Table 1. Cost model (all figures presented in 2010 US dollars).
Canada |
Australia |
United Kingdom |
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---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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.
Data on hours from Komenda et al.35 Costs calculated using country-specific wages.
Estimate based on literature and author experience—amortized over 8 years or annual rental.
See Agar et al.2
See Mowatt et al.22
Pump cost assumptions based on data for Abbott Lifecare 5000 Pump Infusion System.
See McFarlane et al.26
See Kroeker et al.21
See Lee et al.15
Assumption of 11 in-center runs per year at $152 per run, which is the Medicare reimbursement rate for such a run.
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).
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).
See McFarlane et al.6