A Renal Transplantation and Hemodialysis Cost-Utility Analysis in Patients with End-Stage Renal Disease / 대한이식학회지
The Journal of the Korean Society for Transplantation
;
: 173-181, 2010.
Article
in Korean
| WPRIM
| ID: wpr-180488
ABSTRACT
BACKGROUND:
The purpose of this study was to examine the cost-effectiveness of renal transplantation and hemodialysis among end-stage renal disease patients.METHODS:
Empirical data on treatment costs were collected from five hospitals in Korea. We used European Renal Association-European Dialysis and Transplant Association registry data for transition probability. Quality adjusted life year (QALY) values were derived from the literature. A Markov model was used for predicting the cost utility of transplantation and hemodialysis over a 10-year period.RESULTS:
Renal transplantation was less costly and resulted in a better outcome than hemodialysis. The cost per QALY gained was 19,450 thousand won in transplantation patients, whereas it was 36,514 thousand won per QALY gained in hemodialysis patients.CONCLUSIONS:
Although the cost of the first year after transplantation was expensive, transplantation was more effective over 2 years and was less costly than hemodialysis. The results suggest that transplantation is more cost-effective than hemodialysis in Korea.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Renal Dialysis
/
Kidney Transplantation
/
Health Care Costs
/
Quality-Adjusted Life Years
/
Transplants
/
Dialysis
/
Kidney Failure, Chronic
/
Korea
Type of study:
Health economic evaluation
/
Prognostic study
Limits:
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
The Journal of the Korean Society for Transplantation
Year:
2010
Type:
Article
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