title: Peritoneal dialysis vs. haemodialysis in the management of paediatric acute kidney injury in Kano, Nigeria: a cost analysis.
abstract: OBJECTIVE
  To determine the cost of the dialytic management of paediatric acute kidney injury in a low-income country.
  
  
  METHODS
  All children under the age of 15 years, who had either peritoneal dialysis or haemodialysis for acute kidney injury in Aminu Kano Teaching Hospital over a 1-year period, were studied. The average cost of each dialysis modality was estimated.
  
  
  RESULTS
  Of 20 children, who had dialysis for acute kidney injury, 12 (60%) had haemodialysis and 8 (40%) had peritoneal dialysis. The mean cost for haemodialysis exceeded that of peritoneal dialysis ($363.33 vs. $311.66, t = 1.04, P = 0.313) with the mean cost of consumables significantly accounting for most of the cost variation ($248.49 vs. $164.73, t = 2.91, P = 0.009). Mean costs of nephrologist visit and nursing were not found to be significant.
  
  
  CONCLUSIONS
  Peritoneal dialysis is the less costly alternative for managing acute kidney injury in children in our environment.
authors.affiliation: Department of Paediatrics, University of Witwatersrand/Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa.
authors.forename: Patience N
authors.initials: PN
authors.lastname: Obiagwu
authors.forename: Aliyu
authors.initials: A
authors.lastname: Abdu
mesh_terms: D058186:Acute Kidney Injury / Q000191:economics* / Q000628:therapy; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D017048:Health Care Costs; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009549:Nigeria; D010372:Pediatrics / Q000191:economics*; D010530:Peritoneal Dialysis / Q000191:economics*; D006435:Renal Dialysis / Q000191:economics
keywords: acute kidney injury; analyse de coûts; análisis de coste; cost analysis; daño renal agudo; dialyse péritonéale; diálisis peritoneal; haemodialysis; hemodiálisis; hémodialyse; insuffisance rénale aiguë; paediatrics; pediatría; peritoneal dialysis; pédiatrie