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Multicentre study of haemodialysis costs
E Parra Moncasi1, M D Arenas Jiménez, M Alonso
1Nephrology Department. Reina Sofía University Hospital. Tudela, Navarra, Spain. eparramo@cfnavarra.es
Summary
Public and state-subsidized haemodialysis (HD) centers in Spain show cost variability. Public centers incur higher costs, mainly due to increased staff and consumable expenses per patient.
Area of Science:
- Nephrology
- Health Economics
Background:
- Previous Spanish haemodialysis (HD) cost studies are outdated or indirect.
- A simultaneous cost analysis of public centers (PC) and state-subsidized centers (SC) is lacking.
- Understanding cost differences is crucial as both HD systems coexist in Spain.
Purpose of the Study:
- To estimate the cost of haemodialysis (HD) replacement therapy for chronic renal failure.
- To compare costs between public centers (PC) and state-subsidized centers (SC) in Spain.
Main Methods:
- Prospective, publicly-funded study using a cost accounting system.
- Data collected on patient demographics, time on HD, and comorbidity (Charlson index).
- Cost analysis performed for six centers (2 PC, 4 SC) in 2008.
Main Results:
- No significant differences in patient demographics or comorbidity between PC and SC.
- Total annual cost per patient ranged from €33,130 to €46,254.
- Public centers (PC) were 23% more expensive than state-subsidized centers (SC) when excluding vascular access and hospital admissions.
Conclusions:
- Significant cost variability exists among haemodialysis (HD) centers.
- Higher costs in public centers (PC) are primarily driven by staff and consumables.
- Staff and consumable costs per patient were substantially higher in PC compared to SC.
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