[Institutional cost of the patient with chronic kidney disease managed with hemodialysis].

Background: Chronic kidney disease cost is considered high for health systems due to the amount of supplies required for treatment and increasing prevalence.

Objective: Determine institutional cost of hemodialysis in chronic kidney disease.

Method: Cost design from the institutional perspective, in patients with chronic kidney disease managed with hemodialysis. The sample size was 269 and the sample technique for consecutive cases. Annual fixed average cost (times and movements technique) and annual variable average cost (microcosting technique) adjusted by use of services, helped to identify annual average cost by function of production and service, the sum of these resulted in annual cost of care. Statistical analysis included averages and projections.

Results: The average annual cost of the patient with chronic kidney disease on hemodialysis varies between $223,183 and $257,000; the cost in life is $1,198,968. The institutional total cost it corresponds to between 1.47% and 1.73% of the budget.

Conclusions: Hemodialysis cost in chronic kidney disease is high for the institution, however, hemodialysis allows the survival of the patient.