End-stage renal disease-financial costs and years of life lost in Panama: a cost-analysis study.

Abstract:

OBJECTIVES:Central America is a region with an elevated burden of chronic kidney disease (CKD); however, the cost of treatment for end-stage renal disease (ESRD) remains an understudied area. This study aimed to investigate the direct costs associated with haemodialysis (HD) and peritoneal dialysis (PD) in public and private institutions in Panama in 2015, to perform a 5-year budget impact analysis and to calculate the years of life lost (YLL) due to CKD. DESIGN:A retrospective cost-analysis study using hospital costs and registry-based data. SETTING:Data on direct costs were derived from the public and private sectors from two institutions from Panama. Data on CKD-related mortality were obtained from the National Mortality Registry. METHODS:A budget impact analysis was performed from the payer perspective, and five scenarios were estimated, with the assumption that the mix of dialysis modality use shifts towards a greater use of PD over time. The YLL due to CKD was calculated using data recorded between 1 January 2015 and 31 December 2015. The linear method was utilised for the analyses with the population aged 20-77 years old. RESULTS:In 2015, the total costs for dialysis in the public sector ranged from ~US$7.9  million (PD) to US$62  million (HD). The estimated costs were higher in the scenario in which a decrease in PD was assumed. The average annual loss due to CKD was 25 501 808.40 US$-YLL. CONCLUSION:ESRD represents a major challenge for Panama. Our results suggest that an increased use of PD might provide an opportunity to substantially lower overall ESRD treatment costs.

journal_name

BMJ Open

journal_title

BMJ open

authors

Moreno Velásquez I,Tribaldos Causadias M,Valdés R,Gómez B,Motta J,Cuero C,Herrera-Ballesteros V

doi

10.1136/bmjopen-2018-027229

subject

Has Abstract

pub_date

2019-05-27 00:00:00

pages

e027229

issue

5

issn

2044-6055

pii

bmjopen-2018-027229

journal_volume

9

pub_type

杂志文章

相关文献

BMJ Open文献大全
  • Chronic hepatitis B virus case-finding in UK populations born abroad in intermediate or high endemicity countries: an economic evaluation.

    abstract:OBJECTIVES:The majority (>90%) of new or undiagnosed cases of hepatitis B virus (HBV) in the UK are among individuals born in countries with intermediate or high prevalence levels (≥2%). We evaluate the cost-effectiveness of increased HBV case-finding among UK migrant populations, based on a one-time opt out case-findi...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2019-030183

    authors: Martin NK,Vickerman P,Khakoo S,Ghosh A,Ramsay M,Hickman M,Williams J,Miners A

    更新日期:2019-06-28 00:00:00

  • Leisure-time physical activity and circulating 25-hydroxyvitamin D levels in cancer survivors: a cross-sectional analysis using data from the US National Health and Nutrition Examination Survey.

    abstract:OBJECTIVES:Circulating 25-hydroxyvitamin D (25-OHD) is associated with improved cancer prognosis in some studies, yet it may be a surrogate marker for physical activity. We investigated the associations of leisure-time physical activity (LTPA) with circulating 25-OHD levels in cancer survivors, and determined whether a...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2017-016064

    authors: Yang L,Toriola AT

    更新日期:2017-07-10 00:00:00

  • Low-dose interleukin-2 in patients with stable ischaemic heart disease and acute coronary syndromes (LILACS): protocol and study rationale for a randomised, double-blind, placebo-controlled, phase I/II clinical trial.

    abstract:INTRODUCTION:Inflammation and dysregulated immune responses play a crucial role in atherosclerosis, underlying ischaemic heart disease (IHD) and acute coronary syndromes (ACSs). Immune responses are also major determinants of the postischaemic injury in myocardial infarction. Regulatory T cells (CD4+CD25+FOXP3+; Treg) ...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2018-022452

    authors: Zhao TX,Kostapanos M,Griffiths C,Arbon EL,Hubsch A,Kaloyirou F,Helmy J,Hoole SP,Rudd JHF,Wood G,Burling K,Bond S,Cheriyan J,Mallat Z

    更新日期:2018-09-17 00:00:00

  • Bereaved parents' experience of stillbirth in UK hospitals: a qualitative interview study.

