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Titolo Hospital resource utilization that occurs with, rather than because of, kidney failure in patients with end-stage renal disease
Autore E.A. Ross, R.E. Alza, N.N. Jadeja
Referenza Clin J Am Soc Nephrol 2006; doi:10.2215/CJN.01210406
Contenuto More than $18 billion annually is attributed to care of patients with ESRD, with the perception of high renal costs for a relatively small population. It was proposed that accounting methods exaggerate resource utilization that often occurs with rather than because of kidney failure. The dialysis patients in this study had nearly all of their care at university facilities with one financial database. For 1 yr, 112 chronic hemodialysis patients were studied using demographic, insurance, and hospital facility (diagnoses, length of stay, charges, costs, and net income) variables. Substantial inpatient costs and hospitalizations were for nonrenal primary diagnoses, including malignancies, substance abuse, trauma, HIV, and psychiatric diseases: 37% of admissions, 36% of inpatient days, and 32% of charges. The true costs for medical care that results from ESRD are not as high as publicized, as a result of misclassification of inpatient expenses from nonrenal comorbidities. When not confounded by analyses that use data means, it is clear that substantial numbers of hemodialysis patients have very brief hospitalizations with low resource utilization.
Data 14.09.2006
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