ArticleScientific reports2023
Healthcare costs after kidney transplantation compared to dialysis based on propensity score methods and real world longitudinal register data from Sweden.
Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Allograft nephrectomy: a systematic review of immunological consequences and management of immunosuppressants.Transplant international : official journal of the European Society for Organ Transplantation · 2026Pooled it
- Barriers and facilitators of deceased organ donation among Pakistanis living globally: a systematic review.BMJ open · 2025Pooled it
- Review
- Sequential Computed Tomography Morphometry-derived Muscle Loss Is Associated With Kidney Dysfunction and Mortality in Kidney Transplant Recipients Undergoing Serial Clinically Indicated Computed Tomography Imaging.Transplantation direct · 2026Article
- Xenotransplantation in Nephrology: A Narrative Review.Journal of personalized medicine · 2026Review
- Exploring the challenges: main contraindications in organ donation in ColombiaBiomedica : revista del Instituto Nacional de Salud · 2026Article
- Contribution and Vulnerabilities of Non-US Citizens as Kidney Donors: Analysis of the UNOS/OPTN Database.Journal of immigrant and minority health · 2026Article
- Predicting EQ-5D-3L utility values from clinical data in a prospective cohort of kidney transplant recipients.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Observational
- Annual Out-of-Pocket Medical Costs and Financial Toxicity Among Transplant Recipients in the United States.Journal of general internal medicine · 2026Article
- Kidney transplantation versus maintenance dialysis in 14 EU countries: cost savings, payback time, and budget impact.Frontiers in public health · 2026Article
- Evaluating the efficacy of basiliximab versus no induction in low-immunological-risk kidney transplant recipients: a propensity score matched analysis.Renal failure · 2025Article
- Cost-effectiveness of eCPR: accounting for organ donation.Critical care (London, England) · 2025Article
- The Swedish Renal Registry: a nationwide registry for chronic kidney disease of all stages.Clinical kidney journal · 2025Article
- Opportunities and challenges with the implementation of normothermic machine perfusion in kidney transplantation.Nature communications · 2025Review
- Factors Influencing the Information Support Provided by Health Care Professionals to Patients in a Dialysis Center Regarding Kidney Transplantation: A Nationwide Study.Transplant international : official journal of the European Society for Organ Transplantation · 2025Article
- Phase-specific kidney graft failure prediction with machine learning model.Frontiers in artificial intelligence · 2025Article
- Elective semaglutide prescription enabled waitlisting and transplantation of otherwise ineligible obese renal transplant candidates.Frontiers in transplantation · 2025Article
- Push toward pre-emptive kidney transplantation - for sure?Clinical kidney journal · 2024Review
- Socioeconomic disparities in kidney transplant access for patients with end-stage kidney disease within the All of Us Research Program.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Assessing Pharmacokinetics and Safety of Therapeutic Alpha-1-Microglobulin in First-in-Human Kidney Transplantation: A Noncomparative Open-Label Multiple-Dose Phase 1b Study.Transplantation direct · 2024Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aimed to estimate the healthcare costs of kidney transplantation compared with dialysis using a propensity score approach to handle potential treatment selection bias. We included 693 adult wait-listed patients who started renal replacement therapy between 1998 and 2012 in Region Skåne and Stockholm County Council in Sweden. Healthcare costs were measured as annual and monthly healthcare expenditures. In order to match the data structure of the kidney transplantation group, a hypothetical kidney transplant date of persons with dialysis were generated for each dialysis patient using the one-to-one nearest-neighbour propensity score matching method. Applying propensity score matching and inverse probability-weighted regression adjustment models, the potential outcome means and average treatment effect were estimated. The estimated healthcare costs in the first year after kidney transplantation were €57,278 (95% confidence interval (CI) €54,467-60,088) and €47,775 (95% CI €44,313-51,238) for kidney transplantation and dialysis, respectively. Thus, kidney transplantation leads to higher healthcare costs in the first year by €9,502 (p = 0.066) compared to dialysis. In the following two years, kidney transplantation is cost saving [€36,342 (p < 0.001) and €44,882 (p < 0.001)]. For patients with end-stage renal disease, kidney transplantation reduces healthcare costs compared with dialysis over three years after kidney transplantation, even though the healthcare costs are somewhat higher in the first year. Relating the results of existing estimates of costs and health benefits of kidney transplantation shows that kidney transplantation is clearly cost-effective compared to dialysis in Sweden.
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