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[Costs of interventions for patients with chronic renal disease]
A Arredondo1, R Rangel, E de Icaza
1Departamento de Investigación en Costos y Financiamiento para la Salud, Instituto Nacional de Salud Pública, Morelos, México.
Insights
Understanding the cost of chronic renal disease management is crucial. This study reveals significant differences between per-event costs and annual case management costs for dialysis and transplantation, impacting resource allocation.
Area of Science:
- Nephrology
- Health Economics
- Healthcare Management
Context:
- Chronic renal disease (CRD) management involves complex and costly interventions.
- Accurate cost assessment is vital for effective healthcare resource allocation.
- Previous cost analyses may not fully capture the economic burden of CRD care.
Purpose:
- To determine the cost of specific health interventions for chronic renal disease.
- To compare per-event costs with annual case management costs for different CRD treatments.
- To inform resource allocation strategies in nephrology care.
Summary:
- A consensus technique was employed to identify costs associated with peritoneal dialysis, hemodialysis, and renal transplantation.
- Per-event costs were $3.71 (peritoneal dialysis), $57.95 (hemodialysis), and $8,778.32 (renal transplant).
- Annual case management costs were $5,643.07 (peritoneal dialysis), $9,631.60 (hemodialysis), and $3,021.67 (renal transplant).
Impact:
- Significant discrepancies exist between per-event and annual case management costs for CRD interventions.
- These cost variations have critical implications for designing and evaluating resource allocation models.
- The findings support more informed financial planning and policy development in kidney disease management.
Introduction:
The results of a study which identified the cost of health interventions in the management of patients with chronic renal disease are presented.
Material And Method:
The costing method was based on a consensus technique and the instrumentation of case management through the identification of the materials used and functions of production for the demand of each service solicited. The interventions included: peritoneal dialysis, hemodialysis, and renal transplant.
Results:
The cost per event in U.S. dollars was $3.71, $57.95, and $8,778.32, respectively. The annual cost of case management was: Peritoneal Dialysis $5,643.07, Hemodialysis $9,631.60 and renal transplant $3,021.67.
Conclusions:
The information generated from the costs of the events differed considerably from the information that was generated by the annual cost of case management. These differences are significant for the design and evaluation of patterns for allocating resources.