终末期肾病治疗的经济评估研究:肾移植与血液透析

Neera Trivedi, P. Sodani
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摘要

终末期肾病(ESRD)是影响全世界成千上万人的一个重大健康问题。血液透析和肾移植是两种主要的治疗方式。尽管肾移植是一种更有效、更经济实惠的治疗方式,但由于缺乏移植机会、经济条件限制和缺乏供体等多种原因,许多终末期肾病患者仍在接受血液透析治疗。本研究通过考察肾移植和血液透析的相关费用和生活质量,旨在为 ESRD 治疗的经济评估做出贡献。共有 268 名肾移植受者和 225 名接受血液透析的患者构成了这项研究的样本量。研究在哈里亚纳邦古鲁格拉姆的Medanta - The Medicity进行。血液透析的费用为每年 55 万英镑,而肾移植的平均费用为 88 万英镑。不过,一个简单的预测表明,大约 20 个月后,血液透析患者的费用将与肾移植患者的费用持平。在生活满意度方面,肾移植患者对医疗服务的总体满意度高于血液透析患者。在费用与生活质量(QoL)的比率为 1.6:1.75 的情况下,肾移植更有优势。
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A Study on the Economic Evaluation of End-stage Renal Disease Treatment: Kidney Transplantation Versus Haemodialysis
A significant health problem affecting thousands of people worldwide is end-stage renal disease (ESRD). Haemodialysis and kidney transplantation are the two main forms of treatment. Despite the fact that kidney transplantation is a more effective and affordable treatment option, many ESRD patients still undergo haemodialysis due to a variety of reasons, including a lack of opportunity for transplantation, financial limitations and a lack of available donors. By examining the cost and quality of life connected with kidney transplantation and haemodialysis, this research aims to contribute to the economic assessment of ESRD treatments. A total of 268 recipients of kidney transplants and 225 patients receiving haemodialysis made up the study’s sample size. It was carried out at Medanta – The Medicity in Gurugram, Haryana. Haemodialysis costs ₹550,000 per year, while the average expense for a kidney transplant is ₹880,000. However, a straightforward projection indicates that in about 20 months, the cost of haemodialysis patients will equal that of transplant patients. In terms of life satisfaction, kidney transplant recipients reported higher levels of general fulfilment with healthcare services than haemodialysis patients. With a ratio of 1.6:1.75 in terms of expenses versus quality of life (QoL), transplantation of kidneys was found to be more advantageous.
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