Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospital

PURPOSE:To perform a cost analysis of simultaneous pancreas-kidney transplantation (SPKT) in a Brazilian hospital.METHODS:Between January 2008 and December 2011, 105 consecutive SPKTs at the Hospital of Kidney and Hypertension in São Paulo were evaluated. We evaluated the patient demographics, payme...

Descripción completa

Detalles Bibliográficos
Autores: Salzedas-Netto, Alcides Augusto [UNIFESP], Gonzalez, Adriano Miziara [UNIFESP], Fagundes, Ulysses [UNIFESP], Linhares, Marcelo Moura [UNIFESP], Vicentine, Fernando Pompeu Piza, Romero, Luis Ramiro Núñez, Martins, Jose Luiz [UNIFESP], Pestana, Jose Osmar Medina [UNIFESP], Oliva, Carlos Alberto Garcia
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/8654
Acceso en línea:http://dx.doi.org/10.1590/S0102-86502014001800009
http://repositorio.unifesp.br/handle/11600/8654
Access Level:acceso abierto
Palabra clave:Pancreas Transplantation
Kidney Transplantation
Costs and Cost Analysis
Descripción
Sumario:PURPOSE:To perform a cost analysis of simultaneous pancreas-kidney transplantation (SPKT) in a Brazilian hospital.METHODS:Between January 2008 and December 2011, 105 consecutive SPKTs at the Hospital of Kidney and Hypertension in São Paulo were evaluated. We evaluated the patient demographics, payment source (public health system or supplementary system), and the impact of each hospital cost component. The evaluated costs were corrected to December 2011 values and converted to US dollars.RESULTS:Of the 105 SPKT patients, 61.9% were men, and 38.1% were women. Eight patients died, and 97 were discharged (92.4%). Eighty-nine procedures were funded by the public health system. The cost for the patients who were discharged was $18.352.27; the cost for the deceased patients was $18.449.96 (p = 0.79). The FOR for SPKT during this period was positive at $5,620.65. The costs were distributed as follows: supplies, 36%; administrative costs, 20%; physician fees, 15%; intensive care unit, 10%; surgical center, 10%; ward, 9%.CONCLUSION:Mortality did not affect costs, and supplies were the largest cost component.