TABLE 1.
Costs of model inputs for hemodialysis, living donor kidney transplant, and acute rejection.
| Treatment modality | Input | Description | Yearly cost (₦) | Yearly cost (USD) |
|---|---|---|---|---|
| Hemodialysis | Dialysis treatment (three sessions per week) | 30,000 N per session | ₦ 4,680,000 | $12,168.00 |
| Dialysis treatment (two sessions per week) | 30,000 N per session | ₦ 3,120,000 | $8,112.00 | |
| Labs (pre dialysis) | Once per session | ₦ 800,800 | $2,082.08 | |
| Labs (post dialysis) | Once per session | ₦ 572,000 | $1,487.20 | |
| CVC placement | One time | ₦ 150,000 | $390.00 | |
| AV fistula creation | One time | ₦ 120,000 | $312.00 | |
| Epogen injection | Per protocol | ₦ 1,560,000 | $4,056.00 | |
| Iron injection | Per protocol | ₦ 312,000 | $811.20 | |
| