Uma comparação dos custos do transplante renal em relação às diálises no Brasil

Silva, Silvia Brand; Caulliraux, Heitor Mansur; Araújo, Claudia Affonso Silva; Rocha, Eduardo

doi:10.1590/0102-311x00013515

Cited by 45 publications

(43 citation statements)

References 20 publications

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“…Regarding the origin of the transplanted organ, considering important aspects as a result of the prognosis, it confers greater survival of people after living donor transplantation. Authors point out that most of the transplanted organs come from deceased donors, giving a longer time after transplantation from living donors (30) . However, many factors prevent organs from being obtained from a living donor, including the donor's short and long term health risks, without any apparent health benefit, operative trauma, stress, and financial and occupational disadvantages (31) .…”

Section: Discussionmentioning

confidence: 99%

Relationship between quality of life, self-esteem and depression in people after kidney transplantation

et al. 2020

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Objective: to assess the relationship between health-related quality of life with depression and self-esteem of people after kidney transplantation. Method: a cross-sectional study of 47 outpatients from October 2016 to February 2017. The following tools were applied: The Medical Outcomes Study 36-Item Short-Form Health Survey, Beck Depression Inventory and Rosenberg Self-Esteem Scale. Descriptive statistics and Spearman correlation were used. Results: women had lower scores for health-related quality of life. Young adults, people with up to one and a half years of transplantation and those who had dialysis for more than one year had higher scores. Conclusion: the health-related quality of life of people with chronic kidney disease after transplantation ranged from good to excellent. The presence of depression was not identified. The relationship of data indicates that the higher the quality of life, the better the self-esteem assessment.

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Section: Discussionmentioning

confidence: 99%

Relationship between quality of life, self-esteem and depression in people after kidney transplantation

et al. 2020

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“…Costing literature in the SOT population revolves around cost-effectiveness and quality of life of transplantation, versus traditional care for patients with end-stage organ failure. The majority only report data on one type of organ transplantation or one infectious syndrome [18,[39][40][41][42][43][44]. Naik et al [16], used the United States Renal Data System for Medicare insured kidney transplant recipients from 2000 to 2011 to study the clinical cost and impact of UTI, pneumonia, and sepsis in kidney transplant recipients.…”

Section: Discussionmentioning

confidence: 99%

Clinical and economic burden of infections in hospitalized solid organ transplant recipients compared with the general population in Canada – a retrospective cohort study

et al. 2019

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Infections continue to be a major cause of post-transplant morbidity and mortality, requiring increased health services utilization. Estimates on the magnitude of this impact are relatively unknown. Using national administrative databases, we compared mortality, acute care health services utilization, and costs in solid organ transplant (SOT) recipients to nontransplant patients using a retrospective cohort of hospitalizations in Canada (excluding Manitoba/Quebec) between April-2009 and March-2014, with a diagnosis of pneumonia, urinary tract infection (UTI), or sepsis. Costs were analyzed using multivariable linear regression. We examined 816 324 admissions in total: 408 352 pneumonia; 328 066 UTI's; and 128 275 sepsis. Unadjusted mean costs were greater in SOT compared to non-SOT patients with pneumonia []. Mortality (7.6% vs. 12.5%; P < 0.001), long-term care transfer (5.3% vs. 16.5%; P < 0.001), and mean length of stay (11.0 AE 17.7 days vs. 13.1 AE 24.9 days; P < 0.001) were lower in SOT. More SOT patients could be discharged home (63.2% vs. 44.3%; P < 0.001), but required more specialized care (23.5% vs. 16.1%; P < 0.001). Adjusting for age and comorbidities, hospitalization costs for SOT patients were 10% (95% CI: 8-12%) lower compared to non-SOT patients. Increased absolute hospitalization costs for these infections are tempered by lower adjusted costs and favorable clinical outcomes.

