Cost of Drivers among Patients in the First Year after Kidney Transplantation - A Retrospective Study
The cost of kidney transplantation (KT) and its follow-up care greatly exceeds the mean annual family income. Governmental support during the post-transplant period is needed. This study aimed to identify the drivers of cost during the 1st year after KT. The records of 129 adult Filipino KT recipien...
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Published in | Saudi journal of kidney diseases and transplantation Vol. 34; no. 5; pp. 389 - 396 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Saudi Arabia
Medknow Publications and Media Pvt. Ltd
01.09.2023
Medknow Publications & Media Pvt. Ltd Wolters Kluwer Medknow Publications |
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Abstract | The cost of kidney transplantation (KT) and its follow-up care greatly exceeds the mean annual family income. Governmental support during the post-transplant period is needed. This study aimed to identify the drivers of cost during the 1st year after KT. The records of 129 adult Filipino KT recipients over 2 years in a single center were reviewed to determine the total cost for the 1st year after KT, such as diagnostics, medications, supplies, and professional fees. Univariate and multivariate analyses were carried out to determine the economic impact of the baseline characteristics, comorbidities, and events after KT. The direct costs of care were significantly higher among patients aged >40 years (P = 0.009), those with diabetic kidney disease as the primary renal disease (P <0.0001), and those with a high Charlson comorbidity index (P = 0.001). Multivariate regression analysis showed that patients with diabetes mellitus paid US$ 6813.6 more, and those hospitalized for any infection spent US$ 3877.4 more than those without comorbid conditions or complications. The results showed that diabetes mellitus and hospitalization for any infection significantly impacted the cost of follow-up care. Health-care policies that can aid patients after KT are needed to minimize expenditures and avoid complications. |
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AbstractList | The cost of kidney transplantation (KT) and its follow-up care greatly exceeds the mean annual family income. Governmental support during the post-transplant period is needed. This study aimed to identify the drivers of cost during the 1st year after KT. The records of 129 adult Filipino KT recipients over 2 years in a single center were reviewed to determine the total cost for the 1st year after KT, such as diagnostics, medications, supplies, and professional fees. Univariate and multivariate analyses were carried out to determine the economic impact of the baseline characteristics, comorbidities, and events after KT. The direct costs of care were significantly higher among patients aged >40 years (P = 0.009), those with diabetic kidney disease as the primary renal disease (P <0.0001), and those with a high Charlson comorbidity index (P = 0.001). Multivariate regression analysis showed that patients with diabetes mellitus paid US$ 6813.6 more, and those hospitalized for any infection spent US$ 3877.4 more than those without comorbid conditions or complications. The results showed that diabetes mellitus and hospitalization for any infection significantly impacted the cost of follow-up care. Health-care policies that can aid patients after KT are needed to minimize expenditures and avoid complications. The cost of kidney transplantation (KT) and its follow-up care greatly exceeds the mean annual family income. Governmental support during the post-transplant period is needed. This study aimed to identify the drivers of cost during the 1st year after KT. The records of 129 adult Filipino KT recipients over 2 years in a single center were reviewed to determine the total cost for the 1st year after KT, such as diagnostics, medications, supplies, and professional fees. Univariate and multivariate analyses were carried out to determine the economic impact of the baseline characteristics, comorbidities, and events after KT. The direct costs of care were significantly higher among patients aged >40 years (P = 0.009), those with diabetic kidney disease as the primary renal disease (P <0.0001), and those with a high Charlson comorbidity index (P = 0.001). Multivariate regression analysis showed that patients with diabetes mellitus paid US$ 6813.6 more, and those hospitalized for any infection spent US$ 3877.4 more than those without comorbid conditions or complications. The results showed that diabetes mellitus and hospitalization for any infection significantly impacted the cost of follow-up care. Health-care policies that can aid patients after KT are needed to minimize expenditures and avoid complications.The cost of kidney transplantation (KT) and its follow-up care greatly exceeds the mean annual family income. Governmental support during the post-transplant period is needed. This study aimed to identify the drivers of cost during the 1st year after KT. The records of 129 adult Filipino