말기신부전 환자의 삶의 질 측정을 통한 신이식과 혈액투석 치료방법의 경제성 평가Quality of Life among End-stage Renal Disease Treatments and Economic Evaluation of Renal Transplantation and Hemodialysis Treatments
- Other Titles
- Quality of Life among End-stage Renal Disease Treatments and Economic Evaluation of Renal Transplantation and Hemodialysis Treatments
- Authors
- 전경옥; 손선영; 함명일; 김순일
- Issue Date
- 2015
- Publisher
- 대한이식학회
- Keywords
- Cost-benefit analysis; Kidney transplantation; Hemodialysis; Chronic kidney failure; 비용-효용분석; 신장이식; 혈액투석; 말기신부전
- Citation
- 대한이식학회지, v.29, no.4, pp 200 - 208
- Pages
- 9
- Journal Title
- 대한이식학회지
- Volume
- 29
- Number
- 4
- Start Page
- 200
- End Page
- 208
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/11089
- ISSN
- 1598-1711
2508-2604
- Abstract
- Background: Although renal transplantation is known as the best treatment for patients with end-stage renal disease, there are few of literature to identify economic evaluation of renal replacement therapies in Korea. This study was conducted to determine the cost-effectiveness of renal replacement treatments, particularly renal transplantation and hemodialysis.
Methods: We used the quality adjusted life year (QALY) calculated from survey data, which was collected from 124 patients who underwent kidney transplantation and 90 patients who were receiving hemodialysis. Medical costs were collected from five hospitals in Korea. The ERA-EDTA registry data (European Renal Association-European Dialysis and Transplant Association) were used for transition probability. A Markov model was used for predicting the cost-utility of transplantation and hemodialysis over the 10-year period.
Results: Renal transplantation offers lower cost and better outcome compared to hemodialysis. QALY per year of transplantation patients is higher than that of hemodialysis patients (transplantation 0.9465 vs. hemodialysis 0.8297). Cost per QALY gained is 15,566,000 won in transplantation patients whereas 32,765,000 won per QALY gained in hemodialysis patients was required.
Conclusions: Although cost of first year after transplantation was expensive, over 2 years, transplantation was more effective and less costly than hemodialysis. The results suggest that transplantation is more cost-effective than hemodialysis in Korea.
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