Neuhaus T J, Goetschel P, Leumann E
Universitäts-Kinderklinik Zürich.
Praxis (Bern 1994). 1998 Nov 19;87(47):1593-9.
Since 1985, 20 children have been followed with early onset of chronic renal failure (plasma creatinine > 120 mumol/l in first year of life). So far, 10 and 7 patients underwent peritoneal dialysis and renal transplantation, respectively. The aim of this study was to assess the overall costs. The recorded costs comprised both the direct costs of dialysis and transplantation, and the costs of all medical and psychosocial measures. The annual median costs of conservative treatment, peritoneal dialysis, the year of transplantation, and follow-up after transplantation amounted to 30,000, 93,000, 130,000 and 28,000 Swiss francs, respectively. The youngest patients caused the highest expenses. The active treatment permitted not only survival, but--in most patients--also a normal cognitive and psychosocial development.
自1985年以来，对20名患有早期慢性肾衰竭（出生后第一年血浆肌酐>120μmol/L）的儿童进行了随访。到目前为止，分别有10例和7例患者接受了腹膜透析和肾移植。本研究的目的是评估总体费用。记录的费用包括透析和移植的直接费用，以及所有医疗和心理社会措施的费用。保守治疗、腹膜透析、移植年份和移植后随访的年中位数费用分别为30,000瑞士法郎、93,000瑞士法郎、130,000瑞士法郎和28,000瑞士法郎。最年幼的患者费用最高。积极的治疗不仅使患者存活，而且在大多数患者中还实现了正常的认知和心理社会发育。
