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Association of Clinical Factors with the Costs of Kidney Transplantation in the Current Era

BACKGROUND: Kidney transplantation is reported to save costs compared to maintenance dialysis. We analyzed the current actual costs of kidney transplantation compared to dialysis, and analyzed risk factors for higher costs after transplantation. MATERIAL/METHODS: Altogether, 338 kidney transplant re...

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Autores principales: Helanterä, Ilkka, Isola, Timo, Lehtonen, Taru K., Åberg, Fredrik, Lempinen, Marko, Isoniemi, Helena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625575/
https://www.ncbi.nlm.nih.gov/pubmed/31263093
http://dx.doi.org/10.12659/AOT.915352
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author Helanterä, Ilkka
Isola, Timo
Lehtonen, Taru K.
Åberg, Fredrik
Lempinen, Marko
Isoniemi, Helena
author_facet Helanterä, Ilkka
Isola, Timo
Lehtonen, Taru K.
Åberg, Fredrik
Lempinen, Marko
Isoniemi, Helena
author_sort Helanterä, Ilkka
collection PubMed
description BACKGROUND: Kidney transplantation is reported to save costs compared to maintenance dialysis. We analyzed the current actual costs of kidney transplantation compared to dialysis, and analyzed risk factors for higher costs after transplantation. MATERIAL/METHODS: Altogether, 338 kidney transplant recipients between 2009 and 2014 were included in this study. All individual-level cost data from specialized health care and data from all reimbursed medication and travel costs were acquired from official records. Cost data were compared before and after transplantation within the same patients starting from dialysis initiation and continued until the end of follow-up at the end of 2015. RESULTS: Total annual costs were median 53 275 EUR per patient in dialysis, 59 583 EUR for the first post-transplantation year (P<0.001), and 12 045 EUR for the subsequent years (P<0.001 compared to dialysis). Median costs for specialized health care were 36 103 EUR/year per patient during dialysis, compared to median 51 640 EUR for the first post-transplantation year (P<0.001 compared to dialysis), whereas the median costs for the subsequent years declined to median 4895 EUR/year (P<0.001 compared to dialysis). The median annual costs for drug treatments and travel reimbursements during dialysis were higher compared to after transplantation (P<0.001). Delayed graft function and highly sensitized status were independent risk factor for higher costs during the first the post-transplantation year. CONCLUSIONS: After the first posttransplant year the costs of a kidney transplant patient for the health care system are <1/3 of the costs seen during dialysis treatment. Delayed graft function and previous sensitization were associated with increased costs post-transplantation.
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spelling pubmed-66255752019-07-30 Association of Clinical Factors with the Costs of Kidney Transplantation in the Current Era Helanterä, Ilkka Isola, Timo Lehtonen, Taru K. Åberg, Fredrik Lempinen, Marko Isoniemi, Helena Ann Transplant Original Paper BACKGROUND: Kidney transplantation is reported to save costs compared to maintenance dialysis. We analyzed the current actual costs of kidney transplantation compared to dialysis, and analyzed risk factors for higher costs after transplantation. MATERIAL/METHODS: Altogether, 338 kidney transplant recipients between 2009 and 2014 were included in this study. All individual-level cost data from specialized health care and data from all reimbursed medication and travel costs were acquired from official records. Cost data were compared before and after transplantation within the same patients starting from dialysis initiation and continued until the end of follow-up at the end of 2015. RESULTS: Total annual costs were median 53 275 EUR per patient in dialysis, 59 583 EUR for the first post-transplantation year (P<0.001), and 12 045 EUR for the subsequent years (P<0.001 compared to dialysis). Median costs for specialized health care were 36 103 EUR/year per patient during dialysis, compared to median 51 640 EUR for the first post-transplantation year (P<0.001 compared to dialysis), whereas the median costs for the subsequent years declined to median 4895 EUR/year (P<0.001 compared to dialysis). The median annual costs for drug treatments and travel reimbursements during dialysis were higher compared to after transplantation (P<0.001). Delayed graft function and highly sensitized status were independent risk factor for higher costs during the first the post-transplantation year. CONCLUSIONS: After the first posttransplant year the costs of a kidney transplant patient for the health care system are <1/3 of the costs seen during dialysis treatment. Delayed graft function and previous sensitization were associated with increased costs post-transplantation. International Scientific Literature, Inc. 2019-07-02 /pmc/articles/PMC6625575/ /pubmed/31263093 http://dx.doi.org/10.12659/AOT.915352 Text en © Ann Transplant, 2019 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Original Paper
Helanterä, Ilkka
Isola, Timo
Lehtonen, Taru K.
Åberg, Fredrik
Lempinen, Marko
Isoniemi, Helena
Association of Clinical Factors with the Costs of Kidney Transplantation in the Current Era
title Association of Clinical Factors with the Costs of Kidney Transplantation in the Current Era
title_full Association of Clinical Factors with the Costs of Kidney Transplantation in the Current Era
title_fullStr Association of Clinical Factors with the Costs of Kidney Transplantation in the Current Era
title_full_unstemmed Association of Clinical Factors with the Costs of Kidney Transplantation in the Current Era
title_short Association of Clinical Factors with the Costs of Kidney Transplantation in the Current Era
title_sort association of clinical factors with the costs of kidney transplantation in the current era
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625575/
https://www.ncbi.nlm.nih.gov/pubmed/31263093
http://dx.doi.org/10.12659/AOT.915352
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