| Costs and added value of haemodialysis and peritoneal dialysis outsourcing agreements. | |
| | |
MedLine Citation:
|
PMID: 22130280 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Despite the discrepancy in results from Spanish studies on the costs of dialysis, it is assumed that peritoneal dialysis (PD) is more efficient than haemodialysis (HD). OBJECTIVES: To analyse the costs and added value of HD and PD outsourcing agreements in Galicia, the medical transport for HD and the relationship between the cost of the agreement and the cost of consumables used in continuous ambulatory peritoneal dialysis (CAPD) with bicarbonate. METHODS: The cost of the outsourcing agreements and the staff was obtained from official publications. The cost of PD and medical transport were calculated using health service data for one month and extrapolating it to one year. The cost of CAPD consumables was provided by the suppliers. The added value was calculated from the investments generated for each agreement treating 40 patients. RESULTS: Expressed as patient/year, the mean costs for treatment were €21595 and €25664 in HD and PD, respectively. Medical transport varied between €3323 and €6338, while those of the CAPD agreement and consumables were €19268 and €12057, respectively. The added value was greater with the HD agreement, especially considering the jobs created. CONCLUSIONS: One cannot generalise that the cost of PD, which is significantly influenced by prescriptions, is lower than that of HD. It would be appropriate to review the additional cost to consumables in the CAPD agreement. The added value generated by dialysis agreements should be considered in future studies and in health planning. More controlled studies are needed to better understand this issue. |
| | |
Authors:
|
J M Lamas Barreiro; M Alonso Suárez; J A Saavedra Alonso; A Gándara Martínez |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Nefrología : publicación oficial de la Sociedad Española Nefrologia Volume: 31 ISSN: 1989-2284 ISO Abbreviation: Nefrologia Publication Date: 2011 Nov |
Date Detail:
|
Created Date: 2011-12-01 Completed Date: 2012-04-24 Revised Date: 2012-05-08 |
Medline Journal Info:
|
Nlm Unique ID: 8301215 Medline TA: Nefrologia Country: Spain |
Other Details:
|
Languages: eng; spa Pagination: 656-63 Citation Subset: IM |
Affiliation:
|
Nephrology Department, University Hospital Complex of Vigo, Alto de Puxeiros s/n, Vigo, Pontevedra, Spain. jose.maria.lamas.barreiro@sergas.es |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Bicarbonates
/
economics Cost-Benefit Analysis Costs and Cost Analysis Dialysis Solutions / economics Disposable Equipment / economics Financing, Government / statistics & numerical data Health Personnel / economics Humans Kidney Failure, Chronic / economics, therapy National Health Programs / economics Outsourced Services / economics* Peritoneal Dialysis / economics*, instrumentation Peritoneal Dialysis, Continuous Ambulatory / economics Reimbursement Mechanisms Renal Dialysis / economics*, instrumentation Social Security / economics Spain Transportation of Patients / economics |
| Chemical | |
Reg. No./Substance:
|
0/Bicarbonates; 0/Dialysis Solutions |
| Comments/Corrections | |
Comment In:
|
Nefrologia. 2012;32(2):248-9; author reply 249-50
[PMID:
22466268
]
Nefrologia. 2012;32(2):247-8; author reply 249-50 [PMID: 22466267 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The role of peritoneal dialysis in the treatment of ascites.
Next Document: Appendix to Dialysis Centre Guidelines: Recommendations for the Relationship Between Outpatient Haem...