The Cost of Kidney Transplantation at the Merkur University Hospital, Zagreb, Croatia
The aim was to determine the cost of hospitalization for a transplant procedure and identify the independent variables associated with the cost of transplantation. The investigation was designed as a retrospective single-center cohort study conducted at a tertiary university hospital transplant c...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2021-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/382736 |
| _version_ | 1797206903832444928 |
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| author | Ivan Neretljak Mario Sučić Branislav Kocman Mladen Knotek |
| author_facet | Ivan Neretljak Mario Sučić Branislav Kocman Mladen Knotek |
| author_sort | Ivan Neretljak |
| collection | DOAJ |
| description | The aim was to determine the cost of hospitalization for a transplant procedure
and identify the independent variables associated with the cost of transplantation. The investigation
was designed as a retrospective single-center cohort study conducted at a tertiary university hospital
transplant center in Zagreb, Croatia. The study included 219 consecutive kidney recipients transplanted
during the 2007-2013 period at the Merkur University Hospital. There were 141 male and 78
female patients having undergone kidney transplantation during the study period. The majority of
kidney transplants were from a deceased donor (n=179), while 40 were from a living donor. The mean
cost of a transplantation was 86,140±42,240 HRK (11,460±5,600 €), ranging from 29,000 HRK
(3,860 €) to 408,000 HRK (54,000 €). In the bivariate analysis, the variables associated with the cost
of transplantation were the length of hospital stay, delayed graft function, death of the patient, graft
loss, use of steroids, and death-censored graft loss. In the multivariate analysis, delayed graft function
was the only statistically significant variable for the cost of transplantation. Since only delayed graft
function had an impact on the cost of transplantation in this study, certain steps such as shortening of
the cold ischemia time (better organization of organ transport), better education of family members
for living donors, and higher percentage of patients on peritoneal dialysis should be taken to lower the
percentage of delayed graft function. |
| first_indexed | 2024-04-24T09:14:25Z |
| format | Article |
| id | doaj.art-ffac4e2678124ece91dd4f1f2605427a |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:14:25Z |
| publishDate | 2021-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-ffac4e2678124ece91dd4f1f2605427a2024-04-15T17:13:26ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512021-01-0160.2.17818210.20471/acc.2021.60.02.02The Cost of Kidney Transplantation at the Merkur University Hospital, Zagreb, CroatiaIvan Neretljak0Mario Sučić1Branislav Kocman2Mladen Knotek3Department of Urology, Merkur University Hospital, Zagreb, CroatiaDepartment of Urology, Merkur University Hospital, Zagreb, CroatiaDepartment of Surgery, Merkur University Hospital, Zagreb, CroatiaDepartment of Nephrology, University Hospital Crosshouse, Kiemarnock, UKThe aim was to determine the cost of hospitalization for a transplant procedure and identify the independent variables associated with the cost of transplantation. The investigation was designed as a retrospective single-center cohort study conducted at a tertiary university hospital transplant center in Zagreb, Croatia. The study included 219 consecutive kidney recipients transplanted during the 2007-2013 period at the Merkur University Hospital. There were 141 male and 78 female patients having undergone kidney transplantation during the study period. The majority of kidney transplants were from a deceased donor (n=179), while 40 were from a living donor. The mean cost of a transplantation was 86,140±42,240 HRK (11,460±5,600 €), ranging from 29,000 HRK (3,860 €) to 408,000 HRK (54,000 €). In the bivariate analysis, the variables associated with the cost of transplantation were the length of hospital stay, delayed graft function, death of the patient, graft loss, use of steroids, and death-censored graft loss. In the multivariate analysis, delayed graft function was the only statistically significant variable for the cost of transplantation. Since only delayed graft function had an impact on the cost of transplantation in this study, certain steps such as shortening of the cold ischemia time (better organization of organ transport), better education of family members for living donors, and higher percentage of patients on peritoneal dialysis should be taken to lower the percentage of delayed graft function.https://hrcak.srce.hr/file/382736Kidney transplantationDelayed graft functionHospital costPeritoneal dialysisCold ischemia time |
| spellingShingle | Ivan Neretljak Mario Sučić Branislav Kocman Mladen Knotek The Cost of Kidney Transplantation at the Merkur University Hospital, Zagreb, Croatia Acta Clinica Croatica Kidney transplantation Delayed graft function Hospital cost Peritoneal dialysis Cold ischemia time |
| title | The Cost of Kidney Transplantation at the Merkur University Hospital, Zagreb, Croatia |
| title_full | The Cost of Kidney Transplantation at the Merkur University Hospital, Zagreb, Croatia |
| title_fullStr | The Cost of Kidney Transplantation at the Merkur University Hospital, Zagreb, Croatia |
| title_full_unstemmed | The Cost of Kidney Transplantation at the Merkur University Hospital, Zagreb, Croatia |
| title_short | The Cost of Kidney Transplantation at the Merkur University Hospital, Zagreb, Croatia |
| title_sort | cost of kidney transplantation at the merkur university hospital zagreb croatia |
| topic | Kidney transplantation Delayed graft function Hospital cost Peritoneal dialysis Cold ischemia time |
| url | https://hrcak.srce.hr/file/382736 |
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