Cost analysis of substitutive renal therapies in children
Objective: End‐stage renal disease is a health problem that consumes public and private resources. This study aimed to identify the cost of hemodialysis (either daily or conventional hemodialysis) and transplantation in children and adolescents. Methods: This was a retrospective cohort of pediatric...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Portuguese |
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Brazilian Society of Pediatrics
2018-01-01
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| Series: | Jornal de Pediatria (Versão em Português) |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S225555361730085X |
| _version_ | 1811333154934358016 |
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| author | Maria Fernanda Carvalho de Camargo Klenio de Souza Barbosa Seiji Kumon Fetter Ana Bastos Luciana de Santis Feltran Paulo Cesar Koch‐Nogueira |
| author_facet | Maria Fernanda Carvalho de Camargo Klenio de Souza Barbosa Seiji Kumon Fetter Ana Bastos Luciana de Santis Feltran Paulo Cesar Koch‐Nogueira |
| author_sort | Maria Fernanda Carvalho de Camargo |
| collection | DOAJ |
| description | Objective: End‐stage renal disease is a health problem that consumes public and private resources. This study aimed to identify the cost of hemodialysis (either daily or conventional hemodialysis) and transplantation in children and adolescents.
Methods: This was a retrospective cohort of pediatric patients with End‐stage renal disease who underwent hemodialysis followed by kidney transplant. All costs incurred in the treatment were collected and the monthly total cost was calculated per patient and for each renal therapy. Subsequently, a dynamic panel data model was estimated.
Results: The study included 30 children who underwent hemodialysis (16 conventional/14 daily hemodialysis) followed by renal transplantation. The mean monthly outlay for hemodialysis was USD 3500 and USD 1900 for transplant. Hemodialysis costs added up to over USD 87,000 in 40 months for conventional dialysis patients and USD 131,000 in 50 months for daily dialysis patients. In turn, transplant costs in 50 months reached USD 48,000 and USD 70,000, for conventional and daily dialysis patients, respectively. For conventional dialysis patients, transplant is less costly when therapy exceeds 16 months, whereas for daily dialysis patients, the threshold is around 13 months.
Conclusion: Transplantation is less expensive than dialysis in children, and the estimated thresholds indicate that renal transplant should be the preferred treatment for pediatric patients. |
| first_indexed | 2024-04-13T16:48:38Z |
| format | Article |
| id | doaj.art-a883c9c0eda648f0b670672b7c64bd10 |
| institution | Directory Open Access Journal |
| issn | 2255-5536 |
| language | Portuguese |
| last_indexed | 2024-04-13T16:48:38Z |
| publishDate | 2018-01-01 |
| publisher | Brazilian Society of Pediatrics |
| record_format | Article |
| series | Jornal de Pediatria (Versão em Português) |
| spelling | doaj.art-a883c9c0eda648f0b670672b7c64bd102022-12-22T02:39:01ZporBrazilian Society of PediatricsJornal de Pediatria (Versão em Português)2255-55362018-01-01941939910.1016/j.jpedp.2017.08.004Cost analysis of substitutive renal therapies in childrenMaria Fernanda Carvalho de Camargo0Klenio de Souza Barbosa1Seiji Kumon Fetter2Ana Bastos3Luciana de Santis Feltran4Paulo Cesar Koch‐Nogueira5Hospital Samaritano, São Paulo, SP, BrasilInstituto de Educação e Pesquisa (Insper), São Paulo, SP, BrasilFundação Getúlio Vargas (FGV), São Paulo, SP, BrasilHospital Samaritano, São Paulo, SP, BrasilHospital Samaritano, São Paulo, SP, BrasilHospital Samaritano, São Paulo, SP, BrasilObjective: End‐stage renal disease is a health problem that consumes public and private resources. This study aimed to identify the cost of hemodialysis (either daily or conventional hemodialysis) and transplantation in children and adolescents. Methods: This was a retrospective cohort of pediatric patients with End‐stage renal disease who underwent hemodialysis followed by kidney transplant. All costs incurred in the treatment were collected and the monthly total cost was calculated per patient and for each renal therapy. Subsequently, a dynamic panel data model was estimated. Results: The study included 30 children who underwent hemodialysis (16 conventional/14 daily hemodialysis) followed by renal transplantation. The mean monthly outlay for hemodialysis was USD 3500 and USD 1900 for transplant. Hemodialysis costs added up to over USD 87,000 in 40 months for conventional dialysis patients and USD 131,000 in 50 months for daily dialysis patients. In turn, transplant costs in 50 months reached USD 48,000 and USD 70,000, for conventional and daily dialysis patients, respectively. For conventional dialysis patients, transplant is less costly when therapy exceeds 16 months, whereas for daily dialysis patients, the threshold is around 13 months. Conclusion: Transplantation is less expensive than dialysis in children, and the estimated thresholds indicate that renal transplant should be the preferred treatment for pediatric patients.http://www.sciencedirect.com/science/article/pii/S225555361730085XEconomicsKidney transplantationRenal dialysisPediatrics |
| spellingShingle | Maria Fernanda Carvalho de Camargo Klenio de Souza Barbosa Seiji Kumon Fetter Ana Bastos Luciana de Santis Feltran Paulo Cesar Koch‐Nogueira Cost analysis of substitutive renal therapies in children Jornal de Pediatria (Versão em Português) Economics Kidney transplantation Renal dialysis Pediatrics |
| title | Cost analysis of substitutive renal therapies in children |
| title_full | Cost analysis of substitutive renal therapies in children |
| title_fullStr | Cost analysis of substitutive renal therapies in children |
| title_full_unstemmed | Cost analysis of substitutive renal therapies in children |
| title_short | Cost analysis of substitutive renal therapies in children |
| title_sort | cost analysis of substitutive renal therapies in children |
| topic | Economics Kidney transplantation Renal dialysis Pediatrics |
| url | http://www.sciencedirect.com/science/article/pii/S225555361730085X |
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