3rd Congress of the Spanish Transplantation SocietyKidney transplantationEconomic Analysis of the Treatment of End-stage Renal Disease Treatment: Living-donor Kidney Transplantation Versus Hemodialysis
Section snippets
Method
A prospective, descriptive study of costs and efficacy was performed in the Hospital Clínic de Barcelona from January to December 2011. We included 106 patients (57 undergoing HD and 49 who receiving LDKT). The costs of LDKT (donor and recipient) and HD were calculated, based on our financial data program.
Demographic Data
The mean age of transplant recipients was 46 ± 15 years and that of donors was 52 ± 10 years. A total of 67% of the recipients were men, the mean body mass index was 26.22 ± 11 in the recipient group, and for 89% it was a pre-emptive transplantation. The main ESRD cause was interstitial in 20%. The mean age of patients undergoing HD was 67 ± 11 years and 62% were men. The cause of the ESRD was diabetes in 29.8%. The time on HD was 27 ± 10 months, 53 patients were on the transplant waiting list
Discussion
This study shows that LDKT is more cost-effective than HD, representing a savings of 13,102.97€ per patient/y. The cost recovery period for this type of transplantation is less than a year, and patients have enhanced quality of life.
Renal transplantation is the treatment of choice for suitable candidates who have CKD because it offers better survival than other alternatives, improves quality of life, and is cost-effective [4]. LDKT is a common procedure that produces excellent long-term
References (15)
- et al.
Trends in organ donation and transplantation in the United States, 1998–2007
Am J Transplant
(2009) - et al.
Comparison of hemodialysis and peritoneal dialysis—a cost-utility analysis
Perit Dial Int
(2002) - et al.
Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant
N Engl J Med
(1999) - et al.
Cost-effectiveness analysis of renal replacement therapy in Austria
Nephrol Dial Transplant
(2011) - Organización Nacional de Trasplantes. Available at:...
- United Network for Organ Sharing. Available at:...
- et al.
Measurement of quality of life in end-stage renal disease: the time trade-off approach
Clin Invest Med
(1987)