Background/objectives: The cost resulting from peritoneal dialysis (PD), conventional hemodialysis (HD) and online hemodiafiltration (OL-HDF) in pediatric patients with end-stage renal disease (ESRD) has not been estimated to date in Greece. The present single-center retrospective study aimed to estimate the mean annual cost of the above methods, as well as the individual components of this cost.
Methods: Twenty pediatric patients undergoing the three different methods of renal replacement therapy were included in this study. Their mean total annual cost was estimated by the method of micro-costing and the bottom-up approach.
Results: The mean total annual cost for PD patients (n = 7) was estimated at EUR 56,676.04; for conventional HD patients (n = 9), it was EUR 39,786.86; and for OL-HDF patients (n = 4), it was EUR 43,894.73. The PD method was found to be more expensive than the other two methods ( < 0.001 vs. conventional HD and = 0.024 vs. OL-HDF). PD consumables used for daily application had the greatest contribution to the total annual cost. The total mean annual cost in the groups of patients undergoing HD and OL-HDF did not differ significantly ( = 0.175). The total operating cost of the renal dialysis unit had the greatest contribution to the total mean annual costs of both the conventional HD and OL-HDF techniques.
Conclusions: This cost analysis provides useful information to healthcare policymakers who make decisions about the treatment of children with ESRD.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11508117 | PMC |
http://dx.doi.org/10.3390/healthcare12202074 | DOI Listing |
Iran Biomed J
December 2024
Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.
Lancet Reg Health Am
January 2025
Department of Obstetrics & Gynecology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Background: Cesarean delivery remains the most common obstetrical procedure with more than 250,000 patients in the US undergoing cesarean following labor induction annually. Here, we evaluated the impact of prospectively implementing a standardized labor induction protocol on cesarean delivery rates.
Methods: This multi-site type I hybrid effectiveness-implementation study compared 2 years before (PRE) and 2 years after (POST) implementation of a standardized labor induction protocol at two hospitals within the University of Pennsylvania Health System (2018-2022).
Arch Razi Inst
June 2024
Department of Public Health, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran.
Scorpion stings pose a significant public health concern in Iran, resulting in approximately 45,000-50,000 cases and 19 deaths annually. The Khuzestan and Hormozgan provinces have the highest reported incidence rates, with an estimated 36,000 cases each year. This study focused on modeling the time series data of scorpion stings, specifically in Shoushtar City, from 2017 to 2022.
View Article and Find Full Text PDFIran Biomed J
December 2024
Department of Health Management and Economics, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran.
Iran Biomed J
December 2024
Health Care Management, Health policy and Management Research Center, Department of Health Management and Economics, School of Public Health, ShahidSadoughi University of Medical sciences, Alem Square, Yazd, Iran.
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