Gaining Efficiencies: Resources and Demand for Dialysis around the Globe

Gaining Efficiencies: Resources and Demand for Dialysis around the Globe

Author Neil, Nancy Google Scholar
Walker, David R. Google Scholar
Sesso, Ricardo Autor UNIFESP Google Scholar
Blackburn, Juan Carlos Google Scholar
Tschosik, Elizabeth A. Google Scholar
Sciaraffia, Vito Google Scholar
Garcia-Contreras, Fernando Google Scholar
Capsa, Dimitrie Google Scholar
Bhattacharyya, Samir K. Google Scholar
Institution ICON Clin Res
Baxter Healthcare Corp
Universidade Federal de São Paulo (UNIFESP)
Baxter Export Corp
Univ Chile
IMSS
Fundeni Clin Inst
Abstract End-stage renal disease (ESRD) is a debilitating condition resulting in death unless treated. Treatment options are transplantation and dialysis. Alternative dialysis modalities are peritoneal dialysis (PD) and hemodialysis (HD), each of which has been shown to produce similar outcomes and survival. Nevertheless, the financial implications of each modality are different and these differences vary by country, especially in the developing world. Changes in clinically appropriate dialysis delivery leading to more efficient use of resources would increase the resources available to treat ESRD or other disabling conditions. This article outlines the relative advantages of HD and PD and uses budget impact analysis to estimate the country-specific, 5-year financial implications on total dialysis costs assuming utilization shifts from HD to PD in two high-income (UK, Singapore), three upper-middle-income (Mexico, Chile, Romania), and three lower-middle-income (Thailand, China, Colombia) countries.Peritoneal dialysis is a clinically effective dialysis option that can be significantly cost-saving compared to HD, even in developing countries.The magnitude of costs associated with treating ESRD patients globally is large and growing. PD is a clinically effective dialysis option that can be used by a majority of ESRD patients and can also be significantly cost-saving compared to HD therapy. Increasing clinically appropriate PD use would substantially reduce health-care costs and help health-care systems meet ever-tightening budget constraints.
Keywords chronic kidney disease
dialysis
economics
end-stage renal disease
hemodialysis
modality selection
peritoneal dialysis
Language English
Sponsor Baxter Healthcare Corporation.
Date 2009-01-01
Published in Value in Health. Malden: Wiley-Blackwell Publishing, Inc, v. 12, n. 1, p. 73-79, 2009.
ISSN 1098-3015 (Sherpa/Romeo, impact factor)
Publisher Wiley-Blackwell
Extent 73-79
Origin http://dx.doi.org/10.1111/j.1524-4733.2008.00414.x
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000262696800011
URI http://repositorio.unifesp.br/handle/11600/31112

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