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Related Experiment Videos

How much extra does "adequate" peritoneal dialysis cost?

P G Blake1, J Floyd, E Spanner

  • 1Division of Nephrology, Victoria Hospital, London, Ontario, Canada.

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|January 1, 1996
PubMed
Summary
This summary is machine-generated.

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Implementing an adequacy program in peritoneal dialysis (PD) incurs significant extra costs, primarily due to increased use of automated peritoneal dialysis (APD). High-volume CAPD and APD with two dwells are most cost-effective.

Area of Science:

  • Nephrology
  • Renal Replacement Therapy
  • Health Economics

Background:

  • Peritoneal dialysis (PD) is a key renal replacement therapy.
  • Adequacy programs aim to optimize dialysis dose, potentially impacting costs.
  • Understanding the economic implications of PD adequacy is crucial for healthcare providers.

Purpose of the Study:

  • To determine the additional financial burden of implementing a PD adequacy program.
  • To assess the cost-effectiveness of various PD prescriptions within an adequacy framework.

Main Methods:

  • Cross-sectional study of 37 patients at a university teaching hospital PD clinic.
  • Measurement of extra costs for dialysate, tubing, and cyclers.
  • Calculation of cost per unit KT/V for different PD prescriptions.

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Main Results:

  • 35% of patients required prescription adjustments for adequacy.
  • Average additional annual cost per patient was Cdn. $2,323 (16% increase).
  • High-volume continuous ambulatory PD (CAPD) and APD with two daytime dwells were most cost-effective.
  • Day dry APD and high-volume APD with one daytime dwell were least cost-effective.

Conclusions:

  • Implementing PD adequacy programs leads to substantial extra expenses, largely driven by increased APD utilization.
  • Prescription choice significantly influences cost-effectiveness.
  • Consideration of alternative pricing policies for PD may be warranted.