Economic consequences of an increased number of patients on outgoing dialysis

Scandinavian Journal of Urology and Nephrology
Jens OlsenJohan V Povlsen

Abstract

During the past 10 years the number of prevalent patients on dialysis treatment has doubled in Denmark and the number is expected to increase further. The majority of Danish patients on dialysis receive haemodialysis at a hospital-based centre, and increasing patient numbers will put pressure on these dialysis centres. In order to reduce this pressure, more patients will need to be offered dialysis as outgoing treatment. The aim of this study was to analyse the economic consequences of an increased number of patients on outgoing dialysis in a Danish setting. A Markov model using Danish cost estimates and clinical parameters from the Danish National Registry was developed and used to simulate changes of dialysis modalities, exits to transplantation or death as well as entry of new incident patients over a period of 10 years. The development in total annual costs over a 10-year period showed that an increased number of patients on outgoing dialysis will lead to total savings of approximately €9.6 million. The estimated savings of approximately €9.6 million only constitute 0.6% of the total cost of dialysis. In terms of cost over time, therefore, an increased number of patients on outgoing treatment will not lead to an increase in...Continue Reading

References

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Citations

Apr 17, 2014·Journal of Renal Care·Rachael Claire Walker, Mark Roger Marshall
May 6, 2016·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Anne-Line Couillerot-PeyrondetIsabelle Bongiovanni-Delarozière
Jul 29, 2016·Clinical Journal of the American Society of Nephrology : CJASN·Matthew J OliverRobert R Quinn
Oct 21, 2017·Clinical Journal of the American Society of Nephrology : CJASN·Rachael C WalkerKirsten Howard
Dec 25, 2015·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Clémence BéchadeJohan V Povlsen
Apr 24, 2018·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Jaakko HelvePatrik Finne

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