Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospital

Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospital

Author Salzedas-Netto, Alcides Augusto Autor UNIFESP Google Scholar
Gonzalez, Adriano Miziara Autor UNIFESP Google Scholar
Fagundes, Ulysses Autor UNIFESP Google Scholar
Linhares, Marcelo Moura Autor UNIFESP Google Scholar
Vicentine, Fernando Pompeu Piza Google Scholar
Romero, Luis Ramiro Núñez Google Scholar
Martins, Jose Luiz Autor UNIFESP Google Scholar
Pestana, Jose Osmar Medina Autor UNIFESP Google Scholar
Oliva, Carlos Alberto Garcia Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Hypertension and Kidney Hospital
Abstract PURPOSE:To perform a cost analysis of simultaneous pancreas-kidney transplantation (SPKT) in a Brazilian hospital.METHODS:Between January 2008 and December 2011, 105 consecutive SPKTs at the Hospital of Kidney and Hypertension in São Paulo were evaluated. We evaluated the patient demographics, payment source (public health system or supplementary system), and the impact of each hospital cost component. The evaluated costs were corrected to December 2011 values and converted to US dollars.RESULTS:Of the 105 SPKT patients, 61.9% were men, and 38.1% were women. Eight patients died, and 97 were discharged (92.4%). Eighty-nine procedures were funded by the public health system. The cost for the patients who were discharged was $18.352.27; the cost for the deceased patients was $18.449.96 (p = 0.79). The FOR for SPKT during this period was positive at $5,620.65. The costs were distributed as follows: supplies, 36%; administrative costs, 20%; physician fees, 15%; intensive care unit, 10%; surgical center, 10%; ward, 9%.CONCLUSION:Mortality did not affect costs, and supplies were the largest cost component.
Keywords Pancreas Transplantation
Kidney Transplantation
Costs and Cost Analysis
Language English
Date 2014-11-01
Published in Acta Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 29, n. 11, p. 748-751, 2014.
ISSN 0102-8650 (Sherpa/Romeo, impact factor)
Publisher Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
Extent 748-751
Origin http://dx.doi.org/10.1590/S0102-86502014001800009
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000345426500009
SciELO ID S0102-86502014001100748 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/8654

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