title: Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian hospital.
abstract: OBJECTIVE
  To perform a cost analysis of simultaneous pancreas-kidney transplantation (SPKT) in a Brazilian hospital.
  
  
  METHODS
  Between January 2008 and December 2011, 105 consecutive SPKTs at the Hospital of Kidney and Hypertension in Sao Paulo were evaluated. We evaluated the patient demographics, payment source (public health system or supplementary system), and the impact of each hospital cost component. The evaluated costs were corrected to December 2011 values and converted to US dollars.
  
  
  RESULTS
  Of the 105 SPKT patients, 61.9% were men, and 38.1% were women. Eight patients died, and 97 were discharged (92.4%). Eighty-nine procedures were funded by the public health system. The cost for the patients who were discharged was $18.352.27; the cost for the deceased patients was $18.449.96 (p = 0.79). The FOR for SPKT during this period was positive at $5,620.65. The costs were distributed as follows: supplies, 36%; administrative costs, 20%; physician fees, 15%; intensive care unit, 10%; surgical center, 10%; ward, 9%.
  
  
  CONCLUSIONS
  Mortality did not affect costs, and supplies were the largest cost component.
authors.affiliation: Department of Surgery, Federal University of São Paulo, Brazil.
authors.forename: Alcides Augusto
authors.initials: AA
authors.lastname: Salzedas-Netto
authors.affiliation: Department of Surgery, UNIFESP, Sao Paulo, SP, Brazil.
authors.forename: Adriano Miziara
authors.initials: AM
authors.lastname: Gonzalez
authors.affiliation: Hypertension and Kidney Hospital, Sao Paulo, SP, Brazil.
authors.forename: Ulysses
authors.initials: U
authors.lastname: Fagundes
authors.affiliation: Department of Surgery, UNIFESP, Sao Paulo, SP, Brazil.
authors.forename: Marcelo Moura
authors.initials: MM
authors.lastname: Linhares
authors.affiliation: Department of Surgery, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: Fernando Pompeu Piza
authors.initials: FP
authors.lastname: Vicentine
authors.affiliation: Department of Surgery, UNIFESP, Sao Paulo, SP, Brazil.
authors.forename: Luis Ramiro Núñez
authors.initials: LR
authors.lastname: Romero
authors.affiliation: Department of Surgery, UNIFESP, Sao Paulo, SP, Brazil.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Martins
authors.affiliation: Department of Internal Medicine, UNIFESP, Sao Paulo, SP, Brazil.
authors.forename: José Osmar Medina
authors.initials: JO
authors.lastname: Pestana
authors.affiliation: Department of Pediatric, UNIFESP, Sao Paulo, SP, Brazil.
authors.forename: Carlos Alberto Garcia
authors.initials: CA
authors.lastname: Oliva
mesh_terms: D001938:Brazil; D003365:Costs and Cost Analysis; D005260:Female; D006760:Hospitalization / Q000191:economics; D006801:Humans; D007362:Intensive Care Units / Q000191:economics; D016030:Kidney Transplantation / Q000191:economics* / Q000401:mortality; D008297:Male; D016035:Pancreas Transplantation / Q000191:economics* / Q000401:mortality; D018709:Statistics, Nonparametric; D013997:Time Factors