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Institutional and familial cost of patients in continuous ambulatory peritoneal dialysis
Enrique Villarreal-Ríos1, Cecilia Cárdenas-Maldonado1, Emma Rosa Vargas-Daza1
1Querétaro Epidemiological Investigation and Health Services Unit, Mexican Social Security Institute, Querétaro, Mexico.
Insights
The annual cost of continuous ambulatory peritoneal dialysis (CAPD) for chronic kidney disease patients is approximately $13,835, encompassing both institutional and family expenses. CAPD demonstrates efficient resource utilization for healthcare services and families.
Area of Science:
- Nephrology
- Health Economics
- Public Health
Background:
- Chronic kidney disease (CKD) necessitates significant economic resources for patient care.
- Renal replacement therapy is crucial for managing end-stage CKD.
- Continuous ambulatory peritoneal dialysis (CAPD) is a key treatment modality.
Purpose of the Study:
- To determine the comprehensive costs associated with institutional and familial care for CKD patients undergoing CAPD.
- To analyze the economic burden of CAPD from both healthcare system and household perspectives.
Main Methods:
- A cost-of-care study was conducted with 151 CKD patients on CAPD.
- Institutional costs included outpatient, emergency, hospitalization, pharmacy, lab, and erythropoietin expenses.
- Family costs encompassed transportation, food, and home-care medication/supplies.
Main Results:
- Average annual institutional cost per patient: $11,004.3.
- Average annual family cost per patient: $2,831.04.
- Total average annual cost per patient (institutional + family): $13,835.35.
Conclusions:
- CKD management, particularly CAPD, represents a substantial economic challenge for health services and families.
- CAPD emerges as an efficient model for utilizing institutional and family resources in patient care.
Objective:
to determine the cost of institutional and familial care for patients with chronic kidney disease replacement therapy with continuous ambulatory peritoneal dialysis.
Methods:
a study of the cost of care for patients with chronic kidney disease treated with continuous ambulatory peritoneal dialysis was undertaken. The sample size (151) was calculated with the formula of the averages for an infinite population. The institutional cost included the cost of outpatient consultation, emergencies, hospitalization, ambulance, pharmacy, medication, laboratory, x-rays and application of erythropoietin. The family cost included transportation cost for services, cost of food during care, as well as the cost of medication and treatment materials acquired by the family for home care. The analysis included averages, percentages and confidence intervals.
Results:
the average annual institutional cost is US$ 11,004.3. The average annual family cost is US$ 2,831.04. The average annual cost of patient care in continuous ambulatory peritoneal dialysis including institutional and family cost is US$ 13,835.35.
Conclusion:
the cost of chronic kidney disease requires a large amount of economic resources, and is becoming a serious problem for health services and families. It's also true that the form of patient management in continuous ambulatory peritoneal dialysis is the most efficient in the use of institutional resources and family.
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