Cost analysis of substitutive renal therapies in children
Journal Title: Jornal de Pediatria - Year 2018, Vol 94, Issue 1
Abstract
Objective End-stage renal disease is a health problem that consumes public and private resources. This study aimed to identify the cost of hemodialysis (either daily or conventional hemodialysis) and transplantation in children and adolescents. Methods This was a retrospective cohort of pediatric patients with End-stage renal disease who underwent hemodialysis followed by kidney transplant. All costs incurred in the treatment were collected and the monthly total cost was calculated per patient and for each renal therapy. Subsequently, a dynamic panel data model was estimated. Results The study included 30 children who underwent hemodialysis (16 conventional/14 daily hemodialysis) followed by renal transplantation. The mean monthly outlay for hemodialysis was USD 3500 and USD 1900 for transplant. Hemodialysis costs added up to over USD 87,000 in 40 months for conventional dialysis patients and USD 131,000 in 50 months for daily dialysis patients. In turn, transplant costs in 50 months reached USD 48,000 and USD 70,000, for conventional and daily dialysis patients, respectively. For conventional dialysis patients, transplant is less costly when therapy exceeds 16 months, whereas for daily dialysis patients, the threshold is around 13 months. Conclusion Transplantation is less expensive than dialysis in children, and the estimated thresholds indicate that renal transplant should be the preferred treatment for pediatric patients.
Authors and Affiliations
Paulo Cesar Koch-Nogueira
Keywords
Related Articles
- EP ID EP482215
- DOI 10.1016/j.jped.2017.05.004
- Views 124
- Downloads 0
Screen time impairs the relationship between physical fitness and academic attainment in children
Objective The purpose of this study was twofold: to analyze the association between physical fitness and academic attainment, and to determine the influence of screen time on the association between physical fitness and...
Who cares for adolescents and young adults with cancer in Brazil?
Objective Approximately 6% of all cancers arise in adolescents and young adults. Currently, the ward type best placed to treat this patient group remains controversial. The aim of this study was to evaluate exactly where...
Influence of AIDS antiretroviral therapy on the growth pattern
Objectives Human immunodeficiency virus infection can result in the early impairment of anthropometric indicators in children and adolescents. However, combined antiretroviral therapy has improved, in addition to the imm...
BH4 deficiency identified in a neonatal screening program for hyperphenylalaninemia
Objectives To show the general prevalence and to characterize tetrahydrobiopterin (BH4) deficiencies with hyperphenylalaninemia, identified by the Neonatal Screening Program of the State of Minas Gerais. Methods Descrip...
Factors associated with objectively measured total sedentary time and screen time in children aged 9–11 years
Objective To identify factors associated with total sedentary time and screen time in children aged 9–11 years. Methods For seven consecutive days, 328 children (51.5% boys) used accelerometers to monitor total sedentar...