ANALYSIS OF COST AND OUTCOME THERAPY OF BLOOD TRANSFUSION ON ANEMIA TREATMENT FOR INPATIENT WITH CHRONIC RENAL FAILURE

Chronic Renal Failure (CRF) is a slow progressive loss of kidney function over a period of several years. One of its complications that determines the patient’s quality of life is anemia. Blood transfusion can be used to treat anemia in patient with CRF. The purpose of this study are to measure...

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Main Authors: Satibi, Laeli Rahmawati, Lina Susanti, Umi Rohmadani
Format: Article
Language:English
Published: Universitas Gadjah Mada 2014-01-01
Series:Indonesian Journal of Pharmacy
Subjects:
Online Access:http://indonesianjpharm.farmasi.ugm.ac.id/index.php/3/article/view/19
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author Satibi
Laeli Rahmawati
Lina Susanti
Umi Rohmadani
author_facet Satibi
Laeli Rahmawati
Lina Susanti
Umi Rohmadani
author_sort Satibi
collection DOAJ
description Chronic Renal Failure (CRF) is a slow progressive loss of kidney function over a period of several years. One of its complications that determines the patient’s quality of life is anemia. Blood transfusion can be used to treat anemia in patient with CRF. The purpose of this study are to measure the average costs per patient, assess the therapy outcomes, and determine the factors that influence the cost of blood transfusion in anemia treatment for patients with CRF in A, B, and C hospitals. This study was a descriptive non-experimental research. Cost analysis was based on the perspective of the hospital. Data were obtained retrospectively from medical records and payment details of inpatient with CRF who experienced anemia in A (tertiery hospital in Yogyakarta province), B (tertiary hospital in Central Java province), and C (private hospital in the province of Yogyakarta) hospitals. Data was analysed by calculating the average costs per patient, while therapy outcome was measured by calculating the percentages of patients who achieved the target of hemoglobin level. Furthermore, the factors that influenced the amount of the total cost were analysed using Oneway ANOVA and Independent T-Test for data with normal distribution and the Kruskal-Wallis and Mann-Whitney for data with non-normal distribution. The results showed that the average costs per patient for anemia treatment in patient with CRF who had blood transfusion therapy were Rp 8,873,243.39±4,417,825.83 in A hospital, Rp 5,249,464.97±4,283,655.41 in B hospital; and Rp 7,961,088.00±6,105,501.80 in C hospital. Most of the patients in A, B, and C hospitals had achieved the target of hemoglobin level (>7g/dL) with the percentages of 95.56%, 68.57% and 87.50% respectively. The factors that mainly influenced the cost of anemia treatment in CRF are length of hospitalization for A hospital, age, gender, payment models, and length of hospitalization for B hospital, whereas age and length of hospitalization for C hospital.
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spelling doaj.art-708188d95a39457abf731a31b8e52f172022-12-21T19:09:31ZengUniversitas Gadjah MadaIndonesian Journal of Pharmacy2338-94272338-94862014-01-01251515610.14499/indonesianjpharm25iss1pp51ANALYSIS OF COST AND OUTCOME THERAPY OF BLOOD TRANSFUSION ON ANEMIA TREATMENT FOR INPATIENT WITH CHRONIC RENAL FAILURESatibi0Laeli Rahmawati1Lina Susanti 2Umi Rohmadani 3Dept. of Pharmaceutical Thecnology, Faculty of Pharmacy, Univ. Gadjah Mada, Yogyakarta 55281, Indonesia. Dept. of Pharmaceutical Thecnology, Faculty of Pharmacy, Univ. Gadjah Mada, Yogyakarta 55281, Indonesia. Dept. of Pharmaceutical Thecnology, Faculty of Pharmacy, Univ. Gadjah Mada, Yogyakarta 55281, Indonesia. Dept. of Pharmaceutical Thecnology, Faculty of Pharmacy, Univ. Gadjah Mada, Yogyakarta 55281, Indonesia. Chronic Renal Failure (CRF) is a slow progressive loss of