Rodríguez-Carmona A, Perez Fontán M, Bouza P, García Falcón T, Valdés F
Nephrology Unit, Hospital Juan Canalejo, A Coruña, Spain.
Adv Perit Dial. 1996;12:93-6.
We have studied the economic cost of dialysis therapy in our area (public setting) during 1994, comparing the cost of different modalities of in-center hemodialysis (HD) and home peritoneal dialysis (PD). Analyzed costs included: personnel, drug expenditure, disposable (dialysis- and non-dialysis-related), laboratory, other services, indirect costs, maintenance and redemption, hospital admissions, transport, and home supplies. The final cost per patient and year (in 1994 US$) was: hemodiafiltration (AN69 filter, bicarbonate buffer) $58,890; HD polymethylmethacrylate filter and bicarbonate buffer $55,076; HD cuprophane and acetate buffer $49,767; CAPD $31,201; and cost of automated PD $42,519. The main expenditure sections were: home supply and hospital admissions for PD patients, and personnel, drug expenditures, disposable dialysis material, indirect costs, hospital admissions, and transport for HD patients. Home peritoneal dialysis therapy has a significantly lower economic cost than any in-center HD modality.
我们研究了1994年我们所在地区（公共机构）透析治疗的经济成本，比较了不同方式的中心血液透析（HD）和家庭腹膜透析（PD）的成本。分析的成本包括：人员、药物支出、一次性用品（与透析及非透析相关）、实验室、其他服务、间接成本、维护与赎回、住院、交通和家庭用品。每位患者每年的最终成本（以1994年美元计）为：血液滤过（AN69滤器，碳酸氢盐缓冲液）58,890美元；HD聚甲基丙烯酸甲酯滤器和碳酸氢盐缓冲液55,076美元；HD铜仿膜和醋酸盐缓冲液49,767美元；持续性非卧床腹膜透析（CAPD）31,201美元；自动化腹膜透析成本42,519美元。主要支出部分为：PD患者的家庭用品和住院费用，以及HD患者的人员、药物支出、一次性透析材料、间接成本、住院和交通费用。家庭腹膜透析治疗的经济成本明显低于任何中心HD方式。
