Abstract:
OBJECTIVE:End-stage renal disease is a health problem that consumes public and private resources. This study aimed to identify the cost of hemodialysis (either daily or conventional hemodialysis) and transplantation in children and adolescents. METHODS:This was a retrospective cohort of pediatric patients with End-stage renal disease who underwent hemodialysis followed by kidney transplant. All costs incurred in the treatment were collected and the monthly total cost was calculated per patient and for each renal therapy. Subsequently, a dynamic panel data model was estimated. RESULTS:The study included 30 children who underwent hemodialysis (16 conventional/14 daily hemodialysis) followed by renal transplantation. The mean monthly outlay for hemodialysis was USD 3500 and USD 1900 for transplant. Hemodialysis costs added up to over USD 87,000 in 40 months for conventional dialysis patients and USD 131,000 in 50 months for daily dialysis patients. In turn, transplant costs in 50 months reached USD 48,000 and USD 70,000, for conventional and daily dialysis patients, respectively. For conventional dialysis patients, transplant is less costly when therapy exceeds 16 months, whereas for daily dialysis patients, the threshold is around 13 months. CONCLUSION:Transplantation is less expensive than dialysis in children, and the estimated thresholds indicate that renal transplant should be the preferred treatment for pediatric patients.
journal_name
J Pediatr (Rio J)journal_title
Jornal de pediatriaauthors
Camargo MFC,Barbosa KS,Fetter SK,Bastos A,Feltran LS,Koch-Nogueira PCdoi
10.1016/j.jped.2017.05.004subject
Has Abstractpub_date
2018-01-01 00:00:00pages
93-99issue
1eissn
0021-7557issn
1678-4782pii
S0021-7557(16)30206-6journal_volume
94pub_type
杂志文章abstract:OBJECTIVE:To evaluate the impact of exclusive breastfeeding and introduction of cow's milk in the first year of life on the diagnosis of asthma, wheezing, and atopy in children aged 3 to 4 years. METHODS:This is a cohort study nested in a randomized field trial investigating the effectiveness of dietary guidelines dur...
journal_title:Jornal de pediatria
pub_type: 杂志文章,随机对照试验
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更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:To assess the carotid intima-media thickness and factors associated with cardiovascular disease in children and adolescents with chronic kidney disease. MATERIAL AND METHODS:Observational, cross-sectional study carried out at the Universidade Federal de São Paulo (chronic kidney disease outpatient clinics) w...
journal_title:Jornal de pediatria
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journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
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更新日期:2020-01-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
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journal_title:Jornal de pediatria
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更新日期:2016-05-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 临床试验,杂志文章
doi:10.2223/1134
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1726
更新日期:2007-11-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
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更新日期:1998-01-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.2151
更新日期:2012-01-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
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更新日期:2009-09-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2014.03.003
更新日期:2014-11-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:
更新日期:2003-03-01 00:00:00
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pub_type: 杂志文章
doi:10.2223/jped.212
更新日期:2001-05-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.2223/JPED.1845
更新日期:2008-11-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.320
更新日期:1999-07-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.678
更新日期:1994-11-01 00:00:00
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pub_type: 杂志文章
doi:10.2223/JPED.2036
更新日期:2010-11-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
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更新日期:2001-09-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/JPED.1462
更新日期:2006-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:1995-05-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
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更新日期:2006-01-01 00:00:00
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更新日期:2001-07-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2016.08.005
更新日期:2017-01-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
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更新日期:2012-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.jped.2015.01.009
更新日期:2015-11-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:
更新日期:2002-09-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.1016/j.jped.2018.02.009
更新日期:2019-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.jped.2016.04.005
更新日期:2012-05-01 00:00:00