Hemodialysis and Peritoneal Dialysis in Germany from a Health Economic View-A Propensity Score Matched Analysis.
ESRD
German statutory health insurance
claims data
costs
hemodialysis
peritoneal dialysis
propensity score
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
27 10 2022
27 10 2022
Historique:
received:
02
09
2022
revised:
19
10
2022
accepted:
25
10
2022
entrez:
11
11
2022
pubmed:
12
11
2022
medline:
15
11
2022
Statut:
epublish
Résumé
Hemodialysis (HD) and peritoneal dialysis (PD) are deemed medically equivalent for therapy of end-stage renal disease (ESRD) and reimbursed by the German statutory health insurance (SHI). However, although the home dialysis modality PD is associated with higher patient autonomy than HD, for unknown reasons, PD uptake is low in Germany. Hence, we compared HD with PD regarding health economic outcomes, particularly costs, as potentially relevant factors for the predominance of HD. Claims data from two German health insurance funds were analysed in a retrospective cohort study regarding the prevalence of HD and PD in 2013-2016. Propensity score matching created comparable HD and PD groups ( Total direct annual average costs were higher for HD (€47,501) than for PD (€46,235), but not significantly ( PD has a slight non-significant cost advantage over HD, especially when considering transportation costs.
Sections du résumé
BACKGROUND
Hemodialysis (HD) and peritoneal dialysis (PD) are deemed medically equivalent for therapy of end-stage renal disease (ESRD) and reimbursed by the German statutory health insurance (SHI). However, although the home dialysis modality PD is associated with higher patient autonomy than HD, for unknown reasons, PD uptake is low in Germany. Hence, we compared HD with PD regarding health economic outcomes, particularly costs, as potentially relevant factors for the predominance of HD.
METHODS
Claims data from two German health insurance funds were analysed in a retrospective cohort study regarding the prevalence of HD and PD in 2013-2016. Propensity score matching created comparable HD and PD groups (
RESULTS
Total direct annual average costs were higher for HD (€47,501) than for PD (€46,235), but not significantly (
CONCLUSIONS
PD has a slight non-significant cost advantage over HD, especially when considering transportation costs.
Identifiants
pubmed: 36360885
pii: ijerph192114007
doi: 10.3390/ijerph192114007
pmc: PMC9653857
pii:
doi:
Banques de données
DRKS
['DRKS00012555']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Références
Int J Environ Res Public Health. 2021 Aug 07;18(16):
pubmed: 34444109
Blood Purif. 2015;40(4):320-5
pubmed: 26657278
Health Qual Life Outcomes. 2020 Jun 18;18(1):191
pubmed: 32552800
Appl Health Econ Health Policy. 2014 Aug;12(4):409-20
pubmed: 25017433
Clin Nephrol. 2018 Aug;90(2):94-101
pubmed: 29578403
Sci Rep. 2019 Jul 16;9(1):10266
pubmed: 31312004
Gesundheitswesen. 2021 Oct;83(10):818-828
pubmed: 33450773
J Am Soc Nephrol. 2012 Aug;23(8):1291-8
pubmed: 22677554
Clin Ther. 2009 Apr;31(4):880-8
pubmed: 19446160
Med Care. 2005 Nov;43(11):1130-9
pubmed: 16224307
Nephrol Dial Transplant. 2011 May;26(5):1634-40
pubmed: 20959344
PLoS One. 2020 Jan 6;15(1):e0227297
pubmed: 31907493
Nephrol Dial Transplant. 2009 Apr;24(4):1293-7
pubmed: 19033252
Nephrol Dial Transplant. 2010 May;25(5):1647-52
pubmed: 20008830
BMC Nephrol. 2013 Sep 10;14:192
pubmed: 24020978
Clin J Am Soc Nephrol. 2016 Sep 7;11(9):1606-14
pubmed: 27464838
Nephrol Dial Transplant. 2013 Oct;28(10):2553-69
pubmed: 23737482
BMJ Open. 2019 May 27;9(5):e027229
pubmed: 31133590
Sci Rep. 2016 Jul 27;6:30266
pubmed: 27461186
Perit Dial Int. 2002 Jul-Aug;22(4):463-70
pubmed: 12322817
Kidney Int Rep. 2018 Oct 16;4(2):275-284
pubmed: 30775624
Nephrol Dial Transplant. 2005 Oct;20(10):2159-67
pubmed: 16046520
Adv Chronic Kidney Dis. 2011 Nov;18(6):428-32
pubmed: 22098661
Blood Purif. 2021;50(3):370-379
pubmed: 33120394
J Chronic Dis. 1987;40(5):373-83
pubmed: 3558716
J Am Soc Nephrol. 2012 Mar;23(3):533-44
pubmed: 22302194
Perit Dial Int. 2008 Jun;28 Suppl 3:S15-20
pubmed: 18552246
PLoS One. 2020 Apr 24;15(4):e0231375
pubmed: 32330140
Am J Kidney Dis. 2018 Mar;71(3):344-351
pubmed: 29174322
Int J Health Care Finance Econ. 2007 Sep;7(2-3):185-200
pubmed: 17701342
Nephrol Dial Transplant. 2013 Mar;28(3):732-40
pubmed: 23048174
Clin J Am Soc Nephrol. 2006 Nov;1(6):1191-6
pubmed: 17699347