    abstract:OBJECTIVE:To obtain the views of bereaved parents about their interactions with healthcare staff when their baby died just before or during labour. DESIGN:Qualitative in-depth interview study, following an earlier national survey. All interviews took place during 2011, either face-to-face or on the telephone. Data ana...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2012-002237

    authors: Downe S,Schmidt E,Kingdon C,Heazell AE

    更新日期:2013-02-14 00:00:00

  • Effects of exercise interventions on cardiovascular health in individuals with chronic, motor complete spinal cord injury: protocol for a randomised controlled trial [Cardiovascular Health/Outcomes: Improvements Created by Exercise and education in SCI (C

    abstract:INTRODUCTION:Recent studies demonstrate that cardiovascular diseases and associated complications are the leading cause of morbidity and mortality in individuals with spinal cord injury (SCI). Abnormal arterial stiffness, defined by a carotid-to-femoral pulse wave velocity (cfPWV) ≥10 m/s, is a recognised risk factor f...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2018-023540

    authors: Krassioukov AV,Currie KD,Hubli M,Nightingale TE,Alrashidi AA,Ramer L,Eng JJ,Ginis KAM,MacDonald MJ,Hicks A,Ditor D,Oh P,Verrier MC,Craven BC

    更新日期:2019-01-04 00:00:00

  • Community engagement approaches for Indigenous health research: recommendations based on an integrative review.

    abstract:OBJECTIVE:Community engagement practices in Indigenous health research are promoted as a means of decolonising research, but there is no comprehensive synthesis of approaches in the literature. Our aim was to assemble and qualitatively synthesise a comprehensive list of actionable recommendations to enhance community e...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2020-039736

    authors: Lin CY,Loyola-Sanchez A,Boyling E,Barnabe C

    更新日期:2020-11-27 00:00:00

  • Comparison of count-based multimorbidity measures in predicting emergency admission and functional decline in older community-dwelling adults: a prospective cohort study.

    abstract:OBJECTIVES:Multimorbidity, defined as the presence of 2 or more chronic medical conditions in an individual, is associated with poorer health outcomes. Several multimorbidity measures exist, and the challenge is to decide which to use preferentially in predicting health outcomes. The study objective was to compare the ...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2016-013089

    authors: Wallace E,McDowell R,Bennett K,Fahey T,Smith SM

    更新日期:2016-09-20 00:00:00

  • Protocol for a systematic review and meta-analysis of culturally adapted internet- and mobile-based health promotion interventions.

    abstract:INTRODUCTION:High rates of immigration pose challenges for the healthcare systems of many countries to offer high-quality care to diverse populations. Advancing health interventions with incorporating the cultural background of diverse populations can be helpful to overcome this challenge. First studies suggest that cu...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2020-037698

    authors: Balci S,Spanhel K,Sander L,Baumeister H

    更新日期:2020-11-09 00:00:00

  • Association of serum alkaline phosphatase with mortality in non-selected European patients with CKD5D: an observational, three-centre survival analysis.

    abstract:OBJECTIVES:For characterisation of mineral bone disease in chronic kidney disease (CKD), laboratory surrogates have been suggested. This observational should investigate the association of total and skeletal alkaline phosphatase (AP) with mortality of patients undergoing maintenance renal replacement therapy. SETTING:...

    journal_title:BMJ open

    pub_type: 杂志文章,多中心研究

    doi:10.1136/bmjopen-2013-004275

    authors: Beige J,Wendt R,Girndt M,Queck KH,Fiedler R,Jehle P

    更新日期:2014-02-27 00:00:00

  • Group practice impacts on patients, physicians and healthcare systems: a scoping review.

    abstract:OBJECTIVE:To identify the advantages and disadvantages that group practices have on patients, physicians and healthcare systems. STUDY DESIGN:A scoping review was performed based on the methodology proposed by Arksey and O'Malley, and refined by Levac et al. Titles and abstracts were screened by two reviewers. A quant...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2020-041579

    authors: Zwiep T,Ahn SH,Brehaut J,Balaa F,McIsaac DI,Rich S,Wallace T,Moloo H

    更新日期:2021-01-08 00:00:00

  • Which features of primary care affect unscheduled secondary care use? A systematic review.

    abstract:OBJECTIVES:To conduct a systematic review to identify studies that describe factors and interventions at primary care practice level that impact on levels of utilisation of unscheduled secondary care. SETTING:Observational studies at primary care practice level. PARTICIPANTS:Studies included people of any age of eith...

    journal_title:BMJ open

    pub_type: 杂志文章,评审

    doi:10.1136/bmjopen-2013-004746

    authors: Huntley A,Lasserson D,Wye L,Morris R,Checkland K,England H,Salisbury C,Purdy S

    更新日期:2014-05-23 00:00:00

  • Chinese Obstetrics & Gynecology journal club: a randomised controlled trial.

    abstract:OBJECTIVES:To assess whether a journal club model could improve comprehension and written and spoken medical English in a population of Chinese medical professionals. SETTING AND PARTICIPANTS:The study population consisted of 52 medical professionals who were residents or postgraduate master or PhD students in the Dep...

    journal_title:BMJ open

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/bmjopen-2015-010178

    authors: Tsui IK,Dodson WC,Kunselman AR,Kuang H,Han FJ,Legro RS,Wu XK

    更新日期:2016-01-28 00:00:00

  • Linkage to care among adults being investigated for tuberculosis in South Africa: pilot study of a case manager intervention.

    abstract:OBJECTIVES:We piloted an intervention to determine if support from a case manager would assist adults being investigated for tuberculosis (TB) to link into TB and HIV care. DESIGN:Pilot interventional cohort study. PARTICIPANTS AND SETTING:Patients identified by primary healthcare clinic staff in South Africa as need...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2017-021111

    authors: Maraba N,Chihota V,McCarthy K,Churchyard GJ,Grant AD

    更新日期:2018-05-24 00:00:00

  • Do data from child protective services and the police enhance modelling of perinatal risk for paediatric abusive head trauma? A retrospective case-control study.

    abstract:OBJECTIVES:First, to investigate whether there is a relationship between a family being known to child protective services or police at the time of birth and the risk of abusive head trauma (AHT, formerly known as shaken baby syndrome). Second, to investigate whether data from child protective services or police improv...

    journal_title:BMJ open

    pub_type: 杂志文章,多中心研究

    doi:10.1136/bmjopen-2018-024199

    authors: Kelly P,Thompson JMD,Rungan S,Ameratunga S,Jelleyman T,Percival T,Elder H,Mitchell EA

    更新日期:2019-03-01 00:00:00

  • Efficacy of nanocurcumin supplementation on insulin resistance, lipids, inflammatory factors and nesfatin among obese patients with non-alcoholic fatty liver disease (NAFLD): a trial protocol.

    abstract:OBJECTIVES:Different studies have been conducted on the role of curcumin in health since having multiple properties, including antioxidant and anti-inflammatory effects. Due to the lack of studies regarding curcumin effects on obese patients with non-alcoholic fatty liver disease (NAFLD), our protocol was designed to a...

    journal_title:BMJ open

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/bmjopen-2017-016914

    authors: Jazayeri-Tehrani SA,Rezayat SM,Mansouri S,Qorbani M,Alavian SM,Daneshi-Maskooni M,Hosseinzadeh-Attar MJ

    更新日期:2017-07-10 00:00:00

  • Equal cancer treatment regardless of education level and family support? A qualitative study of oncologists' decision-making.

    abstract:OBJECTIVE:Treatment gradients by socioeconomic status have been observed within cancer care in several countries. The objective of this study was to explore whether patients' educational level and social network influence oncologists' clinical decision-making. DESIGN:Semi-structured interviews on factors considered wh...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2012-001248

    authors: Cavalli-Björkman N,Glimelius B,Strang P

    更新日期:2012-08-24 00:00:00

  • Protocol for a prospective, longitudinal, cohort study of postconcussive symptoms in children: the Take C.A.Re (Concussion Assessment and Recovery Research) study.

    abstract:INTRODUCTION:A substantial minority of children who sustain a concussion suffer prolonged postconcussive symptoms. These symptoms can persist for more than 1 month postinjury and include physical, cognitive, behavioural and emotional changes. Those affected can develop significant disability, diminishing their quality ...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2015-009427

    authors: Bressan S,Takagi M,Anderson V,Davis GA,Oakley E,Dunne K,Clarke C,Doyle M,Hearps S,Ignjatovic V,Seal M,Babl FE

    更新日期:2016-01-12 00:00:00

  • Impact evaluations of drug decriminalisation and legal regulation on drug use, health and social harms: a systematic review.

    abstract:OBJECTIVES:To review the metrics and findings of studies evaluating effects of drug decriminalisation or legal regulation on drug availability, use or related health and social harms globally. DESIGN:Systematic review with narrative synthesis. DATA SOURCES:We searched MEDLINE, Embase, PsycINFO, Web of Science and six...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2019-035148

    authors: Scheim AI,Maghsoudi N,Marshall Z,Churchill S,Ziegler C,Werb D

    更新日期:2020-09-21 00:00:00

  • Glucose intolerance associated with hypoxia in people living at high altitudes in the Tibetan highland.

    abstract:OBJECTIVES:To clarify the association between glucose intolerance and high altitudes (2900-4800 m) in a hypoxic environment in Tibetan highlanders and to verify the hypothesis that high altitude dwelling increases vulnerability to diabetes mellitus (DM) accelerated by lifestyle change or ageing. DESIGN:Cross-sectional...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2015-009728

    authors: Okumiya K,Sakamoto R,Ishimoto Y,Kimura Y,Fukutomi E,Ishikawa M,Suwa K,Imai H,Chen W,Kato E,Nakatsuka M,Kasahara Y,Fujisawa M,Wada T,Wang H,Dai Q,Xu H,Qiao H,Ge RL,Norboo T,Tsering N,Kosaka Y,Nose M,Yamaguchi

    更新日期:2016-02-23 00:00:00

  • Intensive care units follow-up: a scoping review protocol.

    abstract:INTRODUCTION:Increasing numbers of patients are surviving critical illness, leading to growing concern about the potential impact of the long-term consequences of intensive care on patients, families and society as a whole. These long-term effects are together known as postintensive care syndrome and their presence can...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2020-037725

    authors: Prevedello D,Fiore M,Creteur J,Preiser JC

    更新日期:2020-11-04 00:00:00

  • Complementary medicine in orthopaedic and trauma surgery: a cross-sectional survey on usage and needs.

    abstract:OBJECTIVES:Complementary and alternative medicine (CAM) is frequently used in Western countries within general medicine and internal medicine. Information on the use in orthopaedic and trauma surgery is widely lacking. The aim of this study was to investigate usage and needs regarding CAM for these patients. DESIGN:Pr...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2020-037192

    authors: Kilper A,Müller A,Huber R,Reimers N,Schütz L,Lederer AK

    更新日期:2020-09-06 00:00:00

  • The Upper Gastrointestinal Cancer Registry (UGICR): a clinical quality registry to monitor and improve care in upper gastrointestinal cancers.

    abstract:PURPOSE:The Upper Gastrointestinal Cancer Registry (UGICR) was developed to monitor and improve the quality of care provided to patients with upper gastrointestinal cancers in Australia. PARTICIPANTS:It supports four cancer modules: pancreatic, oesophagogastric, biliary and primary liver cancer. The pancreatic cancer ...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2019-031434

    authors: Maharaj AD,Holland JF,Scarborough RO,Evans SM,Ioannou LJ,Brown W,Croagh DG,Pilgrim CHC,Kench JG,Lipton LR,Leong T,McNeil JJ,Nikfarjam M,Aly A,Burton PR,Cashin PA,Chu J,Duong CP,Evans P,Goldstein D,Haydon A,Hii M

    更新日期:2019-09-30 00:00:00

  • Geographical variation in rates of surgical treatment for female stress urinary incontinence in England: a national cohort study.

    abstract:OBJECTIVE:To examine geographic variation in use of surgery for female stress urinary incontinence (SUI), mainly midurethral mesh tape insertions, in the English National Health Service (NHS). DESIGN:National cohort study. SETTING:NHS hospitals. PARTICIPANTS:27 997 women aged 20 years or older who had a first SUI su...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2019-029878

    authors: Mamza JB,Geary RS,El-Hamamsy D,Cromwell DA,Duckett J,Monga A,Toozs-Hobson P,Mahmood T,Wilson A,Tincello DG,van der Meulen JH,Gurol Urganci I

    更新日期:2019-08-28 00:00:00

  • Design of a treatment pathway for insomnia in prison settings in England: a modified Delphi study.

    abstract:OBJECTIVE:Insomnia is highly prevalent in prisoners and is a risk factor for poor mental well-being, depression, suicidality and aggression, all common concerns in this vulnerable population. Improving sleep management options in prison offers the potential to impact positively on a number of these common risk factors....

