ArticleInternational urology and nephrology2007
Alternative strategies to evaluate the cost-effectiveness of peritoneal dialysis and hemodialysis.
Article in International urology and nephrology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed, 18 citations in OpenAlex.
- Economic burden of end stage renal disease: a case study in southern Iran.Health economics review · 2025Article
- Supporting dialysis policy for end stage renal disease (ESRD) in Indonesia: an updated cost-effectiveness model.BMC research notes · 2022Article
- Home dialysis as a first option: a new paradigm.International urology and nephrology · 2009Review
- Statin therapy in peritoneal dialysis patients: effects beyond lipid lowering.International urology and nephrology · 2008Review
- The promising future of long-term peritoneal dialysis.International urology and nephrology · 2008Article
- Assisted peritoneal dialysis as a method of choice for elderly with end-stage renal disease.International urology and nephrology · 2008Review
- Dialysis or not in the very elderly ESRD patient.International urology and nephrology · 2008Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDialysis treatment requires considerable resources and it is important to improve the efficiency of care.
methodsFiles of all adult end-stage renal disease (ESRD) patients who entered dialysis therapy between 1991 and 1996, were studied and all use of health care resources was recorded. A total of 138 patients started with in-center hemodialysis (HD) and 76 patients with continuous ambulatory peritoneal dialysis (CAPD). Four alternative perspectives were applied to assess effectiveness. An additional analysis of 68 matched CAPD-HD pairs with similar characteristics was completed.
resultsCost-effectiveness ratios (CER; cost per life-year gained) were different in alternative observation strategies. If modality changes and cadaveric transplantations were ignored, annual first three years' CERs varied between $41220-61465 on CAPD and $44540-85688 on HD. If CAPD-failure was considered as death, CERs were $34466-81197 on CAPD. When follow-up censored at transplantation but dialysis modality changes were ignored, CERs were $59409-95858 on CAPD and $70042-85546 on HD. If observation censored at any change of primarily selected modality, figures were $57731-66710 on CAPD and $74671-91942 on HD. There was a trend of lower costs and better survival on CAPD, the only exception was the strategy in which technical failure of modality was considered as death. Figures of the matched CAPD-HD pairs were very close to the figures of the entire study population.
conclusionsCompared to HD, CERs were slightly lower on CAPD.
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