title: [Cost comparison of cadaveric liver transplantation with living-donor transplantation].
abstract: OBJECTIVE
  To compare the cost of cadaveric liver transplantation with adult-adult right hepatic lobe living-donor transplantation.
  
  
  METHODS
  Total cost of 25 cadaveric liver transplantations and 22 adult-adult right hepatic lobe living-donor transplantations was considered from the day of hospital admission until the day of discharge. Professional fees and expenses due to post-transplant complications and donor follow-up were not included.
  
  
  RESULTS
  There was no difference in hospital stay between recipients of cadaveric transplantation (13.2+/- 4.1 days) and those of living-donor transplantation (15.4+/- 4.5 days). Costs of living-donor organ acquisition (USD 4,975.08+/- 565.34) were higher than those of cadaveric organ donation (USD 3,081.73+/- 305.57) (p<0.001). Implantation costs were similar for cadaveric and living-donor transplantation. Operating room and material costs were higher for living-donor transplantation and medications, exams and blood components costs were higher for cadaveric transplantation. The most expensive component of both cadaveric and living-donor liver transplantation was the cost of medications. Total cost was higher for living-donor transplantation (USD 22,986.60+/- 1,477.09) than for cadaveric transplantation (USD 21,582.90+/- 1,818.11) (p= 0.0022).
  
  
  CONCLUSIONS
  Total cost of living-donor liver transplantation is higher than that of cadaveric transplantation.
authors: Serviço de Transplante Hepático, Hospital de Clínicas, Universidade Federal do Paraná, Rua Bento Viana 1140, Curitiba, Paraná, CEP 80240-110 Brazil.
authors: Julio Cezar Uili
authors: JC
authors: Coelho
authors: Paula Suzin
authors: PS
authors: Trubian
authors: Alexandre Coutinho Teixeira de
authors: AC
authors: Freitas
authors: Mônica Beatriz
authors: MB
authors: Parolin
authors: Gustavo Justo
authors: GJ
authors: Schulz
authors: Eduardo Lopes
authors: EL
authors: Martins
mesh_terms: D000328:Adult; D002102:Cadaver; D003365:Costs and Cost Analysis; D006760:Hospitalization / Q000191:economics; D006801:Humans; D008103:Liver Cirrhosis / Q000601:surgery*; D016031:Liver Transplantation / Q000191:economics*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D020858:Tissue and Organ Harvesting / Q000191:economics