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“…25 The spendings with the treatment of CRF tend to increase due to the population aging and incidence of NCCD, especially hypertension and DM. 25,26 In 2003, the total public spending in Brazil with renal replacement therapies were R$ 17,414.742,205,28, which correspond to approximately 8% of resources. 14 Furthermore, hospital institutions linked to the UHS are experiencing difficulties managing resources that are already scarce due to reduced spending in the three government spheres.…”

Section: Discussionmentioning

confidence: 99%

Tratamento hemodialítico e seus impactos financeiros no nordeste do brasil

Júnior

Santos

Jesus

et al. 2019

Rev enferm UFPE on line.

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Objective: to analyze the records on the accomplishment of hemodialysis treatment and its financial impacts in Northeast Brazil, between 2014 and 2017. Method: this is a quantitative, descriptive and ecological study, with data from the Outpatient Information System. The options related to hemodialysis were selected, resulting in eight types of procedures. Data were analyzed by means of descriptive and simple statistics and presented as tables. Results: there were 11,837,165 hemodialysis procedures. There was higher prevalence of hemodialysis in Bahia (24.6%) and in elective character (97.9%). Moreover, the financial impact exceeding R$ 2.2 billion, higher prevalence of burden in Bahia (24.6%) and the procedure carried out up to three times per week are responsible for 93.6% of the total costs. Conclusion: there was a growing behavior in the number of hemodialysis procedures, implying increased public costs and becoming an economic burden for the Unified Health System. This study provides subsidies to encourage the adherence, strengthening and enhancement of Basic Care, especially in relation to the increased quality of care to users with risk factors. Descritores: Epidemiology; Public Health; Nephrology; Renal Dialysis; Healthcare Costs; Costs and Cost Analysis. RESUMOObjetivo: averiguar os registros sobre a realização de tratamento hemodialítico e seus impactos financeiros no Nordeste do Brasil, entre 2014 e 2017. Método: trata-se de estudo quantitativo, descritivo e ecológico, com dados do Sistema de Informações Ambulatoriais. Selecionou-se as opções referentes à hemodiálise, resultando em oito tipos de procedimentos. Analisaram-se os dados por meio de estatística descritiva simples que se apresentaram em tabelas. Resultados: realizaram-se 11.837.165 procedimentos hemodialíticos. Evidenciou-se maior prevalência de hemodiálise na Bahia (24,6%) e em caráter eletivo (97,9%). Destaca-se, ainda, o impacto financeiro superior a R$ 2,2 bilhões, maior prevalência de ônus na Bahia (24,6%) e o procedimento realizado na modalidade de no máximo três vezes por semana responsabilizou-se por 93,6% do total dos custos. Conclusão: conclui-se que, houve comportamento crescente na realização de hemodiálises, implicando no incremento dos custos públicos e tornando-se um fardo econômico para o Sistema Único de Saúde. Ressalta-se que, esse estudo fornece subsídios para incentivar a adesão, o fortalecimento e valorização da Atenção Básica, especialmente em relação ao aumento da qualidade assistencial aos usuários com fatores de risco. RESUMENObjetivo: analizar los registros sobre la realización de tratamiento de hemodiálisis y sus repercusiones financieras en el noreste de Brasil, entre 2014 y 2017. Método: se trata de un estudio cuantitativo, descriptivo y ecológico, con datos del Sistema de Informaciones Ambulatorias. Se seleccionaron las opciones relacionadas con la hemodiálisis, resultando en ocho tipos de procedimientos. Los datos fueron analizados mediante estadística descriptiva y sencilla y presentados en tablas. Resultados:...

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Uma comparação dos custos do transplante renal em relação às diálises no Brasil

Abstract: Uma comparação dos custos do transplante renal em relação às diálises no BrasilCost comparison of kidney transplant versus dialysis in Brazil Una comparación de los costes del trasplante renal en relación con las diálisis en Brasil

Cited by 45 publications

References 20 publications

Relationship between quality of life, self-esteem and depression in people after kidney transplantation

Relationship between quality of life, self-esteem and depression in people after kidney transplantation

Clinical and economic burden of infections in hospitalized solid organ transplant recipients compared with the general population in Canada – a retrospective cohort study

Tratamento hemodialítico e seus impactos financeiros no nordeste do brasil

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