Economic evaluations of dialysis treatment modalities

Just, Paul; Riella, Miguel C.; Tschosik, Elizabeth; Noe, Leslie Lyle; Bhattacharyya, Samir; Charro, Frank de

doi:10.1016/j.healthpol.2007.12.004

Cited by 90 publications

(84 citation statements)

References 31 publications

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“…In developed countries, intermittent therapy is felt to be more costly than peritoneal dialysis, yet in developing countries, IHD may be more cost effective than PD. 75 These differences are felt to be due to costs of fluids and personnel time associated with the therapy. As of hemofiltration, convective therapies usually include a filter replacement fluid (FRF) that is administered into the patient.…”

mentioning

confidence: 99%

Renal replacement therapy review

Fleming

2011

Organogenesis

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confidence: 99%

Renal replacement therapy review

Fleming

2011

Organogenesis

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“…One option for managing dialysis costs may be to expand the use of home dialysis therapies. Global and U.S. data confirm that home dialysis is the least costly option to payers when one accounts for dialysis patients' total healthcare costs (1,2).…”

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confidence: 99%

Dialysis Facility and Patient Characteristics Associated with Utilization of Home Dialysis

Walker

Inglese

Sloand

et al. 2010

Clinical Journal of the American Society of Nephrology

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Background and objectives: Nonmedical factors influencing utilization of home dialysis at the facility level are poorly quantified. Home dialysis is comparably effective and safe but less expensive to society and Medicare than in-center hemodialysis. Elimination of modifiable practice variation unrelated to medical factors could contribute to improvements in patient outcomes and use of scarce resources.Design, setting, participants, & measurements: Prevalent dialysis patient data by facility were collected from the 2007 ESRD Network's annual reports. Facility characteristic data were collected from Medicare's Dialysis Facility Compare file. A multivariate regression model was used to evaluate associations between the use of home dialysis and facility characteristics.Results: The utilization of home dialysis was positively associated with facility size, percent patients employed full-or part-time, younger population, and years a facility was Medicare certified. Variables negatively associated include an increased number of hemodialysis patients per hemodialysis station, chain association, rural location, more densely populated zip code, a late dialysis work shift, and greater percent of black patients within a zip code.Conclusions: Improved understanding of factors affecting the frequency of use of home dialysis may help explain practice variations across the United States that result in an imbalanced use of medical resources within the ESRD population. In turn, this may improve the delivery of healthcare and extend the ability of an increasingly overburdened medical financing system to survive.

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“…In contrast, hospital-based hemodialysis and satellite-unit-based hemodialysis were not cost-effective, with mean annual costs of £35,023 and £32,669, respectively [23]. A systematic review of the literature regarding the cost-effectiveness of dialysis treatment modalities demonstrated that hemodialysis is indeed a more expensive option than peritoneal dialysis [24].…”

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confidence: 99%