Cost analysis of in-centre nocturnal compared with conventional hemodialysis

Canadian Journal of Kidney Health and Disease
Ben WongScott Klarenbach

Abstract

Provision of in-centre nocturnal hemodialysis (ICNHD; 6-8 hours thrice weekly) is associated with health benefits, but the economic implications of providing this treatment are unclear. We conducted a health care costing study comparing ICNHD to in-centre thrice-weekly conventional hemodialysis (CvHD). Micro-costing of both ICNHD and CvHD as practiced at our centre. Hemodialysis unit at a tertiary-care hospital in Edmonton. An informal survey of 2 other Canadian ICNHD programs was conducted to inform practices that may deviate from ours to guide sensitivity analysis. Resources consumed for each strategy were determined, and the cost of each unit (CAN $2012) was used to calculate incremental costs of ICNHD and CvHD. We focused on resources that differ between strategies (staffing, dialysis materials, and utilities). The reference case considered 1:3 staff to patient ratio; alternate scenarios explored nursing pay grade and ratio, full care vs. self-care dialysis (including training costs), and medication costs. In the reference case, ICNHD was $61 more costly per dialysis treatment compared with CvHD ($9,538 per patient per year). Incremental annual costs for staffing, dialysis materials, and utilities were $8,201, $1,193, and $...Continue Reading

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Citations

Oct 4, 2018·Current Opinion in Nephrology and Hypertension·James O Burton, Matthew P M Graham-Brown
Aug 21, 2018·Current Opinion in Nephrology and Hypertension·James O Burton, Matthew P M Graham-Brown
Dec 19, 2020·Canadian Journal of Kidney Health and Disease·Michael E SchachterDan J Martinusen

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