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Published on: July 20, 2022
Gaining efficiencies: resources and demand for dialysis around the globe
Nancy Neil1, David R Walker, Ricardo Sesso
1Lifecycle Sciences Group, ICON Clinical Research, San Francisco, CA 94105, USA. nneil@ovation.org
Summary
Peritoneal dialysis (PD) is a cost-saving alternative to hemodialysis (HD) for end-stage renal disease (ESRD). Shifting to PD can significantly reduce healthcare costs globally, even in developing nations.
Area of Science:
- Nephrology
- Health Economics
Background:
- End-stage renal disease (ESRD) requires treatment via transplantation or dialysis (peritoneal dialysis [PD] or hemodialysis [HD]).
- While PD and HD offer similar patient outcomes, their financial implications differ significantly, particularly in developing countries.
- Optimizing dialysis delivery can improve resource allocation for treating ESRD and other conditions.
Purpose of the Study:
- To analyze the relative advantages of PD and HD.
- To estimate the 5-year financial impact of shifting dialysis utilization from HD to PD across various income-level countries.
- To assess country-specific budget implications for total dialysis costs.
Main Methods:
- Budget impact analysis was employed.
- The study modeled a utilization shift from HD to PD.
- Financial implications were estimated for high-income (UK, Singapore), upper-middle-income (Mexico, Chile, Romania), and lower-middle-income (Thailand, China, Colombia) countries over five years.
Main Results:
- Peritoneal dialysis (PD) is a clinically effective treatment option for ESRD.
- PD demonstrates significant cost-saving potential compared to hemodialysis (HD).
- These cost savings are evident even in developing countries.
Conclusions:
- The global cost of treating ESRD is substantial and increasing.
- PD is a viable and cost-effective dialysis modality for most ESRD patients.
- Increasing the appropriate use of PD can substantially lower healthcare expenditures and alleviate budget constraints.
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