Evidence map›Paper›PMID 27461186›Full record

ArticleScientific reports2016

Cost-effectiveness of hemodialysis and peritoneal dialysis: A national cohort study with 14 years follow-up and matched for comorbidities and propensity score.

Yu-Tzu Chang, Jing-Shiang Hwang, Shih-Yuan Hung, Min-Sung Tsai, Jia-Ling Wu, Junne-Ming Sung, Jung-Der Wang

2 registry-linked trialsOpen access · goldAbstract readComparative Study
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 52 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 4 pooled it
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03474367 unknown statusnot on this mapstarted 2017, after this paper: background citation

Cost-effectiveness of Urgent-start Therapies Hemodialysis and Peritoneal Dialysis

TypeobservationalSponsorUniversidade Estadual Paulista Júlio de Mesquita FilhoRan2017 to 2021Enrolled198ConditionsCost-effectiveness Analysis, Chronic Kidney Disease Requiring Chronic Dialysis
NCT03921437 nacompletednot on this mapstarted 2019, after this paper: background citation

The Efficacy of a Decision Support Intervention on Reducing Conflict and Improving Satisfaction in Making the Renal Replacement Therapy Decision Among Patients With End-stage Renal Disease

TypeinterventionalSponsorNational Taipei University of Nursing and Health SciencesRan2019 to 2020Enrolled76ConditionsChronic Renal DiseaseArmsdecision support intervention
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 4 syntheses or guidelines pooled it, 102 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Yu-Tzu ChangInstitute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Jing-Shiang HwangInstitute of Statistical Science, Academia Sinica, Taipei, Taiwan.
Shih-Yuan HungDivision of Nephrology, Department of Internal Medicine, E-DA Hospital, and School of Medicine for International Students, I-Shou University, Kaohsiung.
Min-Sung TsaiDivision of Nephrology, Department of Internal Medicine, Kuo General Hospital, Tainan, Taiwan.
Jia-Ling WuDivision of Nephrology, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Junne-Ming SungDivision of Nephrology, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Jung-Der WangDivision of Nephrology, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
National Cheng Kung University Hospital · TWInstitute of Statistical Science, Academia Sinica · TWI-Shou University · TWKuo General Hospital · TWNational Cheng Kung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although treatment for the dialysis population is resource intensive, a cost-effectiveness analysis comparing hemodialysis (HD) and peritoneal dialysis (PD) by matched pairs is still lacking. After matching for clinical characteristics and propensity scores, we identified 4,285 pairs of incident HD and PD patients from a Taiwanese national cohort during 1998-2010. Survival and healthcare expenditure were calculated by data of 14-year follow-up and subsequently extrapolated to lifetime estimates under the assumption of constant excess hazard. We performed a cross-sectional EQ-5D survey on 179 matched pairs of prevalent HD and PD patients of varying dialysis vintages from 12 dialysis units. The product of survival probability and the mean utility value at each time point (dialysis vintage) were summed up throughout lifetime to obtain the quality-adjusted life expectancy (QALE). The results revealed the estimated life expectancy between HD and PD were nearly equal (19.11 versus 19.08 years). The QALE's were also similar, whereas average lifetime healthcare costs were higher in HD than PD (237,795 versus 204,442 USD) and the cost-effectiveness ratios for PD and HD were 13,681 and 16,643 USD per quality-adjusted life year, respectively. In conclusion, PD is more cost-effective than HD, of which the major determinants were the costs for the dialysis modality and its associated complications.

Indexed as

Quality-Adjusted Life YearsAdolescentAdultAgedAged, 80 and overCardiovascular DiseasesComorbidityCost-Benefit AnalysisCross-Sectional StudiesDiabetes MellitusFemaleFollow-Up StudiesHealth Care CostsHumansKidney Failure, ChronicLife Expectancy

Identifiers

PMID27461186
PMCPMC4962092
OpenAlexW2481338934

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.