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Cost-effectiveness of a home-based group educational programme on renal replacement therapies: a study protocol
Steef Redeker1, Mark Oppe2, Martijn Visser1
1Section Medical Psychology and Psychotherapy, Department of Psychiatry, Erasmus MC, Rotterdam, The Netherlands.
BMJ Open
|March 25, 2019
Summary
Home-based education significantly increases living donor kidney transplantation (LDKT) for end-stage renal disease (ESRD) patients. This study evaluates the cost-effectiveness and implementation quality of this intervention in the Netherlands.
Area of Science:
- Nephrology
- Transplantation Medicine
- Health Economics
Background:
- Living donor kidney transplantation (LDKT) is the optimal treatment for end-stage renal disease (ESRD).
- Many ESRD patients lack a living kidney donor, necessitating alternative solutions.
- Home-based educational interventions have shown promise in increasing LDKTs.
Purpose of the Study:
- To conduct a cost-effectiveness analysis of a home-based educational program and its quality assurance system for LDKT.
- To investigate the link between intervention implementation quality and patient outcomes (knowledge, communication, LDKT activity).
- To explore policy implications for wider adoption of the intervention.
Main Methods:
- A cost-effectiveness analysis using a Markov model with data from literature and patient quality of life.
- Questionnaires to assess patient knowledge and communication outcomes.
- Medical record review for LDKT activities and third-party telephone interviews for protocol adherence.
Main Results:
- The study aims to quantify the cost-effectiveness of the educational program.
- It will establish relationships between implementation quality and key outcomes.
- Results will inform policy regarding LDKT promotion.
Conclusions:
- The home-based educational intervention shows potential for increasing LDKTs.
- Evaluating its cost-effectiveness and implementation quality is crucial for optimizing its impact.
- Findings will guide healthcare policy for ESRD patients seeking transplantation.
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