Volume 14, Number 4 (12-2015)                   jhosp 2015, 14(4): 21-28 | Back to browse issues page


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Goudarzi R, Yaghoubi S, Barouni M, Etminan A, Baneshi M R, Mohamadi B. Cost – effectiveness Analysis of Dialysis and Kidney Transplant using DALY in Afzalipour Hospital of Kerman. jhosp. 2015; 14 (4) :21-28
URL: http://jhosp.tums.ac.ir/article-1-5444-en.html

1- Assistant Professor Kerman University of Medical Sciences , Rgoudarzi@yahoo.com
2- MSc student in Health Economics Kerman University of Medical Sciences
3- Assistant Professor Kerman University of Medical Sciences
4- Associate Professor Kerman University of Medical Sciences
Abstract:   (4369 Views)

Background: Chronic renal failure disease is considered as a health problem . Because of their high prevalence and economic burden on the society, health system managers consider to the disease as a public health concern.  This study aimed at comparing the cost-effectiveness of long-term dialysis treatments and kidney transplant using DALY index.

Materials and Methods:This cross-sectional study was designed to compare the cost-effectiveness of two methods such as long-term hemodialysis and kidney transplant using Disability Adjusted Life Years (DALY) in Afzalipour Hospital of Kerman in 2012. The decision tree model and TreeAge software were used for data analysis. In this research, costs and effects were studied from the patient perspective.

Results: The cost of a kidney transplant was 165 million Rials, effectiveness of a kidney transplant was 4.40 DALY, chronic dialysis cost was 1.283 billion Rials and its effectiveness was 6.52 DALY. Cost-effectiveness ratio for dialysis was 196 million Rials per DALY and this ratio is 37 million Rials per DALY for a kidney transplant respectively. According to the findings, kidney transplant is more cost effective than dialysis.

Conclusion: This study suggests kidney transplant over dialysis due to its better quality of life and more life expectancy. The results can help out the government to decide about the more resource allocation to kidney transplant programs. The method in this research can be applied to measure the cost-effectiveness of other organs transplantation.

Full-Text [PDF 348 kb]   (1268 Downloads)    
Type of Study: Original Article | Subject: سایر
Received: 2015/01/18 | Accepted: 2015/10/5 | Published: 2015/12/13

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