title: Lifetime costs for peritoneal dialysis and hemodialysis in patients in Taiwan.
abstract: BACKGROUND
  This study compared the lifetime costs for peritoneal dialysis (PD) and hemodialysis (HD) patients in Taiwan.
  
  
  METHODS
  Using the National Health Insurance (NHI) database of all end-stage renal disease patients on maintenance dialysis registered from July 1997 to December 2005, we matched eligible PD patients with eligible HD patients on age, sex, and diabetes status. The matched patients were followed until 31 December 2006. Patients were excluded if they were less than 18 years of age, had been diagnosed with cancer before dialysis, or had been dialyzed at centers or clinics other than hospitals. Outcomes-including life expectancy, total lifetime costs, and costs per life-year paid by the NHI-were estimated and compared.
  
  
  RESULTS
  The 3136 pairs of matched PD and HD patients had a mean age of 53.2 ± 15.4 years. The total lifetime cost for PD patients (US$139 360 ± US$8 336) was significantly lower than that for HD patients (US$185 235 ± US$9 623, p < 0.001). Except for patients with diabetes (who had a short life expectancy), the total lifetime cost was significantly lower for PD patients than for HD patients regardless of sex and age (p < 0.01).
  
  
  CONCLUSIONS
  In Taiwan, the total lifetime costs paid by the NHI were lower for PD than for HD patients.
authors: Department of Internal Medicine,1 National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei;
authors: Tze-Wah
authors: TW
authors: Kao
authors: Yu-Yin
authors: YY
authors: Chang
authors: Pau-Chung
authors: PC
authors: Chen
authors: Chih-Cheng
authors: CC
authors: Hsu
authors: Yu-Kang
authors: YK
authors: Chang
authors: Yu-Hung
authors: YH
authors: Chang
authors: Lukas Jyuhn-Hsiarn
authors: LJ
authors: Lee
authors: Kwan-Dun
authors: KD
authors: Wu
authors: Tun-Jun
authors: TJ
authors: Tsai
authors: Jung-Der
authors: JD
authors: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017281:Cost of Illness; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D057194:Intention to Treat Analysis; D008017:Life Expectancy; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000191:economics*; D006435:Renal Dialysis / Q000191:economics*; D013624:Taiwan; D055815:Young Adult
keywords: Hemodialysis; lifetime cost
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