Table 4.
Unadjusted annual medical costs per patient by types of renal replacement therapies, in Chinese Yuan (CNY)
| Overall HD | Overall PD | Difference (99.17%CI) | P value | KT (first year) | KT (second year) | Difference (99.17%CI) | P value | |
|---|---|---|---|---|---|---|---|---|
| Composition of total costs | 3765 | 1237 | 117 | 41 | ||||
| Total annual medical costs | ||||||||
| Mean | 94,674.7 | 80,734.6 | 13,940.1 (10,825.5–17,054.7) | 0.000a | 132,345.4 | 93,316.2 | 39,029.2 (22,547.6–55,510.8) | 0.000a |
| SD | 45,034.2 | 32,459.0 | 39,385.0 | 31,350.6 | ||||
| Laboratory and diagnostic costs | ||||||||
| Percentage of total cost (%) | 0.8 | 0.4 | 1.8 | 0.2 | ||||
| Mean | 730.1 | 307.7 | 422.4 (258.7–586.2) | 0.000a | 2324.9 | 187.3 | 2137.6 (1730.8–2544.5) | 0.000a |
| SD | 2870.4 | 1432.1 | 1337.5 | 567.2 | ||||
| Non-medication treatment costs | ||||||||
| Percentage of total cost (%) | 77.9 | 12.9 | 27.5 | 6.4 | ||||
| Mean | 73,747.8 | 10,377.7 | 63,370.1 (61,632.0–65,108.1) | 0.000a | 36,421.5 | 5996.1 | 30,425.4 (27,096.7–33,754.1) | 0.000a |
| SD | 27,286.9 | 17,060.3 | 12,483.6 | 2969.6 | ||||
| Medication costs | ||||||||
| Percentage of total cost (%) | 20.6 | 86.2 | 67.8 | 93.4 | ||||
| Mean | 19,498.0 | 69,633.0 | −50,135.1 (−52,198.9 - -48,071.3) | 0.000a | 89,668.5 | 87,130.6 | 2537.9 (−12,788.2–17,863.9) | 0.654a |
| SD | 18,190.4 | 25,409.8 | 32,098.5 | 30,766.0 | ||||
| Bed Fees | ||||||||
| Percentage of total cost (%) | 0.4 | 0.3 | 1.7 | 0.0 | ||||
| Mean | 349.4 | 265.6 | 83.8 (−1.3–168.9) | 0.009a | 2235.5 | 0.0 | 2235.5 (1619.5–2851.4) | 0.000a |
| SD | 1406.7 | 795.6 | 2480.8 | 0.0 | ||||
| Other fees | ||||||||
| Percentage of total cost (%) | 0.4 | 0.2 | 1.3 | 0.0 | ||||
| Mean | 354.1 | 150.6 | 203.5 (116.7–290.4) | 0.000a | 1695.0 | 2.2 | 1692.8 (1519.3–1866.3) | 0.000a |
| SD | 1166.2 | 943.2 | 698.5 | 13.2 | ||||
| Out-of-pocket spending | ||||||||
| Percentage of total cost (%) | 13.0 | 14.3 | −1.1 (−2.0 - -0.3) | 0.000b | 23.7 | 16.8 | 6.9 (3.2–10.8) | 0.000b |
| Mean | 12,323.9 | 11,516.7 | 807.2 (−49.2–1663.5) | 0.013a | 31,378.6 | 15,703.6 | 15,675 (9026.7–22,323.3) | 0.000a |
| SD | 11,461.9 | 9318.3 | 17,453.4 | 11,971.4 | ||||
HD Haemodialysis, PD Peritoneal Dialysis, KT Kidney Transplantation
UEBMI, Urban Employee-based Basic Medical Insurance scheme; URBMI, Urban Resident-based Basic Medical Insurance scheme;
ap-values were based on the independent two-sample T-test; bp-values were based on the two-proportion Z-test. A Bonferroni adjustment was applied: the adjusted alpha level was 0.0083 (alpha = 0.05/6) and 99.17% Confidence Intervals (CI) were presented