INTRODUCTION: Chronic kidney disease (CKD) is a major health problem, determining the reduction in life expectancy and an increased risk of cardiovascular disease. METHOD: An observational, cohort, retrospective, based on patient's medical records data with CKD under hemodialysis, peritoneal dialysis and kidney transplantation in the city of Curitiba, in the period from January to June 2014, evacuativo the financial impact on the Unified Health System (SUS) and the supplementary health. RESULTS: The lowest cost of a kidney transplant in the first year was R$ 40,743.03 when cyclosporine was used and the highest was R$ 48,388.17 with the use of tacrolimus. In the second year post-transplant, hemodialysis and peritoneal dialysis have a higher cost compared to kidney transplant. Transplantation with deceased donor, treated with tacrolimus: R$ 67,023.39; Hemodialysis R$ 71,717.51 and automated peritoneal dialysis automatic R$ 69,527.03. CONCLUSIONS: After the first two years of renal replacement therapy, transplantation demonstrates lower costs to the system when compared to other modalities evaluated. Based on that, this therapy justifies improvements in government policies in this sector.
INTRODUCTION:Chronic kidney disease (CKD) is a major health problem, determining the reduction in life expectancy and an increased risk of cardiovascular disease. METHOD: An observational, cohort, retrospective, based on patient's medical records data with CKD under hemodialysis, peritoneal dialysis and kidney transplantation in the city of Curitiba, in the period from January to June 2014, evacuativo the financial impact on the Unified Health System (SUS) and the supplementary health. RESULTS: The lowest cost of a kidney transplant in the first year was R$ 40,743.03 when cyclosporine was used and the highest was R$ 48,388.17 with the use of tacrolimus. In the second year post-transplant, hemodialysis and peritoneal dialysis have a higher cost compared to kidney transplant. Transplantation with deceased donor, treated with tacrolimus: R$ 67,023.39; Hemodialysis R$ 71,717.51 and automated peritoneal dialysis automatic R$ 69,527.03. CONCLUSIONS: After the first two years of renal replacement therapy, transplantation demonstrates lower costs to the system when compared to other modalities evaluated. Based on that, this therapy justifies improvements in government policies in this sector.
Authors: Ubiracé Fernando Elihimas Júnior; Jamila Pinho Couto; Wallace Pereira; Michel Pompeu Barros de Oliveira Sá; Eduardo Eriko Tenório de França; Filipe Carrilho Aguiar; Diogo Buarque Cordeiro Cabral; Saulo Barbosa Vasconcelos Alencar; Saulo José da Costa Feitosa; Thais Oliveira Claizoni Dos Santos; Helen Conceição Dos Santos Elihimas; Emilly Pereira Alves; Marcio José de Carvalho Lima; Frederico Castelo Branco Cavalcanti; Paulo Adriano Schwingel Journal: J Aging Res Date: 2020-08-19
Authors: Wesley de Souza; Luiz Carlos de Abreu; Leonardo Gomes da Silva; Italla Maria Pinheiro Bezerra Journal: PLoS One Date: 2019-11-07 Impact factor: 3.240
Authors: Gustavo Loesch; June A W Cruz; Roberto Pecoits-Filho; Ana E Figueiredo; Pasqual Barretti; Thyago P de Moraes Journal: Clin Kidney J Date: 2020-07-16
Authors: Ricardo Bruno Santos Ferreira; Climene Laura de Camargo; Maria Inês da Silva Barbosa; Maria Lúcia Silva Servo; Marcia Maria Carneiro Oliveira; Juliana Alves Leite Leal Journal: Invest Educ Enferm Date: 2020-07