Tapani E Salonen1, Heikki Saha1. 1. Department of Medicine, Tampere University Hospital, and Medical School, University of Tampere, Tampere, Finland.
Abstract
BACKGROUND: Data about outcomes and costs for peritoneal catheter insertion on an outpatient basis are scarce. METHODS: Using patient files, all peritoneal dialysis (PD) catheter insertions performed between 2004 and 2009 in a single-center tertiary care institution for adult patients were located. Patient demographics, complications, hospitalizations, survival, and treatment modality changes were recorded. Procedure-related expenses were valued as actual production costs. RESULTS: During the study period, 106 PD catheters were inserted. In 46 cases, the patients were admitted electively for catheter insertion; 19 catheters were placed during admission for other medical reasons; and 41 catheters were placed on an outpatient basis. Among the study patients (54.7 ± 16.0 years of age), 45% were diabetic. Early (<30 days) catheter-related complications occurred in 22% of patients. The incidences of technique failure and any complication within 90 days were 10% and 38% respectively. The occurrence of complications was not statistically significantly different for outpatients and electively admitted patients. Average costs for catheter insertion were higher in electively hospitalized patients than in outpatients (€2320 ± €960 vs €1346 ± €208, p < 0.000). CONCLUSIONS: Compared with an inpatient procedure, outpatient insertion of a PD catheter results in similar outcomes at a lower cost.
BACKGROUND: Data about outcomes and costs for peritoneal catheter insertion on an outpatient basis are scarce. METHODS: Using patient files, all peritoneal dialysis (PD) catheter insertions performed between 2004 and 2009 in a single-center tertiary care institution for adult patients were located. Patient demographics, complications, hospitalizations, survival, and treatment modality changes were recorded. Procedure-related expenses were valued as actual production costs. RESULTS: During the study period, 106 PD catheters were inserted. In 46 cases, the patients were admitted electively for catheter insertion; 19 catheters were placed during admission for other medical reasons; and 41 catheters were placed on an outpatient basis. Among the study patients (54.7 ± 16.0 years of age), 45% were diabetic. Early (<30 days) catheter-related complications occurred in 22% of patients. The incidences of technique failure and any complication within 90 days were 10% and 38% respectively. The occurrence of complications was not statistically significantly different for outpatients and electively admitted patients. Average costs for catheter insertion were higher in electively hospitalized patients than in outpatients (€2320 ± €960 vs €1346 ± €208, p < 0.000). CONCLUSIONS: Compared with an inpatient procedure, outpatient insertion of a PD catheter results in similar outcomes at a lower cost.
Authors: Wieneke Marleen Michels; Marion Verduijn; Elisabeth Wilhelmina Boeschoten; Friedo Wilhelm Dekker; Raymond Theodorus Krediet Journal: Clin J Am Soc Nephrol Date: 2009-04-08 Impact factor: 8.237
Authors: Laura C Plantinga; Nancy E Fink; Fredric O Finkelstein; Neil R Powe; Bernard G Jaar Journal: Perit Dial Int Date: 2009 May-Jun Impact factor: 1.756