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  1. Economic costs of expanded criteria donors in renal transplantation.

    Article, Communication - En anglais

    Annual Meeting of the American Society of Transplant Surgeons. Chicago, IL, USA, 1997/05/11.

    Background

    The organ shortage has increased interest in the use of « expanded criteria » donors (ECDs).

    Although much has been written concerning the clinical outcomes associated with the use of such donors, little has been published concerning the financial results associated with their use.

    Methods

    A retrospective cost identification study of recipients of kidneys from expanded criteria cadaveric donors was used.

    Results

    Of a total of 78 cadaveric renal transplants in fiscal year 1995, there were 38 kidneys (49%) transplanted from ECDs.

    Graft survival at 1 year was not statistically different between patients who received kidneys from ECDs and those who received non-ECD kidneys (84% vs. 85%, respectively).

    Length of stay (P<0.05), serum creatinine at 1 year after transplantation (P<0.01), and the percentage of patients requiring hemodialysis (P<0.05) were all higher among patients who received kidneys from ECDs.

    Cold ischemic time was significantly longer in patients who received kidneys from ECDs (31.4±12 hr vs. 24.0±9 hr ; P<0.05).

    The total average and median costs were $12,190 and $10,911 higher in recipients of kidneys from ECDs as compared with non-ECD controls (P<0.01).

    Stepwise linear regression demonstrated that length of stay was the major clinical determinant of total costs ; only the use of antilymphocyte induction was otherwise significantly associated. (...)

    Mots-clés Pascal : Don organe, Homme, Economie santé, Rein, Critère sélection, Donneur

    Mots-clés Pascal anglais : Organ donation, Human, Health economy, Kidney, Selection criterion, Donor

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0127890

    Code Inist : 002B27C. Création : 22/06/1998.