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2018-022406

    authors: Dewa LH,Hassan L,Shaw J,Senior J

    更新日期:2018-08-29 00:00:00

  • Health Impact Assessment of increased cycling to place of work or education in Copenhagen.

    abstract:OBJECTIVE:To quantify the effects of increased cycling on both mortality and morbidity. DESIGN:Health Impact Assessment. SETTING:Cycling to place of work or education in Copenhagen, Denmark. POPULATION:Effects were calculated based on the working-age population of Copenhagen. MAIN OUTCOME MEASURES:The primary outco...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2012-001135

    authors: Holm AL,Glümer C,Diderichsen F

    更新日期:2012-07-24 00:00:00

  • Association between apolipoprotein C3 Sst I, T-455C, C-482T and C1100T polymorphisms and risk of coronary heart disease.

    abstract:OBJECTIVES:Apolipoprotein C3 (ApoC3) polymorphisms have been suggested to be associated with risk of coronary heart disease (CHD). However, the results of relevant studies were inconsistent. We aimed to systematically evaluate this issue. DESIGN:PubMed, EMBASE and Cochrane library databases (up to March 2013) were sys...

    journal_title:BMJ open

    pub_type: 杂志文章,评审

    doi:10.1136/bmjopen-2013-004156

    authors: Lin B,Huang Y,Zhang M,Wang J,Wu Y

    更新日期:2014-01-14 00:00:00

  • Perceptions of overdetection of breast cancer among women 70 years of age and older in the USA: a mixed-methods analysis.

    abstract:OBJECTIVES:Current research on the perceptions of overdiagnosis or overdetection of breast cancer has largely been conducted outside of the USA and with women younger than 70 years.Therefore, we explored older women's perceptions about the concept of overdetection of breast cancer and its influence on future screening ...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2018-022138

    authors: Pappadis MR,Volk RJ,Krishnan S,Weller SC,Jaramillo E,Hoover DS,Giordano SH,Tan A,Sheffield KM,Housten AJ,Goodwin JS

    更新日期:2018-06-14 00:00:00

  • Public managers' role in creating workplace social capital (WSC) and its effect on employees' well-being and health: a protocol of a longitudinal cohort study (PUMA-WSC).

    abstract:INTRODUCTION:Workplace social capital (WSC) has been shown to affect employees' well-being and health, yet it is not clear how public managers can create WSC and which forms of WSC are most important. This study is the first prospective cohort study to examine the relationship between management behaviour, WSC, well-be...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2020-039027

    authors: Pihl-Thingvad S,Hansen SW,Winter V,Hansen MS,Willems J

    更新日期:2020-10-27 00:00:00

  • Children's unscheduled primary and emergency care in Ireland: a multimethod approach to understanding decision making, trends, outcomes and parental perspectives (CUPID): project protocol.

    abstract:INTRODUCTION:The aim of this project is to determine the patterns, decision-making processes and parental preferences associated with unscheduled paediatric healthcare utilisation in Ireland. Unscheduled paediatric healthcare is outpatient care provided within primary care settings by general practitioners (GPs), emerg...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2019-036729

    authors: McAuliffe E,Hamza M,McDonnell T,Nicholson E,De Brún A,Barrett M,Brunsdon C,Bury G,Collins C,Deasy C,Fitzsimons J,Galligan M,Hensey C

    更新日期:2020-08-13 00:00:00

  • Towards personalised intra-arterial treatment of patients with acute ischaemic stroke: a study protocol for development and validation of a clinical decision aid.

    abstract:INTRODUCTION:Overall, intra-arterial treatment (IAT) proved to be beneficial in patients with acute ischaemic stroke due to a proximal occlusion in the anterior circulation. However, heterogeneity in treatment benefit may be relevant for personalised clinical decision-making. Our aim is to improve selection of patients...

    journal_title:BMJ open

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1136/bmjopen-2016-013699

    authors: Mulder MJ,Venema E,Roozenbeek B,Broderick JP,Yeatts SD,Khatri P,Berkhemer OA,Roos YB,Majoie CB,van Oostenbrugge RJ,van Zwam WH,van der Lugt A,Steyerberg EW,Dippel DW,Lingsma HF

    更新日期:2017-03-22 00:00:00