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. 2024 Oct 18;12(20):2074.
doi: 10.3390/healthcare12202074.

Cost Analysis of End-Stage Renal Disease in Pediatric Patients in Greece

Christos Ntais  1 , Konstantina Loizou  2 , Costas Panagiotakis  3 , Nikolaos Kontodimopoulos  2   4 , John Fanourgiakis  2   3
Affiliations

Cost Analysis of End-Stage Renal Disease in Pediatric Patients in Greece

Christos Ntais et al. Healthcare (Basel). .

Abstract

Background/objectives: The cost resulting from peritoneal dialysis (PD), conventional hemodialysis (HD) and online hemodiafiltration (OL-HDF) in pediatric patients with end-stage renal disease (ESRD) has not been estimated to date in Greece. The present single-center retrospective study aimed to estimate the mean annual cost of the above methods, as well as the individual components of this cost.

Methods: Twenty pediatric patients undergoing the three different methods of renal replacement therapy were included in this study. Their mean total annual cost was estimated by the method of micro-costing and the bottom-up approach.

Results: The mean total annual cost for PD patients (n = 7) was estimated at EUR 56,676.04; for conventional HD patients (n = 9), it was EUR 39,786.86; and for OL-HDF patients (n = 4), it was EUR 43,894.73. The PD method was found to be more expensive than the other two methods (p < 0.001 vs. conventional HD and p = 0.024 vs. OL-HDF). PD consumables used for daily application had the greatest contribution to the total annual cost. The total mean annual cost in the groups of patients undergoing HD and OL-HDF did not differ significantly (p = 0.175). The total operating cost of the renal dialysis unit had the greatest contribution to the total mean annual costs of both the conventional HD and OL-HDF techniques.

Conclusions: This cost analysis provides useful information to healthcare policymakers who make decisions about the treatment of children with ESRD.

Keywords: conventional hemodialysis; cost analysis; economic evaluation; end-stage renal disease; online hemodiafiltration; peritoneal dialysis.

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Conflict of interest statement

The authors declare no conflicts of interest.

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