Custo do transplante hepático no Hospital das Clínicas da Universidade Federal de Pernambuco

Ferraz, A.; Lopes, Edmundo Pessoa; Sette, Marcelo José Antunes; Godoy, Michelle Maria G Onsalves; Lima, Maria Helena Oliveira Lins Andrade; Júnior, José Guido Corrêa de Araújo; Júnior, Balduíno Guedes da Nóbrega; Ferraz, Edmundo Machado

doi:10.1590/s1519-38292002000300012

Cited by 3 publications

(12 citation statements)

References 6 publications

(8 reference statements)

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“…The principal indications for liver transplantation were alcoholic liver disease and cirrhosis caused by hepatitis C, which are similar to the results published by Garcia et al in 2005, 9 from a study conducted at the same institution. In 2000, Coelho et al 5 found liver disease caused by hepatitis C and cryptogenic cirrhosis as principal indications.…”

Section: Discussionsupporting

confidence: 88%

“…Ferraz et al 9 found that the most expensive cost item was disposable materials; in the study in Ceará, this item was in seventh place on the list of costs. Although the two situations are similar, since both are university hospitals in the Northeast of Brazil, the differences in transplantation costs are significant.…”

Section: Discussionmentioning

confidence: 96%

“…In a study conducted in 2002, Ferraz et al 9 calculated a lower liver transplantation cost, when performed in Pernambuco, where the mean cost was R$22,184.40. Ferraz et al 9 found that the most expensive cost item was disposable materials; in the study in Ceará, this item was in seventh place on the list of costs.…”

Section: Discussionmentioning

confidence: 99%

“…Specifically in Brazil, this attention has been prompted by the constant and ever-growing lack of financial resources earmarked for health and by their misuse. 9 In this situation, high cost procedures with little population coverage, such as liver transplantation, are constantly questioned. 16,21 Epidemiological data on liver transplantations in Brazil show that 997 transplantations were performed in 2007, 153 of which were in the North-East administrative region.…”

Section: Original Article Introductionmentioning

confidence: 99%

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O custo do transplante hepático em um hospital universitário do Brasil

Portela¹,

Néri²,

Fonteles³

et al. 2010

Rev. Assoc. Med. Bras.

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Objective. To investigate whether the liver transplants undertaken at a University Hospital in Ceará are cost-effective. MethOds. The medical records of 62 liver transplant patients operated in 2007 were analyzed from the day of admission for transplantation up to hospital discharge or death in hospital. Indicators were analyzed, including the number of days in hospital and the wards occupied, the quantities of materials and medications employed and supplementary tests and procedures carried out. Results. The majority of this population were male and lived in the Northeast administrative region of Brazil. Mean age was 45 years. The mean cost of liver transplantation was US$ 20,605.01. The most expensive cost item was the fees paid to the professional team involved in organ harvesting and transplantation; followed by daily rates, surgical and inpatient medications; and products (materials and medications) used in organ harvesting. The Brazilian National Health Service (Sistema ùncio de Saúde, SUS) paid the HUWC US$1,322.97 for each organ harvesting, US$ 3,223.56 for professionals' fees and US$ 32,235.68 for the liver transplantation "package" that covers the surgical procedure and the first 7 days in hospital. cOnclusiOns. The figures observed were similar to those described for other Brazilian transplantation centers. Liver transplantation in Ceará is an economically viable procedure on the basis of the rates paid by the SUS.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Original Article Introductionmentioning

confidence: 99%

See 2 more Smart Citations

O custo do transplante hepático em um hospital universitário do Brasil

Portela¹,

Néri²,

Fonteles³

et al. 2010

Rev. Assoc. Med. Bras.

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show abstract

“…Our findings are consistent with those of Portela et al (19) e Boerr et al (20) in terms of mean patient age at the time of transplantation, sex, and etiology of liver disease. In our sample, the most common etiology was HCV infection associated with HCC (34.9%), similar to Ferraz et al (21) and Boerr et al (20) , while Akarsu et al (22) reported HBV infection.…”

Section: Discussionsupporting

confidence: 89%

The Cost of Adult Liver Transplantation in a Referral Center in Southern Brazil

Souza

Rodríguez

Motta

et al. 2019

Arq. Gastroenterol.

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BACKGROUND: Liver transplantation (LTx) is the primary and definitive treatment of acute or chronic cases of advanced or end-stage liver disease. Few studies have assessed the actual cost of LTx categorized by hospital unit. OBJECTIVE: To evaluate the cost of LTx categorized by unit specialty within a referral center in southern Brazil. METHODS: We retrospectively reviewed the medical records of 109 patients undergoing LTx between April 2013 and December 2014. Data were collected on demographic characteristics, etiology of liver disease, and severity of liver disease according to the Child-Turcotte-Pugh (CTP) and Model for End-stage Liver Disease (MELD) scores at the time of LTx. The hospital bill was transformed into cost using the full absorption costing method, and the costs were grouped into five categories: Immediate Pretransplant Kit; Specialized Units; Surgical Unit; Intensive Care Unit; and Inpatient Unit. RESULTS: The mean total LTx cost was US$ 17,367. Surgical Unit, Specialized Units, and Intensive Care Unit accounted for 31.9%, 26.4% and 25.3% of the costs, respectively. Multivariate analysis showed that total LTx cost was significantly associated with CTP class C (P=0.001) and occurrence of complications (P=0.002). The following complications contributed to significantly increase the total LTx cost: septic shock (P=0.006), massive blood transfusion (P=0.007), and acute renal failure associated with renal replacement therapy (dialysis) (P=0.005). CONCLUSION: Our results demonstrated that the total cost of LTx is closely related to liver disease severity scores and the development of complications.

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Evaluation and Selection of Candidates for Liver Transplantation: An Economic Perspective

Rodríguez

Motta

Neto

et al. 2020

Arq. Gastroenterol.

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BACKGROUND: Over the next 20 years, the number of patients on the waiting list for liver transplantation (LTx) is expected to increase by 23%, while pre-LTx costs should raise by 83%. OBJECTIVE: To evaluate direct medical costs of the pre-LTx period from the perspective of a tertiary care center. METHODS: The study included 104 adult patients wait-listed for deceased donor LTx between October 2012 and May 2016 whose treatment was fully provided at the study transplant center. Clinical and economic data were obtained from electronic medical records and from a hospital management software. Outcomes of interest and costs of patients on the waiting list were compared through the Kruskal-Wallis test. A generalized linear model with logit link function was used for multivariate analysis. P-values <0.05 were considered statistically significant. RESULTS: The costs of patients who underwent LTx ($8,879.83; 95% CI 6,735.24-11,707.27; P<0.001) or who died while waiting ($6,464.73; 95% CI 3,845.75-10,867.28; P=0.04) were higher than those of patients who were excluded from the list for any reason except death ($4,647.78; 95% CI 2,469.35-8,748.04; P=0.254) or those who remained on the waiting list at the end of follow-up. CONCLUSION: Although protocols of inclusion on the waiting list vary among transplant centers, similar approaches exist and common problems should be addressed. The results of this study may help centers with similar socioeconomic realities adjust their transplant policies.

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Custo do transplante hepático no Hospital das Clínicas da Universidade Federal de Pernambuco

Cited by 3 publications

References 6 publications

O custo do transplante hepático em um hospital universitário do Brasil

O custo do transplante hepático em um hospital universitário do Brasil

The Cost of Adult Liver Transplantation in a Referral Center in Southern Brazil

Evaluation and Selection of Candidates for Liver Transplantation: An Economic Perspective

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