希腊儿科患者末期病的成本分析
Christos Ntais1, Konstantina Loizou2, Costas Panagiotakis3
1Epidemiology Program, School of Science & Technology, Hellenic Open University, 26335 Patras, Greece.
Healthcare (Basel, Switzerland)
|October 25, 2024
概括
腹腔透析 (PD) 对希腊的儿科末期病 (ESRD) 患者来说比传统的血液透析 (HD) 或在线血液过 (OL-HDF) 更昂贵. 电能耗材驱动成本,而高清和OL-HDF成本是可比的.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 儿科医疗保健 儿科医疗保健
- 卫生经济学 卫生经济学
背景情况:
- 希腊缺乏对儿科末期病 (ESRD) 置换疗法的成本分析.
- 腹腔透析 (PD),常规血液透析 (HD) 和在线血液过 (OL-HDF) 在儿科ESRD患者的成本的比较以前没有估计.
研究的目的:
- 估计希腊儿科ESRD患者的PD,常规HD和OL-HDF的平均年成本.
- 为了确定每种置换疗法方法的单个成本组成部分.
主要方法:
- 回顾性单中心研究,涉及20名儿科患者.
- 微成本和自下而上的方法用于平均年度总成本估计.
主要成果:
- 年平均成本:PD (n=7) 56676.04欧元;传统高清 (n=9) 39786.86欧元;OL-HDF (n=4) 43894.73欧元.
- PD比传统的HD (p < 0.001) 和OL-HDF (p = 0.024) 昂贵得多.
- PD耗材对其总成本的贡献最大;脏单位的运营成本主导着高清和OL-HDF费用.
结论:
- 腹腔透析是希腊儿科ESRD患者最昂贵的脏替代疗法.
- 研究结果为医疗保健政策制定者提供了关于儿科ESRD治疗决策的宝贵数据.
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