The cost of steroid-free protocols in primary cadaver kidney transplantation.

Abstract:

:Steroid-free immunosuppression regimens have been enjoying recent success in clinical transplantation. The use of antibodies required for such protocols can be an economic burden. We proposed to study their cost in our center. This retrospective study involved 147 consecutive patients subjected to 4 protocols of immunosuppression. The first received triple therapy. The second group received induction with basiliximab, whereas the third received Basiliximab plus cyclosporine (CSA) plus mycophenolate mofetil (MMF), and the fourth received Thymoglobulin plus CSA plus MMF in conjuction with only 4 days of steroid. Rejection episodes were treated with Solumedrol. Six-month charges were obtained from computerized records of the finance department, the in-house laboratories, and the transplantation service registry. All charges were expressed in 2004 dollars. Statistical analyses were obtained using chi-square, analysis of variance (ANOVA) and Kaplan-Meier tests. The 4 groups were similar with regard to donor and/or recipient gender, race, panel reactive antibodies, cold ischemia, dialysis requirements length of stay and readmission, graft survival, and function. Charges were significantly higher in the last 2 groups as compared with triple therapy.

journal_name

Transplant Proc

authors

Nghiem DD,Carpenter BJ,Schlosser JD,Sureshkumar K,Vivas CA,Frowen SE,Marcus RJ

doi

10.1016/j.transproceed.2005.03.074

subject

Has Abstract

pub_date

2005-05-01 00:00:00

pages

1797-9

issue

4

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(05)00312-X

journal_volume

37

pub_type

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