[Cost comparison of cadaveric liver transplantation with living-donor transplantation].
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.
Coelho
Julio Cezar Uili
JC
Serviço de Transplante Hepático, Hospital de Clínicas, Universidade Federal do Paraná, Rua Bento Viana 1140, Curitiba, Paraná, CEP 80240-110 Brazil.
Trubian
Paula Suzin
PS
Freitas
Alexandre Coutinho Teixeira de
AC
Parolin
Mônica Beatriz
MB
Schulz
Gustavo Justo
GJ
Martins
Eduardo Lopes
EL
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