title: Component analysis of hospital cost of pancreas-kidney transplant and correlations with different variables in a Brazilian hospital.
abstract: BACKGROUND
  Simultaneous pancreas-kidney transplantation is associated with a high rate of complications when it is compared with transplantation of other organs; these increased complications can result in increased financial costs of the procedure. The objective of this study was to determine operating costs and financial results of simultaneous pancreas-kidney transplantation and its different variables in a Brazilian hospital.
  
  
  METHODS
  Between January 2008 and December 2011, the monthly costs of 105 patients were calculated. These patients were divided into 2 groups; the first consecutive 53 patients were labeled group I and the second set of 52 patients were labeled group II. The cost evaluation was made in US dollars.
  
  
  RESULTS
  A total of 89 patients corresponded to the public health system and 16 patients to the supplementary health system. The percentage of hospital discharge was 92.4%. There was an increase in operating room costs in group II compared with group I with no statistically significant difference ($18,749.33 for group I and $17,608.26 for group II). The outcome of the operation was positive; it was greater for group II than for group I ($16,303.22 vs $3494.53).
  
  
  CONCLUSIONS
  Simultaneous pancreas-kidney transplantation is a financially feasible procedure in Brazil, with the public health system being the main payment source.
authors.affiliation: Division of Abdominal Surgery, Department of Surgery, Federal University of São Paulo, Unifesp; Hospital of Kidney and Hypertension, Fundação Oswaldo Ramos, São Paulo, Brazil. Electronic address: amgonzalez@uol.com.br.
authors.forename: A
authors.initials: A
authors.lastname: Miziara Gonzalez
authors.affiliation: Division of Abdominal Surgery, Department of Surgery, Federal University of São Paulo, Unifesp; Hospital of Kidney and Hypertension, Fundação Oswaldo Ramos, São Paulo, Brazil.
authors.forename: A A
authors.initials: AA
authors.lastname: Salzedas-Netto
authors.affiliation: Hospital of Kidney and Hypertension, Fundação Oswaldo Ramos, São Paulo, Brazil.
authors.forename: U
authors.initials: U
authors.lastname: Fagundes
authors.affiliation: Division of Abdominal Surgery, Department of Surgery, Federal University of São Paulo, Unifesp; Hospital of Kidney and Hypertension, Fundação Oswaldo Ramos, São Paulo, Brazil.
authors.forename: M
authors.initials: M
authors.lastname: Moura Linhares
authors.affiliation: Division of Abdominal Surgery, Department of Surgery, Federal University of São Paulo, Unifesp.
authors.forename: F
authors.initials: F
authors.lastname: Pompeu Piza Vicentine
authors.affiliation: Division of Abdominal Surgery, Department of Surgery, Federal University of São Paulo, Unifesp.
authors.forename: D F
authors.initials: DF
authors.lastname: Perdomo Tejada
authors.affiliation: Division of Abdominal Surgery, Department of Surgery, Federal University of São Paulo, Unifesp.
authors.forename: G
authors.initials: G
authors.lastname: de Jesus Lopes Filho
authors.affiliation: Hospital of Kidney and Hypertension, Fundação Oswaldo Ramos, São Paulo, Brazil.
authors.forename: J O
authors.initials: JO
authors.lastname: Medina Pestana
authors.affiliation: Division of Abdominal Surgery, Department of Surgery, Federal University of São Paulo, Unifesp.
authors.forename: C A
authors.initials: CA
authors.lastname: Garcia Oliva
mesh_terms: D000328:Adult; D001938:Brazil; D003365:Costs and Cost Analysis; D005260:Female; D017721:Hospital Costs / Q000706:statistics & numerical data*; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D016030:Kidney Transplantation / Q000191:economics*; D008297:Male; D016035:Pancreas Transplantation / Q000191:economics*