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. 2011 Oct 12;81(3):307–313. doi: 10.1038/ki.2011.338

Table 1. Cost model (all figures presented in 2010 US dollars).

  Canada
Australia
United Kingdom
  Year 1
Subsequent years
Year 1
Subsequent years
Year 1
Subsequent years
  ICHD CHHD FHHD ICHD CHHD FHHD ICHD CHHD FHHD ICHD CHHD FHHD ICHD CHHD FHHD ICHD CHHD FHHD
Total costs 44,801 42,462 51,453 44,461 32,398 41,389 52,614 49,174 57,527 52,274 40,225 48,578 45,374 46,218 57,898 45,034 37,762 49,442
Patient evaluation/recruitment, training costs   6862a 6862a   1864a 1864a   6588a 6588a   2159a 2159a   5285a 5285a   1690a 1690a
Home preparation   2500b 2500b         1954c 1954c         2295d 2295d      
Machine costs 1429b 7200b 7200b 1429b 7200b 7200b 1429b 7200b 7200b 1429b 7200b 7200b 1259d 4398d 4398d 1259d 4398d 4398d
Pump   525e 525e         525e 525e         525e 525e      
Consumables and peripheral costs 5510f 8047g 16,014g 5510f 8047g 16,014g 9966c 9966c 20,367c 9966c 9966c 20,367c 12,290d 12,290d 24,580d 12,290d 12,290d 24,580d
Total allied health-care costs 12,324a 1503a 1503a 12,324a 1503a 1503a 17,467c 4108c 4108c 17,467c 4108c 4108c 10,510d 4920d 4920d 10,510d 4920d 4920d
Medical equipment 390b 2340b 2340b 50b 300b 300b 390b 2340b 2340b 50b 300b 300b 390b 2340b 2340b 50b 300b 300b
Renal medication costs (total) 7312h 5335g 6970g 7312h 5335g 6970g 10,020c 10,020c 10,020c 10,020c 10,020c 10,020c 4,870d 4870d 4870d 4870d 4870d 4870d
Dialysis-related laboratory costs 1071f 1565g 1173g 1071f 1565g 1173g 1071f 1565g 1173g 1071f 1565g 1173g 1071f 1565g 1173g 1071f 1565g 1173g
Costs of in-center runs   1672i 1672i   1672i 1672i   1672i 1672i   1672i 1672i   2761d 2761d   2761d 2761d
Facility costs 10,624f     10,624f     5948c     5948c     8405d     8405d    
Dialysis water and electricity costs   2155f 3592f   2155f 3592f   478c 478c   478c 478c   2155f 3592f   2155f 3592f
Travel costs to and from dialysis 1613j     1613j     1795k     1795k     2051d 57 d 57 d 2051d 57d 57d
Hospitalization costs 4529l 2757l 1102g 4529l 2757l 1102g 4529l 2757l 1102g 4529l 2757l 1102g 4529l 2757l 1102g 4529l 2757l 1102g

Abbreviations: CHHD, conventional home hemodialysis; FHHD, frequent home hemodialysis; ICHD, in-center hemodialysis.

a

Data on hours from Komenda et al.35 Costs calculated using country-specific wages.

b

Estimate based on literature and author experience—amortized over 8 years or annual rental.

c

See Agar et al.2

d

See Mowatt et al.22

e

Pump cost assumptions based on data for Abbott Lifecare 5000 Pump Infusion System.

f

See McFarlane et al.26

g

See Kroeker et al.21

h

See Lee et al.15

i

Assumption of 11 in-center runs per year at $152 per run, which is the Medicare reimbursement rate for such a run.

j

Assumes Canadian reimbursement rate of $0.53 per km at 10 km one way for 3 visits per week for 1 year (Canadian Revenue Agency).

k

Assumes Australian reimbursement rate of $0.63 per km at 10 km one way for 3 visits per week for 1 year (Australian Taxation Office).

l

See McFarlane et al.6