kidney function over a period of several years. One of its complications that determines the patient’s quality of life is anemia. Blood transfusion can be used to treat anemia in patient with CRF. The purpose of this study are to measure the average costs per patient, assess the therapy outcomes, and determine the factors that influence the cost of blood transfusion in anemia treatment for patients with CRF in A, B, and C hospitals. This study was a descriptive non-experimental research. Cost analysis was based on the perspective of the hospital. Data were obtained retrospectively from medical records and payment details of inpatient with CRF who experienced anemia in A (tertiery hospital in Yogyakarta province), B (tertiary hospital in Central Java province), and C (private hospital in the province of Yogyakarta) hospitals. Data was analysed by calculating the average costs per patient, while therapy outcome was measured by calculating the percentages of patients who achieved the target of hemoglobin level. Furthermore, the factors that influenced the amount of the total cost were analysed using Oneway ANOVA and Independent T-Test for data with normal distribution and the Kruskal-Wallis and Mann-Whitney for data with non-normal distribution. The results showed that the average costs per patient for anemia treatment in patient with CRF who had blood transfusion therapy were Rp 8,873,243.39±4,417,825.83 in A hospital, Rp 5,249,464.97±4,283,655.41 in B hospital; and Rp 7,961,088.00±6,105,501.80 in C hospital. Most of the patients in A, B, and C hospitals had achieved the target of hemoglobin level (>7g/dL) with the percentages of 95.56%, 68.57% and 87.50% respectively. The factors that mainly influenced the cost of anemia treatment in CRF are length of hospitalization for A hospital, age, gender, payment models, and length of hospitalization for B hospital, whereas age and length of hospitalization for C hospital.http://indonesianjpharm.farmasi.ugm.ac.id/index.php/3/article/view/19cost analysisoutcome therapyblood transfusionanemiachronic renal failurchronic renal failure
spellingShingle Satibi
Laeli Rahmawati
Lina Susanti
Umi Rohmadani
ANALYSIS OF COST AND OUTCOME THERAPY OF BLOOD TRANSFUSION ON ANEMIA TREATMENT FOR INPATIENT WITH CHRONIC RENAL FAILURE
Indonesian Journal of Pharmacy
cost analysis
outcome therapy
blood transfusion
anemia
chronic renal failur
chronic renal failure
title ANALYSIS OF COST AND OUTCOME THERAPY OF BLOOD TRANSFUSION ON ANEMIA TREATMENT FOR INPATIENT WITH CHRONIC RENAL FAILURE
title_full ANALYSIS OF COST AND OUTCOME THERAPY OF BLOOD TRANSFUSION ON ANEMIA TREATMENT FOR INPATIENT WITH CHRONIC RENAL FAILURE
title_fullStr ANALYSIS OF COST AND OUTCOME THERAPY OF BLOOD TRANSFUSION ON ANEMIA TREATMENT FOR INPATIENT WITH CHRONIC RENAL FAILURE
title_full_unstemmed ANALYSIS OF COST AND OUTCOME THERAPY OF BLOOD TRANSFUSION ON ANEMIA TREATMENT FOR INPATIENT WITH CHRONIC RENAL FAILURE
title_short ANALYSIS OF COST AND OUTCOME THERAPY OF BLOOD TRANSFUSION ON ANEMIA TREATMENT FOR INPATIENT WITH CHRONIC RENAL FAILURE
title_sort analysis of cost and outcome therapy of blood transfusion on anemia treatment for inpatient with chronic renal failure
topic cost analysis
outcome therapy
blood transfusion
anemia
chronic renal failur
chronic renal failure
url http://indonesianjpharm.farmasi.ugm.ac.id/index.php/3/article/view/19
work_keys_str_mv AT satibi analysisofcostandoutcometherapyofbloodtransfusiononanemiatreatmentforinpatientwithchronicrenalfailure
AT laelirahmawati analysisofcostandoutcometherapyofbloodtransfusiononanemiatreatmentforinpatientwithchronicrenalfailure
AT linasusanti analysisofcostandoutcometherapyofbloodtransfusiononanemiatreatmentforinpatientwithchronicrenalfailure
AT umirohmadani analysisofcostandoutcometherapyofbloodtransfusiononanemiatreatmentforinpatientwithchronicrenalfailure