A comprehensive approach to assess the costs of renal replacement therapy for end-stage renal disease in France: the importance of age, diabetes status, and clinical events

被引:21
作者
Couillerot-Peyrondet, Anne-Line [1 ]
Sambuc, Clea [1 ]
Sainsaulieu, Yoel [2 ]
Couchoud, Cecile [3 ]
Bongiovanni-Delaroziere, Isabelle [1 ]
机构
[1] Haute Autorite Sante, Serv Evaluat Econ & Sante Publ, 5 Ave Stade France, F-93218 La Plaine St Denis, France
[2] Agence Biomed, Pole Org & Financement Activ Soins, La Plaine St Denis, France
[3] Agence Biomed, REIN Registry, La Plaine St Denis, France
关键词
End-stage renal disease; costs; Renal replacement therapy; Diabetes; Age; HEALTH-CARE COSTS; QUALITY-OF-LIFE; IN-CENTER; TREATMENT TRAJECTORIES; DIALYSIS MODALITY; HOME HEMODIALYSIS; INITIATION; IMPACT; MODEL;
D O I
10.1007/s10198-016-0801-6
中图分类号
F [经济];
学科分类号
02 ;
摘要
In the current pressured economic context, and to continue to treat the growing number of patients with high-quality standards, the first step is to have a better understanding of the costs related to end-stage renal disease (ESRD) treatment according to various renal replacement therapy, age, diabetes status, and clinical events. In order to estimate the direct costs of all adult ESRD patients, according to (RRT) modality, patient condition, and clinical events, data from the French national health insurance funds were used. The mean monthly costs for the 47,862 stable prevalent patients (73 % of the population) varied substantially according to treatment modality (from 7300a,notsign for in-center hemodialysis to 1100a,notsign for a functioning renal graft) and to clinical event (8300a,notsign for the first month of dialysis, 11,000a,notsign for the last month before death, 22,800a,notsign for the first month after renal transplantation). Mean monthly costs varied according to diabetic status and to age to a lesser extent. These results demonstrate, for the first time in France and in Europe, the importance of a dynamic view of renal care and the bias likely when comparing treatments in cross-sectional studies.
引用
收藏
页码:459 / 469
页数:11
相关论文
共 44 条
[1]   Home haemodialysis in Australia - is the wheel turning full circle? [J].
Agar, John W. M. ;
Hawley, Carmel M. ;
George, Charles R. P. ;
Mathew, Timothy H. ;
McDonald, Stephen P. ;
Kerr, Peter G. .
MEDICAL JOURNAL OF AUSTRALIA, 2010, 192 (07) :403-406
[2]   The organization and financing of dialysis and kidney transplantation services in New Zealand [J].
Ashton T. ;
Marshall M.R. .
International Journal of Health Care Finance and Economics, 2007, 7 (4) :233-252
[3]   The cost of renal dialysis in a UK setting - a multicentre study [J].
Baboolal, Keshwar ;
McEwan, Philip ;
Sondhi, Seema ;
Spiewanowski, Piotr ;
Wechowski, Jaroslaw ;
Wilson, Karen .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2008, 23 (06) :1982-1989
[4]   A Description of the Costs of Living and Standard Criteria Deceased Donor Kidney Transplantation [J].
Barnieh, L. ;
Manns, B. J. ;
Klarenbach, S. ;
McLaughlin, K. ;
Yilmaz, S. ;
Hemmelgarn, B. R. .
AMERICAN JOURNAL OF TRANSPLANTATION, 2011, 11 (03) :478-488
[5]   Cost of dialysis in France [J].
Benain, Jean-Philippe ;
Faller, Bernadette ;
Briat, Claude ;
Jacquelinet, Christian ;
Brami, Michele ;
Aoustin, Martine ;
Dubois, Jean-Pierre ;
Rieu, Philippe ;
Behaghel, Cecile ;
Duru, Gerard .
NEPHROLOGIE & THERAPEUTIQUE, 2007, 3 (03) :96-106
[6]   The cost of dialysis and kidney transplantation in France in 2007, impact of an increase of peritoneal dialysis and transplantation [J].
Blotiere, Pierre-Olivier ;
Tuppin, Philippe ;
Weill, Alain ;
Ricordeau, Philippe ;
Allemand, Hubert .
NEPHROLOGIE & THERAPEUTIQUE, 2010, 6 (04) :240-247
[7]   Health Care Costs of Peritoneal Dialysis Technique Failure and Dialysis Modality Switching [J].
Chui, Betty K. ;
Manns, Braden ;
Pannu, Neesh ;
Dong, James ;
Wiebe, Natasha ;
Jindal, Kailash ;
Klarenbach, Scott W. .
AMERICAN JOURNAL OF KIDNEY DISEASES, 2013, 61 (01) :104-111
[8]  
Cleemput I., 2010, KCE REPORTS B
[9]   Economic impact of a modification of the treatment trajectories of patients with end-stage renal disease [J].
Couchoud, Cecile ;
Couillerot, Anne-Line ;
Dantony, Emmanuelle ;
Elsensohn, Mad-Helenie ;
Labeeuw, Michel ;
Villar, Emmanuel ;
Ecochard, Rene ;
Bongiovanni, Isabelle .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2015, 30 (12) :2054-2068
[10]   Modelling treatment trajectories to optimize the organization of renal replacement therapy and public health decision-making [J].
Couchoud, Cecile ;
Dantony, Emmanuelle ;
Elsensohn, Mad-Helenie ;
Villar, Emmanuel ;
Ecochard, Rene .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2013, 28 (09) :2372-2382