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The economic issue of vascular access within the Japanese medical reimbursement system

Yoshiaki Takemoto1, Toshihide Naganuma1

  • 1Department of Urology, Osaka City University Graduate School of Medicine, Osaka - Japan.

The Journal of Vascular Access
|September 10, 2015
PubMed

Insights

Vascular access (VA) costs in Japan reach JPY20 billion annually, similar to the US. Percutaneous transluminal angioplasty (PTA) is increasingly vital for chronic renal failure treatment.

Area of Science:

  • Health Economics
  • Nephrology
  • Vascular Surgery

Background:

  • Vascular access (VA) is crucial for chronic renal failure (CRF) patients undergoing dialysis.
  • Understanding the economic burden of VA procedures is essential for healthcare planning.

Purpose of the Study:

  • To analyze the current health economics of VA procedures in Japan.
  • To compare VA-related healthcare costs in Japan with those in the USA.
  • To evaluate the trend and significance of percutaneous transluminal angioplasty (PTA) in VA procedures for CRF.

Main Methods:

  • Analysis of VA-related medical expenses in Japan.
  • Comparison with United States Renal Data System (USRDS) statistics for the USA.
  • Examination of the proportion and trend of PTA among VA procedures.

Main Results:

  • Yearly VA-related medical expenses in Japan amount to JPY20 billion, representing 1.4% of total CRF healthcare costs.
  • VA-related costs in Japan are comparable to the 1.2% seen in the USA.
  • Percutaneous transluminal angioplasty (PTA) constitutes approximately 60% of VA procedures in Japan, with this proportion increasing annually.

Conclusions:

  • Health economics of VA procedures in Japan are substantial and comparable to the US.
  • The increasing utilization of PTA suggests its growing importance in managing CRF.
  • Societal aging and extended treatment durations are likely to further elevate the significance of PTA for CRF patients in Japan.

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