Koukou Marilena G, Smyrniotis Vassilios E, Arkadopoulos Nikolaos F, Grapsa Eirini I
Faculty of Medicine, University of Athens, Athens, Greece
4 Department of Surgery in ATTIKON University Hospital, Athens, Greece.
Perit Dial Int. 2017 Sep-Oct;37(5):568-573. doi: 10.3747/pdi.2016.00292. Epub 2017 Jul 11.
The aim of this study was to investigate patient characteristics and make an estimation of the cost of peritoneal dialysis (PD) and hemodialysis (HD) to Greek society during the economic crisis.
We recorded the characteristics and the total cost of dialysis treatment in 100 patients on PD and 100 on HD. Total costs included dialysis procedure, consumables, drugs, laboratory tests, food, and transportation fees (only HD), covered by patients' insurance. Also included were medical and administrative salaries, purchase and maintenance of equipment and sanitary material, all covered by the state hospital.
The mean patient age was 64.5 ± 16.8 years (PD) and 62.8 ± 15.1 (HD) ( < 0,001). The most common cause of end-stage renal disease (ESRD) was diabetes (32% for PD and 24% for HD patients). A total of 35% of the PD patients were employed vs 4% of the HD patients ( < 0,001). The mean distance from home for PD patients was 41.6 ± 17.3 km, while for HD patients, it was 9.4 ± 1.5 km ( < 0,001). Mean monthly cost for PD and HD treatment per patient was €4,019.20 ± 1,126.30 and €3,254.30 ± 37.50, respectively, both fully covered by patients' insurance. Mean monthly cost for PD or HD dialysis unit maintenance was €11,660.80 and €56,270.50, respectively, also fully covered by the state.
There is likely to be a considerable difference in terms of total cost of PD vs HD therapy, owing to the fact that the operational cost of a PD unit appears to be significantly lower than that of a HD unit.
本研究旨在调查患者特征，并估算经济危机期间希腊社会腹膜透析（PD）和血液透析（HD）的成本。
我们记录了100例接受PD治疗的患者和100例接受HD治疗的患者的特征及透析治疗总成本。总成本包括透析程序、耗材、药物、实验室检查、食品及交通费用（仅HD有），由患者保险支付。还包括医疗和行政人员工资、设备及卫生材料的购置与维护费用，均由国立医院承担。
患者平均年龄分别为64.5±16.8岁（PD组）和62.8±15.1岁（HD组）（P<0.001）。终末期肾病（ESRD）最常见的病因是糖尿病（PD组患者中占32%，HD组患者中占24%）。PD组共有35%的患者就业，而HD组为4%（P<0.001）。PD患者住所距医院的平均距离为41.6±17.3公里，而HD患者为9.4±1.5公里（P<0.001）。每位患者PD和HD治疗的平均月费用分别为4,019.20±1,126.30欧元和3,254.30±37.50欧元，均由患者保险全额支付。PD或HD透析单元维护的平均月费用分别为11,660.80欧元和56,270.50欧元，也均由国家全额承担。
由于PD单元的运营成本明显低于HD单元，PD与HD治疗的总成本可能存在显著差异。
