title: Costs of hemodialysis and kidney transplantation in Sudan: a single center experience.
abstract: INTRODUCTION. End-stage renal disease is a serious illness with major consequences in both health and healthcare expenditures. The growing number of patients with end-stage renal disease in developing countries will consume a greater proportion of healthcare budget. We aimed to assess the costs of hemodialysis and kidney transplantation in a renal care center in Sudan. MATERIALS AND METHODS. We conducted a cross-sectional study to estimate the costs of kidney transplantation and compare those with the costs of hemodialysis per year. We enrolled 78 patients on regular hemodialysis for at least 2 years and 33 kidney transplant patients on regular follow-up at Gezira Hospital for Renal Diseases and Surgery in Sudan. RESULTS. The annual cost of hemodialysis was found to be US $ 6847.00. The total cost of the first year after transplantation was US $ 14 825.04 and the cost of kidney transplantation after the first year was US $ 10 651.00. The total hospitalization days and absence from work were less in the transplant group. Conclusions. Hemodialysis in Sudan is less expensive than transplantation.
authors.affiliation: Department of Nephrology, Gezira Hospital for Renal Diseases and Surgery, Gezira, Sudan. drhafize@hotmail.com.
authors.forename: Mohamed Elhafiz
authors.initials: ME
authors.lastname: Elsharif
authors.forename: Elham Gariballa
authors.initials: EG
authors.lastname: Elsharif
authors.forename: Waheeb Hassan
authors.initials: WH
authors.lastname: Gadour
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000191:economics*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000191:economics; D006435:Renal Dialysis / Q000191:economics*; D013397:Sudan