title: [Cost of a renal transplant: medico-economic analysis of the amount reimbursed by the French national health program to finance renal transplantation].
abstract: Successful organ transplantation relies on several ancillary activities such as the identification of a compatible donor, organ allocation and procurement and the coordination of the transplant process. No existing study of the overall costs, in France, of these additional transplantation activities could be identified. This study determines the total additional costs of ancillary transplantation activities by comparing the costs of kidney transplantations with living donors against those using deceased donors. The data used are drawn from the 2013 public healthcare tariff calculations, PMSI recorded activity and transplant activity in 2012 as assessed and reported by the Agence de la biomédecine. The results show that, in 2012, additional transplant costs varied from 13835.44 € to 20050.67 € for a deceased donor and were 13601.66 € for a living donor. In conclusion, this study demonstrates that all the costs covered by National Health Insurance need to be taken into account in the economic impact evaluation of renal transplantation and during the development of this national priority activity.
authors.affiliation: Pôle Organisation et financement des activités de soins, agence de la biomédecine, 1, avenue du Stade-de-France, 93212 Saint-Denis La Plaine, France.
authors.forename: Yoël
authors.initials: Y
authors.lastname: Sainsaulieu
authors.affiliation: Service évaluation économique et santé publique, Haute Autorité de santé, 2, avenue du Stade-de-France, 93218 Saint-Denis La Plaine, France.
authors.forename: Cléa
authors.initials: C
authors.lastname: Sambuc
authors.affiliation: Pôle Organisation et financement des activités de soins, agence de la biomédecine, 1, avenue du Stade-de-France, 93212 Saint-Denis La Plaine, France.
authors.forename: Hélène
authors.initials: H
authors.lastname: Logerot
authors.affiliation: Service évaluation économique et santé publique, Haute Autorité de santé, 2, avenue du Stade-de-France, 93218 Saint-Denis La Plaine, France.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Bongiovanni
authors.affiliation: Coordination nationale REIN, agence de la biomédecine, 1, avenue du Stade-de-France, 93212 Saint-Denis La Plaine, France. Electronic address: cecile.couchoud@biomedecine.fr.
authors.forename: Cécile
authors.initials: C
authors.lastname: Couchoud
mesh_terms: D003365:Costs and Cost Analysis; D005602:France; D006801:Humans; D016030:Kidney Transplantation / Q000191:economics*; D009313:National Health Programs; D014019:Tissue Donors
keywords: Assurance maladie; Donneur vivant; Financement; Funding; Graft; Greffon; Health insurance; Living donor; Renal transplantation; Transplantation rénale