Coelho Julio Cezar Uili, Trubian Paula Suzin, Freitas Alexandre Coutinho Teixeira de, Parolin Mônica Beatriz, Schulz Gustavo Justo, Martins Eduardo Lopes
Serviço de Transplante Hepático, Hospital de Clínicas, Universidade Federal do Paraná, Rua Bento Viana 1140, Curitiba, Paraná, CEP 80240-110 Brazil.
Rev Assoc Med Bras (1992). 2005 May-Jun;51(3):158-63. doi: 10.1590/s0104-42302005000300017. Epub 2005 Jul 4.
To compare the cost of cadaveric liver transplantation with adult-adult right hepatic lobe living-donor transplantation.
Total cost of 25 cadaveric liver transplantations and 22 adult-adult right hepatic lobe living-donor transplantations was considered from the day of hospital admission until the day of discharge. Professional fees and expenses due to post-transplant complications and donor follow-up were not included.
There was no difference in hospital stay between recipients of cadaveric transplantation (13.2+/- 4.1 days) and those of living-donor transplantation (15.4+/- 4.5 days). Costs of living-donor organ acquisition (USD 4,975.08+/- 565.34) were higher than those of cadaveric organ donation (USD 3,081.73+/- 305.57) (p<0.001). Implantation costs were similar for cadaveric and living-donor transplantation. Operating room and material costs were higher for living-donor transplantation and medications, exams and blood components costs were higher for cadaveric transplantation. The most expensive component of both cadaveric and living-donor liver transplantation was the cost of medications. Total cost was higher for living-donor transplantation (USD 22,986.60+/- 1,477.09) than for cadaveric transplantation (USD 21,582.90+/- 1,818.11) (p= 0.0022).
Total cost of living-donor liver transplantation is higher than that of cadaveric transplantation.
比较尸体肝移植与成人-成人右肝叶活体供肝移植的费用。
考虑25例尸体肝移植和22例成人-成人右肝叶活体供肝移植从入院日至出院日的总费用。不包括专业费用以及移植后并发症和供体随访产生的费用。
尸体移植受者（13.2±4.1天）与活体供肝移植受者（15.4±4.5天）的住院时间无差异。活体供肝获取费用（4975.08美元±565.34美元）高于尸体供肝费用（3081.73美元±305.57美元）（p<0.001）。尸体移植和活体供肝移植的植入费用相似。活体供肝移植的手术室和材料费用较高，尸体移植的药物、检查和血液成分费用较高。尸体肝移植和活体供肝移植最昂贵的部分都是药物费用。活体供肝移植的总费用（22986.60美元±1477.09美元）高于尸体移植（21582.90美元±1818.11美元）（p = 0.0022）。
活体供肝移植的总费用高于尸体移植。
