Table 2. Survival probability and direct health care costs for patients with incident CKF requiring dialysis according to different definitions.
Definition | Incident cases, n |
Survival probability*1, % [95% CI] |
Direct health care costs*2 (in €) within 6 months following incident CKF requiring dialysis, rate per person-month [95% CI]*3 | ||||
At 3 months | At 6 months | Outpatient | Inpatient | Drugs | Total | ||
a) Gandjour et al., 2020 (10) | 190 | 82.1 [76.8; 87.7] | 70.8 [64.4; 77.8] | 1864 [1653; 2053] | 4067 [3127; 5242] | 661 [520; 825] | 6797 [5824; 8010] |
b) Kolbrink et al., 2023 (3) | 178 | 70.2 [63.8; 77.3] | 60.5 [53.4; 68.6] | 1906 [1680; 2118] | 6556 [4969; 8509] | 606 [466; 767] | 9606 [8055; 11527] |
c) Lonnemann et al., 2017 (13) | 213 | 74.2 [68.5; 80.3] | 63.1 [56.7; 70.3] | 1554 [1358; 1760] | 5503 [4333; 6908] | 564 [438; 713] | 8020 [6820; 9377] |
d) Schellartz et al., 2021 (14) | 241 | 71.8 [66.3; 77.7] | 61.4 [55.3; 68.3] | 2057 [1847; 2246] | 6227 [5019; 7626] | 600 [494; 737] | 9445 [8267; 10,808] |
e) Billing rationale | 134 | 88.1 [82.7; 93.7] | 81.3 [74.7; 88.4] | 2930 [2762; 3121] | 2061 [1582; 2611] | 807 [639; 1.012] | 6010 [5471; 6632] |
*1 The survival probability was calculated using the Kaplan–Meier method taking censoring into account (31st December or death within an individual year).
*2 The direct health care costs from an SHI perspective was determined as all outpatient and inpatient case costs as well as drug costs within 6 months following incident dialysis (index date) with censoring on death or on 31st December of the respective year. All drugs costs with a dispensing date and case costs with a final billing date within the follow-up period were included. Costs were adjusted to the cost level in 2018 according to purchasing power parity (OECD).
*3 The rate per person-month was calculated as the sum of costs divided by the sum of person-time in months in the follow-up period. Bootstrapping with 1000 replications was used to determine 95% confidence intervals.
CKF, chronic renal failure; 95% CI, 95% confidence interval.