The Economics of Kidney Transplantation versus Hemodialysis

Loubeau, Patricia R.; Loubeau, Jean-Michel; Jantzen, Robert

doi:10.1177/152692480101100411

Cited by 61 publications

(40 citation statements)

References 11 publications

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“…From an economic perspective, transplantation has been shown to be less expensive than maintenance dialysis (32–35). Most studies suggest that transplantation is more cost effective than dialysis following the first year after transplant and the cost savings increase progressively as long as the graft survives.…”

Section: Quality Of Life and Economic Implications Of Preemptive Tranmentioning

confidence: 99%

The Impact of Pretransplant Dialysis on Outcomes in Renal Transplantation

Meier-Kriesche

Schold

2005

Seminars in Dialysis

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Dialysis is the most common therapeutic intervention for patients with end-stage renal disease (ESRD). The demonstration of a clear survival benefit associated with renal transplantation has made it the preferred treatment option for ESRD patients medically cleared for transplant. This has invoked a shift in thinking regarding the timing of transplantation. Impaired renal function and particularly ESRD with dialysis are significant cardiovascular risk factors for this population. Part of these cumulative effects can probably be avoided by transplantation without prior dialysis. In fact, the evidence to date demonstrates a significant advantage for allograft and patient survival associated with preemptive transplantation. In addition, preemptive transplantation is associated with better quality of life for these patients and is less costly than dialysis. The key for patients approaching ESRD is early referral to a transplant center to explore the most appropriate treatment options in a timely fashion. In fact, it is better to transplant patients preemptively than to wait until they reach ESRD and start dialysis.

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Section: Quality Of Life and Economic Implications Of Preemptive Tranmentioning

confidence: 99%

The Impact of Pretransplant Dialysis on Outcomes in Renal Transplantation

Meier-Kriesche

Schold

2005

Seminars in Dialysis

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“…[1–3] KT also confers benefits to society because it incurs less health care expenditure compared with dialysis. [4] However, KT may not be suitable for every candidate, [5] and progressing from the ESRD diagnosis through dialysis to referral to evaluation, wait-listing, and transplantation requires the efforts of both physicians and patients. This complex process may discourage some patients from initiating it.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting willingness to receive a kidney transplant among hemodialysis patients in West China

Tan

Song²,

Jiang³

et al. 2017

Medicine

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Many factors are associated with the willingness of ESRD patients to receive a kidney transplant. No data are available for patients in China. The study aim was to describe the attitudes toward transplantation in a cohort of patients at a single dialysis center in China.A study questionnaire derived from previously published literature was completed by 239 hemodialysis outpatients. Factors associated with willingness to receive a transplant were identified by univariate and multivariate logistic regression analyses.The respondents were primarily men 50.7 ± 15.1 years of age; 46.4% were willing to receive a transplant. Younger age (OR = 0.928, 95% CI: 0.898–0.959), good self-reported health (OR = 0.203, 95% CI: 0.081–0.51), and awareness of the benefits of transplantation (OR = 0.195, 95% CI: 0.083–0.456) were less likely to deny the transplant. Patients ≤60 years of age were about 13 times more likely to favor transplantation than those >60 years of age (OR = 12.99, 95% CI: 3.75–45.45). For every 10 years under 60, participants were 2.16 times more willing to receive a kidney transplant (OR = 2.16, 95% CI: 1.53–3.02). Older patients were also less likely to be referred for evaluation (OR = 0.955, 95% CI: 0.923–0.989, P = .009).The percentage of ESRD patients in China, particularly older patients, who are willing to accept a transplant, is relatively low. A better understanding of the benefits of transplantation is needed to increase their acceptance.

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“…[2,3] Kidney transplantation (KT) is the best treatment for patients with ESRD in terms of increasing the survival rate, reducing complications, and improving quality of life. [4–6] The degree of clinical benefit associated with KT has recently become important. [7] In Asia, however, there are insufficient data regarding KT and dialysis outcomes.…”

Section: Introductionmentioning

confidence: 99%