title: The economic cost of dialysis: a comparison between peritoneal dialysis and in-center hemodialysis in a Spanish unit.
abstract: We have studied the economic cost of dialysis therapy in our area (public setting) during 1994, comparing the cost of different modalities of in-center hemodialysis (HD) and home peritoneal dialysis (PD). Analyzed costs included: personnel, drug expenditure, disposable (dialysis- and non-dialysis-related), laboratory, other services, indirect costs, maintenance and redemption, hospital admissions, transport, and home supplies. The final cost per patient and year (in 1994 US$) was: hemodiafiltration (AN69 filter, bicarbonate buffer) $58,890; HD polymethylmethacrylate filter and bicarbonate buffer $55,076; HD cuprophane and acetate buffer $49,767; CAPD $31,201; and cost of automated PD $42,519. The main expenditure sections were: home supply and hospital admissions for PD patients, and personnel, drug expenditures, disposable dialysis material, indirect costs, hospital admissions, and transport for HD patients. Home peritoneal dialysis therapy has a significantly lower economic cost than any in-center HD modality.
authors.affiliation: Nephrology Unit, Hospital Juan Canalejo, A Coruña, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Rodríguez-Carmona
authors.forename: M
authors.initials: M
authors.lastname: Perez Fontán
authors.forename: P
authors.initials: P
authors.lastname: Bouza
authors.forename: T
authors.initials: T
authors.lastname: García Falcón
authors.forename: F
authors.initials: F
authors.lastname: Valdés
mesh_terms: D000328:Adult; D000368:Aged; D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis / Q000191:economics; D005260:Female; D017583:Hemodiafiltration / Q000191:economics; D006436:Hemodialysis Units, Hospital / Q000191:economics; D006699:Home Care Services / Q000191:economics; D006801:Humans; D007676:Kidney Failure, Chronic / Q000191:economics* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000191:economics*; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000191:economics*; D006435:Renal Dialysis / Q000191:economics*; D013030:Spain; D014511:Uremia / Q000191:economics / Q000628:therapy