The economic cost of dialysis: a comparison between peritoneal dialysis and in-center hemodialysis in a Spanish unit.

摘要: We have studied the economic cost of dialysis therapy in our area (public setting) during 1994, comparing different modalities in-center hemodialysis (HD) and home peritoneal (PD). Analyzed costs included: personnel, drug expenditure, disposable (dialysis- non-dialysis-related), laboratory, other services, indirect costs, maintenance redemption, hospital admissions, transport, supplies. The final per patient year (in 1994 US$) was: hemodiafiltration (AN69 filter, bicarbonate buffer) $58,890; HD polymethylmethacrylate filter buffer $55,076; cuprophane acetate $49,767; CAPD $31,201; automated PD $42,519. main expenditure sections were: supply admissions for patients, expenditures, material, transport patients. Home has a significantly lower than any modality.