%0 Journal Article
%T Costo-utilidad del trasplante renal frente a la hemodi¨¢lisis en el tratamiento de la insuficiencia renal cr¨®nica terminal en un hospital peruano
%A Loza-Concha
%A Ricardo E.
%A Quispe
%A Antonio M.
%J Revista Peruana de Medicina Experimental y Salud P¨²blica
%D 2011
%I Instituto Nacional de Salud
%R 10.1590/S1726-46342011000300005
%X objectives. to assess and compare the cost utility of the cadaveric donor renal transplant (cdrt) at the hospital nacional guillermo almenara irigoyen between 2000 to 2001, against haemodialysis (hd), 5 years after treatment initiation. materials and methods. a cost utility study design was used, which evaluated every patient continuing treatment after 5 years of having the cdrt done, and 2 controls consisting in patients having received hd for 5 years, matched by age, sex and disease duration. the costs of each procedure and their quality-adjusted life years (qaly¡äs) were evaluated using the questionnaire of quality of life sf-36v2tm, finally calculating the cost utility (cu) and incremental cost utility (icu) ratios. results. fifty-eight cdrt were performed between 2000-1. five years later, 17 (29%) patients died and only 27 (47%) continued the treatment after cdrt. out of the 31 patients (53%) having treatment failures, 26% rejected the transplant, 55% presented a complication and 19% were irregular. the mean sf-36v2tm scores obtained by the cdrt and hd patients were 95¡À12 and 87¡À18 points, respectively. the qalys obtained by the cdrt and hd groups were 251 and 229 points, respectively; the cu ratios for the cdrt and hd were usd 11,984 and usd 9,243; and the icu ratio for the period was usd 40,669. conclusions. cdrts performed during the years 2000-1 at the hngai, were 5 years later surprisingly less cost effective than the hd and cdrt¡äs performed at year 2000 had a lower incremental cost utility ratio that those performed the 2001, probably because of the highest rate of irregular treatment.
%K renal replacement therapy
%K hemodialysis
%K cost utility
%K quality adjusted life year
%K quality of life
%K peru.
%U http://www.scielosp.org/scielo.php?script=sci_abstract&pid=S1726-46342011000300005&lng=en&nrm=iso&tlng=en