health. Results: The lowest cost of a kidney transplant in the first year was R$ 40,743.03 when cyclosporine was used and the highest was R$ 48,388.17 with the use of tacrolimus. In the second year post-transplant, hemodialysis and peritoneal dialysis have a higher cost compared to kidney transplant. Transplantation with deceased donor, treated with tacrolimus: R$ 67,023.39; Hemodialysis R$ 71,717.51 and automated peritoneal dialysis automatic R$ 69,527.03. Conclusions: After the first two years of renal replacement therapy, transplantation demonstrates lower costs to the system when compared to other modalities evaluated. Based on that, this therapy justifies improvements in government policies in this sector. |
| first_indexed | 2024-12-23T14:42:00Z |
| format | Article |
| id | doaj.art-4da6ebe6a9a44e6dbe2f1b4ae34acec6 |
| institution | Directory Open Access Journal |
| issn | 2175-8239 |
| language | English |
| last_indexed | 2024-12-23T14:42:00Z |
| publisher | Sociedade Brasileira de Nefrologia |
| record_format | Article |
| series | Brazilian Journal of Nephrology |
| spelling | doaj.art-4da6ebe6a9a44e6dbe2f1b4ae34acec62022-12-21T17:43:11ZengSociedade Brasileira de NefrologiaBrazilian Journal of Nephrology2175-823939216217110.5935/0101-2800.20170019S0101-28002017000200162Analysis of economic impact between the modality of renal replacement therapyDenise Sbrissia e Silva GouveiaAlexandre Tortoza BignelliSilvia Regina HokazonoItamara DanucalovTobias August SiemensFernando MeyerLuiz Sergio SantosZiliane Caetano Lopes MartinsTiago César MierzwaRaquel FurquimAbstract Introduction: Chronic kidney disease (CKD) is a major health problem, determining the reduction in life expectancy and an increased risk of cardiovascular disease. Method: An observational, cohort, retrospective, based on patient's medical records data with CKD under hemodialysis, peritoneal dialysis and kidney transplantation in the city of Curitiba, in the period from January to June 2014, evacuativo the financial impact on the Unified Health System (SUS) and the supplementary health. Results: The lowest cost of a kidney transplant in the first year was R$ 40,743.03 when cyclosporine was used and the highest was R$ 48,388.17 with the use of tacrolimus. In the second year post-transplant, hemodialysis and peritoneal dialysis have a higher cost compared to kidney transplant. Transplantation with deceased donor, treated with tacrolimus: R$ 67,023.39; Hemodialysis R$ 71,717.51 and automated peritoneal dialysis automatic R$ 69,527.03. Conclusions: After the first two years of renal replacement therapy, transplantation demonstrates lower costs to the system when compared to other modalities evaluated. Based on that, this therapy justifies improvements in government policies in this sector.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002017000200162&lng=en&tlng=endiálise renalinsuficiência renal crônicasaúde suplementarSistema Único de Saúdetransplante de rim |
| spellingShingle | Denise Sbrissia e Silva Gouveia Alexandre Tortoza Bignelli Silvia Regina Hokazono Itamara Danucalov Tobias August Siemens Fernando Meyer Luiz Sergio Santos Ziliane Caetano Lopes Martins Tiago César Mierzwa Raquel Furquim Analysis of economic impact between the modality of renal replacement therapy Brazilian Journal of Nephrology diálise renal insuficiência renal crônica saúde suplementar Sistema Único de Saúde transplante de rim |
| title | Analysis of economic impact between the modality of renal replacement therapy |
| title_full | Analysis of economic impact between the modality of renal replacement therapy |
| title_fullStr | Analysis of economic impact between the modality of renal replacement therapy |
| title_full_unstemmed | Analysis of economic impact between the modality of renal replacement therapy |
| title_short | Analysis of economic impact between the modality of renal replacement therapy |
| title_sort | analysis of economic impact between the modality of renal replacement therapy |
| topic | diálise renal insuficiência renal crônica saúde suplementar Sistema Único de Saúde transplante de rim |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002017000200162&lng=en&tlng=en |
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