Table 3.
Mean costs associated with first-time hemodialysis access creation by access type, reported in United States dollars ($USD) and adjusted for inflation; AVF, arteriovenous fistula; AVG, arteriovenous graft
| Total | 95% CI | AVF | 95% CI | AVG | 95% CI | P value | |
|---|---|---|---|---|---|---|---|
| Total costs ($USD) | |||||||
| Year 0 | 10,658 | 10,510–10,805 | 9,388 | 9,236–9,541 | 13,539 | 13,223–13,856 | <0.0001 |
| Year 1 | 2,019 | 1,873–2,165 | 1,603 | 1,463–1,743 | 2,894 | 2,554–3.234 | <0.0001 |
| Year 2 | 1,685 | 1,517–1,854 | 1,321 | 1,152–1,491 | 2,487 | 2,101–2,874 | <0.0001 |
| Year 3 | 1,547 | 1,340–1,755 | 1,244 | 1,036–1,452 | 2,2 0 | 1,7 7–2,763 | <0.0001 |
| Year 4 | 1,261 | 1,039–1,482 | 1,144 | 902–1,387 | 1,5 49 | 1,068–2,030 | 0.1051 |
| Year 5 | 1,329 | 1,036–1,623 | 1,206 | 878–1,534 | 1,643 | 1,022–2,263 | 0.1892 |
| Mean costs for creation | 7,332 | 7271–7393 | 6,504 | 6,443–6,564 | 9,213 | 9,088–9,337 | <0.0001 |
| Mean costs for maintenance | |||||||
| Year 0 | 3,470 | 3,345–3,596 | 3,001 | 2,870–3,132 | 4,535 | 4,256–4,815 | <0.0001 |
| Year 1 | 2,019 | 1,873–2,165 | 1,603 | 1,463–1,743 | 2,894 | 2,554–3,234 | <0.0001 |
| Year 2 | 1,685 | 1.517–1,854 | 1,321 | 1,152–1,491 | 2,487 | 2,101–2,874 | <0.0001 |
| Year 3 | 1,547 | 1,340–1,755 | 1,244 | 1,036–1,452 | 2,270 | 1,777–2,763 | <0.0001 |
| Year 4 | 1,261 | 1,039–1,482 | 1,144 | 902–1,387 | 1,549 | 1,068–2,030 | 0.1051 |
| Year 5 | 1,329 | 1,036–1,623 | 1,206 | 878–1,534 | 1,643 | 1,022–2,263 | 0.1892 |
| Mean costs for any reintervention | |||||||
| Year 0 | 3,159 | 3,040–3.279 | 2,737 | 2,612–2,863 | 4,118 | 3,852–4,384 | <0.0001 |
| Year 1 | 1,877 | 1,735–2,018 | 1,488 | 1,353–1,623 | 2,695 | 2,362–3,028 | <0.0001 |
| Year 2 | 1,591 | 1,428–1,755 | 1,249 | 1,086–1,412 | 2,344 | 1.966–2,722 | <0.0001 |
| Year 3 | 1,449 | 1,247–1,650 | 1,160 | 957–1,363 | 2,136 | 1,658–2,615 | <0.0001 |
| Year 4 | 1,151 | 948–1,355 | 1,040 | 824–1,256 | 1,428 | 965–1,890 | 0.0907 |
| Year 5 | 1,273 | 983–1,564 | 1,148 | 826–1,471 | 1,591 | 970–2,211 | 0.1793 |
| Mean costs for surgical reinterventions | |||||||
| Year 0 | 1,051 | 988–1,115 | 893 | 831–955 | 1,410 | 1,258–1,562 | <0.0001 |
| Year 1 | 500 | 421–579 | 351 | 289–414 | 812 | 605–1,019 | <0.0001 |
| Year 2 | 447 | 360–534 | 332 | 239–425 | 701 | 512–890 | 0.0001 |
| Year 3 | 438 | 336–539 | 347 | 246–449 | 653 | 410–897 | 0.007 |
| Year 4 | 414 | 292–537 | 384 | 252–517 | 489 | 219–758 | 0.4485 |
| Year 5 | 479 | 327–631 | 452 | 274–630 | 549 | 257–841 | 0.5728 |
| Mean costs for endovascular reinterventions | |||||||
| Year 0 | 2,377 | 2,273–2,481 | 1,989 | 1,881–2,097 | 3,259 | 3,025–3,492 | <0.0001 |
| Year 1 | 1,560 | 1,434–1,685 | 1,220 | 1,099–1,340 | 2,275 | 1,982–2,568 | <0.0001 |
| Year 2 | 1,342 | 1,195–1,490 | 1,031 | 889–1,173 | 2,028 | 1,676–2,381 | <0.0001 |
| Year 3 | 1,143 | 970–1,315 | 887 | 720–1,054 | 1,753 | 1,329–2,177 | <0.0001 |
| Year 4 | 826 | 664–987 | 713 | 546–880 | 1,104 | 725–1,482 | 0.0317 |
| Year 5 | 843 | 596–1,088 | 756 | 480–1,033 | 1,059 | 544–1,575 | 0.0001 |