KT recipients over 2 years in a single center were reviewed to determine the total cost for the 1st year after KT, such as diagnostics, medications, supplies, and professional fees. Univariate and multivariate analyses were carried out to determine the economic impact of the baseline characteristics, comorbidities, and events after KT. The direct costs of care were significantly higher among patients aged >40 years (P = 0.009), those with diabetic kidney disease as the primary renal disease (P <0.0001), and those with a high Charlson comorbidity index (P = 0.001). Multivariate regression analysis showed that patients with diabetes mellitus paid US$ 6813.6 more, and those hospitalized for any infection spent US$ 3877.4 more than those without comorbid conditions or complications. The results showed that diabetes mellitus and hospitalization for any infection significantly impacted the cost of follow-up care. Health-care policies that can aid patients after KT are needed to minimize expenditures and avoid complications. The cost of kidney transplantation (KT) and its follow-up care greatly exceeds the mean annual family income. Governmental support during the post-transplant period is needed. This study aimed to identify the drivers of cost during the 1 st year after KT. The records of 129 adult Filipino KT recipients over 2 years in a single center were reviewed to determine the total cost for the 1 st year after KT, such as diagnostics, medications, supplies, and professional fees. Univariate and multivariate analyses were carried out to determine the economic impact of the baseline characteristics, comorbidities, and events after KT. The direct costs of care were significantly higher among patients aged >40 years ( P = 0.009), those with diabetic kidney disease as the primary renal disease ( P <0.0001), and those with a high Charlson comorbidity index ( P = 0.001). Multivariate regression analysis showed that patients with diabetes mellitus paid US$ 6813.6 more, and those hospitalized for any infection spent US$ 3877.4 more than those without comorbid conditions or complications. The results showed that diabetes mellitus and hospitalization for any infection significantly impacted the cost of follow-up care. Health-care policies that can aid patients after KT are needed to minimize expenditures and avoid complications. |
Audience | Academic |
Author | Javelosa-Tan, Glennis Fiona J Cabanayan-Casasola, Concesa B Panelo, Carlo Irwin A Rey-Roxas, Irina M Padilla, Benita S |
Author_xml | – sequence: 1 givenname: Glennis Fiona J surname: Javelosa-Tan fullname: Javelosa-Tan, Glennis Fiona J organization: Department of Adult Nephrology, National Kidney and Transplant Institute, Quezon City, Manila, Philippines – sequence: 2 givenname: Benita S surname: Padilla fullname: Padilla, Benita S organization: Department of Adult Nephrology, National Kidney and Transplant Institute, Quezon City, Manila, Philippines – sequence: 3 givenname: Concesa B surname: Cabanayan-Casasola fullname: Cabanayan-Casasola, Concesa B organization: Department of Adult Nephrology, National Kidney and Transplant Institute, Quezon City, Manila, Philippines – sequence: 4 givenname: Irina M surname: Rey-Roxas fullname: Rey-Roxas, Irina M organization: Department of Adult Nephrology, National Kidney and Transplant Institute, Quezon City, Manila, Philippines – sequence: 5 givenname: Carlo Irwin A surname: Panelo fullname: Panelo, Carlo Irwin A organization: Department of Clinical Epidemiology, University of the Philippines, Manila, Philippines |
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Cites_doi | 10.1097/TP.0000000000000543 10.1097/01.TP.0000121763.44137.FA 10.4103/1319-2442.160175 10.1097/01.TP.0000438205.04348.69 10.1053/j.ajkd.2005.03.006 10.1093/ckj/sfx117 10.1097/TP.0b013e31821ab993 10.1093/ckj/sfx088 10.1111/ajt.14124 10.1097/00007890-200106150-00015 10.1016/j.jval.2016.03.1862 10.1111/tri.12711 10.12659/AOT.891265 10.1016/j.jval.2010.10.030 |
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References | Chamberlain (R12-20240314) 2014; 97 Pourfarziani (R11-20240314) 2009; 3 Gaston (R8-20240314) 2016; 127 Rey (R9-20240314) 2018 Czyżewski (R6-20240314) 2014; 19 Jassal (R15-20240314) 2005; 46 Naik (R17-20240314) 2016; 29 Woodward (R18-20240314) 2011; 14 Dageforde (R5-20240314) 2015; 99 Machnicki (R16-20240314) 2011; 22 Keown (R20-20240314) 2001; 71 Jarl (R4-20240314) 2018; 11 Schnitzler (R14-20240314) 2011; 91 Kaballo (R2-20240314) 2018; 11 Muduma (R7-20240314) 2016; 19 Hart (R19-20240314) 2017; 17 Hagenmeyer (R21-20240314) 2004; 77 (R13-20240314) 2016 Rosselli (R3-20240314) 2015; 26 |
