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THE COSTS OF DOMICILIARY MAINTENANCE HEMODIALYSIS A COMPARISON WITH ALTERNATIVE RENAL REPLACEMENT REGIMENS

1973; Wiley; Volume: 1; Issue: 4 Linguagem: Inglês

10.5694/j.1326-5377.1973.tb119695.x

1326-5377

John H. Stewart, N. D. Topp, S. Peña Martín, Elanor Schawrowas, Yvonne Flaus, A. G. R. Sheil, J. F. Mahony,

Central Venous Catheters and Hemodialysis

The cost of establishing a patient on hemodialysis in his own home and of maintaining treatment there has been calculated from the records of a dialysis unit devoted entirely to domiciliary treatment. Provision of equipment, training for self-supervised dialysis and home alterations cost $5,000 per patient for hollow fibre dialysis and $6,000 per patient for Kiil diaylsis. Running expenses of home dialysis have been $3,800 per patient per year for hollow fibre dialysis and $2,600 for Kiil dialysis. The cost of in-patient maintenance dialysis was $7,400 per patient per year, and the cost of obtaining a cadaveric renal allograft was $8,900 when pretransplantation hospital dialysis, operation fees, and postoperative in-patient care were included.