Evidence map›Paper›PMID 31133590›Full record

ArticleBMJ open2019

End-stage renal disease-financial costs and years of life lost in Panama: a cost-analysis study.

Ilais Moreno Velásquez, Maribel Tribaldos Causadias, Régulo Valdés, Beatriz Gómez, Jorge Motta, César Cuero, Víctor Herrera-Ballesteros

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 21% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  10. Psychosocial, Spiritual, and Biomedical Predictors of Hope in Hemodialysis Patients.International journal of nephrology and renovascular disease · 2020
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  11. Review
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 1 institution in 1 country.

Ilais Moreno VelásquezGorgas Memorial Institute for Health Studies, Panama, Panama.
Maribel Tribaldos CausadiasGorgas Memorial Institute for Health Studies, Panama, Panama.
Régulo ValdésCaja de Seguro Social, Panama, Panama.
Beatriz GómezGorgas Memorial Institute for Health Studies, Panama, Panama.
Jorge MottaGorgas Memorial Institute for Health Studies, Panama, Panama.
César CueroOrganización Panameña de Trasplante, Ministerio de Salud Panama, Panama, Panama.
Víctor Herrera-BallesterosGorgas Memorial Institute for Health Studies, Panama, Panama.
Instituto Conmemorativo Gorgas de Estudios de la Salud · PA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCentral America is a region with an elevated burden of chronic kidney disease (CKD); however, the cost of treatment for end-stage renal disease (ESRD) remains an understudied area. This study aimed to investigate the direct costs associated with haemodialysis (HD) and peritoneal dialysis (PD) in public and private institutions in Panama in 2015, to perform a 5-year budget impact analysis and to calculate the years of life lost (YLL) due to CKD.

designA retrospective cost-analysis study using hospital costs and registry-based data.

settingData on direct costs were derived from the public and private sectors from two institutions from Panama. Data on CKD-related mortality were obtained from the National Mortality Registry.

methodsA budget impact analysis was performed from the payer perspective, and five scenarios were estimated, with the assumption that the mix of dialysis modality use shifts towards a greater use of PD over time. The YLL due to CKD was calculated using data recorded between 1 January 2015 and 31 December 2015. The linear method was utilised for the analyses with the population aged 20-77 years old.

resultsIn 2015, the total costs for dialysis in the public sector ranged from ~US$7.9  million (PD) to US$62  million (HD). The estimated costs were higher in the scenario in which a decrease in PD was assumed. The average annual loss due to CKD was 25 501 808.40 US$-YLL.

conclusionESRD represents a major challenge for Panama. Our results suggest that an increased use of PD might provide an opportunity to substantially lower overall ESRD treatment costs.

Indexed as

Cost of IllnessAdultAgedCosts and Cost AnalysisFemaleHealth Care CostsHumansKidney Failure, ChronicMaleMiddle AgedPanamaRenal DialysisRetrospective StudiesYoung Adultchronic renal failurecostsdialysispanamayears of life lost

Identifiers

PMID31133590
PMCPMC6538204
OpenAlexW2947864137

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.