References_xml | – volume: 99 start-page: 1463 year: 2015 ident: R5-20240314 article-title: Understanding patient barriers to kidney transplant evaluation publication-title: Transplantation doi: 10.1097/TP.0000000000000543 contributor: fullname: Dageforde – volume: 127 start-page: 350 year: 2016 ident: R8-20240314 article-title: Improving long-term outcomes in kidney transplantation: Towards a new paradigm of post-transplant care in the United States publication-title: Trans Am Clin Climatol Assoc contributor: fullname: Gaston – volume: 77 start-page: 1545 year: 2004 ident: R21-20240314 article-title: Resource use and treatment costs after kidney transplantation: Impact of demographic factors, comorbidities, and complications publication-title: Transplantation doi: 10.1097/01.TP.0000121763.44137.FA contributor: fullname: Hagenmeyer – volume: 26 start-page: 733 year: 2015 ident: R3-20240314 article-title: Cost-effectiveness of kidney transplantation compared with chronic dialysis in end-stage renal disease publication-title: Saudi J Kidney Dis Transpl doi: 10.4103/1319-2442.160175 contributor: fullname: Rosselli – volume: 97 start-page: 854 year: 2014 ident: R12-20240314 article-title: The economic burden of posttransplant events in renal transplant recipients in Europe publication-title: Transplantation doi: 10.1097/01.TP.0000438205.04348.69 contributor: fullname: Chamberlain – year: 2018 ident: R9-20240314 article-title: Cost of Follow-up Care within the First Year of Kidney Transplantation at the National Kidney and Transplant Institute publication-title: Unpublished contributor: fullname: Rey – volume: 3 start-page: 103 year: 2009 ident: R11-20240314 article-title: Costs and length of hospitalizations following kidney transplantation publication-title: Iran J Kidney Dis contributor: fullname: Pourfarziani – volume: 46 start-page: 136 year: 2005 ident: R15-20240314 article-title: Baseline comorbidity in kidney transplant recipients: A comparison of comorbidity indices publication-title: Am J Kidney Dis doi: 10.1053/j.ajkd.2005.03.006 contributor: fullname: Jassal – volume: 11 start-page: 389 year: 2018 ident: R2-20240314 article-title: A comparative analysis of survival of patients on dialysis and after kidney transplantation publication-title: Clin Kidney J doi: 10.1093/ckj/sfx117 contributor: fullname: Kaballo – volume: 91 start-page: 1347 year: 2011 ident: R14-20240314 article-title: Associations of renal function at 1-year after kidney transplantation with subsequent return to dialysis, mortality, and healthcare costs publication-title: Transplantation doi: 10.1097/TP.0b013e31821ab993 contributor: fullname: Schnitzler – volume: 11 start-page: 283 year: 2018 ident: R4-20240314 article-title: Do kidney transplantations save money? A study using a before-after design and multiple register-based data from Sweden publication-title: Clin Kidney J doi: 10.1093/ckj/sfx088 contributor: fullname: Jarl – volume: 17 start-page: 21 issue: Suppl 1 year: 2017 ident: R19-20240314 article-title: OPTN/SRTR 2015 annual data report: Kidney publication-title: Am J Transplant doi: 10.1111/ajt.14124 contributor: fullname: Hart – year: 2016 ident: R13-20240314 article-title: Philippine Renal Disease Registry: PRDR Annual Report: National Kidney and Transplant Institute (NKTI) and Epidemiology Bureau of the Department of Health (DOH) – volume: 71 start-page: 1573 year: 2001 ident: R20-20240314 article-title: Economic analysis of basiliximab in renal transplantation publication-title: Transplantation doi: 10.1097/00007890-200106150-00015 contributor: fullname: Keown – volume: 19 start-page: A1 year: 2016 ident: R7-20240314 article-title: The economic burden after renal transplantation in Europe publication-title: Value Health doi: 10.1016/j.jval.2016.03.1862 contributor: fullname: Muduma – volume: 29 start-page: 241 year: 2016 ident: R17-20240314 article-title: Clinical and economic consequences of first-year urinary tract infections, sepsis, and pneumonia in contemporary kidney transplantation practice publication-title: Transpl Int doi: 10.1111/tri.12711 contributor: fullname: Naik – volume: 22 start-page: 24 year: 2011 ident: R16-20240314 article-title: Three-year post-transplant medicare payments in kidney transplant recipients: Associations with pre-transplant comorbidities publication-title: Saudi J Kidney Dis Transpl contributor: fullname: Machnicki – volume: 19 start-page: 576 year: 2014 ident: R6-20240314 article-title: Assessment of health-related quality of life of patients after kidney transplantation in comparison with hemodialysis and peritoneal dialysis publication-title: Ann Transplant doi: 10.12659/AOT.891265 contributor: fullname: Czyżewski – volume: 14 start-page: 443 year: 2011 ident: R18-20240314 article-title: The long-term outcomes and costs of diabetes mellitus among renal transplant recipients: Tacrolimus versus cyclosporine publication-title: Value Health doi: 10.1016/j.jval.2010.10.030 contributor: fullname: Woodward |
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SubjectTerms | Adult Comorbidity Diabetes Economic aspects Female Health Care Costs Humans Kidney Transplantation - economics Kidney transplants Kidneys Male Medical research Medicine, Experimental Middle Aged Philippines - epidemiology Retrospective Studies Risk Factors Time Factors Transplantation Treatment Outcome Young Adult |
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Title | Cost of Drivers among Patients in the First Year after Kidney Transplantation - A Retrospective Study |
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