Analysis of costs and outcomes of renal transplantation at one center. Its implications.
A cost increase of more than 900% for medical services to dialysis patients and transplant recipients has been projected during the decade 1974 to 1984. To evaluate the role of renal transplantation in the End-Stage Renal Disease Program, we analyzed direct costs and patient outcomes in 466 consecutive transplants at our center. A successful transplant from either a living related or cadaver donor cost less than +7,000 per year for two years of graft function. The cost of transplants rejected during the second year also proved cost-effective when compared with the yearly costs of maintenance-facility hemodialysis. Patient survival was 100% at two years for recipients of a transplant from a living related donor and 84% at two years for recipients of a transplant from a cadaver. Renal transplantation can reduce the rising costs for end-stage renal disease patient care, without reducing life expectancy.
D000293:Adolescent; D000328:Adult; D002102:Cadaver; D002140:California; D002648:Child; D002675:Child, Preschool; D003365:Costs and Cost Analysis; D005500:Follow-Up Studies; D006801:Humans; D016030:Kidney Transplantation; D008017:Life Expectancy; D008875:Middle Aged; D006435:Renal Dialysis / Q000191:economics* / Q000401:mortality; D013514:Surgical Procedures, Operative / Q000401:mortality; D014180:Transplantation / Q000191:economics*; D014184:Transplantation, Homologous