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Comparison of hemod...
Comparison of hemodialysis and peritoneal dialysis - A cost-utility analysis
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- Sennfält, Karin, 1963- (author)
- Linköpings universitet,Hälsouniversitetet,Institutionen för hälsa och samhälle
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- Magnusson, Martin, 1978- (author)
- Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Internmedicin,Njurmedicinska kliniken US
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- Carlsson, Per, 1951- (author)
- Linköpings universitet,Hälsouniversitetet,Institutionen för hälsa och samhälle
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(creator_code:org_t)
- 2002
- 2002
- English.
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In: Peritoneal Dialysis International. - 0896-8608 .- 1718-4304. ; 22:1, s. 39-47
- Related links:
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https://urn.kb.se/re...
Abstract
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- ? Objective: Our aim was to compare both health-related quality of life and costs for hemodialysis (HD) and peritoneal dialysis (PD) in a defined population. ? Design: Decision-tree modeling to estimate total costs and effects for two treatment strategies, HD and PD, among patients with chronic kidney failure, for 5 years following the start of treatment. Courses of events and health-care consumption were mapped in a retrospective matched-record study. Data on health status were obtained from a matched population by a quality-of-life questionnaire (EuroQol). The study has a societal perspective. ? Setting: All dialysis departments in the southeastern health-care region of Sweden. ? Patients: 136 patients with kidney failure, comprising 68 matched pairs, were included in a retrospective record study, 81 patients with kidney failure, comprising 27 matched triplets, were included in a prospective questionnaire study. ? Main Outcome Measures: Cost per life year and cost per quality-adjusted life year. ? Results: The cost per quality-adjusted life year for PD was lower in all analyzed age groups. There was a 12% difference in the age group 21 - 40 years, a 31% difference in the age group 41 - 60 years, and an 11% difference in the age group 61+ years. Peritoneal dialysis and HD resulted in similar frequencies of transplantation (50% and 41%, respectively) and expected survival (3.58 years and 3.56 years, respectively) during the first 5 years after the initiation of treatment. ? Conclusion: The cost-utility ratio is most favorable for PD as the primary method of treatment for patients eligible for both PD and HD.
Keyword
- SOCIAL SCIENCES
- SAMHÄLLSVETENSKAP
Publication and Content Type
- ref (subject category)
- art (subject category)
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