Abstract:
PURPOSE:To compare the economic burden and cost-utility analysis of the renal replacement therapies, including hemodialysis (HD), peritoneal dialysis (PD), and allograft kidney transplantation (KT) among end-stage renal disease (ESRD) patients from Yunnan Province, China. METHODS:Multistage stratified random sampling method was used to select presentative sample of 298 patients from four hospitals in Yunnan Province. The two-step model was applied to calculate a direct economic burden; the human capital approach was used to analyze the indirect economic burden. SF-36 scale was applied to assess the quality of life, while the improving score of quality of life was used to evaluate the cost-utility score. RESULTS:A total of 298 patients were analyzed, including 108 HD patients, 91 PD patients and 99 KT patients. The mean unit economic expenses of HD, PD, and KT were $11,783.6 ± 402.63, $11,059.8 ± 709.51, and $21,151.1 ± 11,419.57, respectively. Based on the cost-utility analysis, the cost of improving one unit of quality of life in KT, PD, and HD was $599.86, $1373.89 and $2021.20, respectively; a significant difference was observed between the KT group and the HD or PD group (P < 0.05). CONCLUSIONS:The economic burden of ESRD in Yunnan was substantial. The cost-utility was the best in the renal transplantation group. Kidney transplantation is still recommended as the first approach for patients with ESRD, followed by PD.
journal_name
Int Urol Nephroljournal_title
International urology and nephrologyauthors
Wu H,Li Q,Cai Y,Zhang J,Cui W,Zhou Zdoi
10.1007/s11255-020-02394-1subject
Has Abstractpub_date
2020-03-01 00:00:00pages
573-579issue
3eissn
0301-1623issn
1573-2584pii
10.1007/s11255-020-02394-1journal_volume
52pub_type
杂志文章abstract::Prognostic criteria for bladder tumors are the stage and grade of the tumor in the present series of 82 patients, in which all patients received the same treatment. These criteria are related and the combined evaluation increases the prognostic accuracy for the disease. In addition, the diameter and not the number of ...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02085344
更新日期:1975-01-01 00:00:00
abstract::A total of 56 patients with haemospermia were reviewed. Twenty-four patients suffered from prolonged haemospermia for more than 1 month or recurrent haemospermia (refractory group). In 32 patients haemospermia disappeared within a month (non-refractory group). Patient age in the refractory group was significantly high...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02564772
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abstract::Kidney transplantation provides the best outcome for patients with end-stage renal failure both in terms of morbidity and mortality and health-related quality of life (QoL). Health-related QoL has become recognized as an important outcome measure in patients with different chronic medical conditions, including chronic...
journal_title:International urology and nephrology
pub_type: 杂志文章,评审
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abstract:PURPOSE:The purpose of the study was to evaluate the diagnostic accuracy of core biopsy in small renal masses ≤ 4 cm in response to the rising prevalence of renal masses. METHODS:Data from 129 consecutive patients who underwent biopsies of solid renal masses of ≤ 4 cm were prospectively collected between September 201...
journal_title:International urology and nephrology
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journal_title:International urology and nephrology
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journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02081992
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journal_title:International urology and nephrology
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journal_title:International urology and nephrology
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pub_type: 杂志文章,meta分析,评审
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journal_title:International urology and nephrology
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pub_type: 杂志文章,meta分析,评审
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journal_title:International urology and nephrology
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journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02550962
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journal_title:International urology and nephrology
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journal_title:International urology and nephrology
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journal_title:International urology and nephrology
pub_type: 临床试验,杂志文章
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journal_title:International urology and nephrology
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journal_title:International urology and nephrology
pub_type: 杂志文章
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journal_title:International urology and nephrology
pub_type: 杂志文章
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journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1023/a:1007148219308
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journal_title:International urology and nephrology
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journal_title:International urology and nephrology
pub_type: 杂志文章,评审
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更新日期:2012-02-01 00:00:00
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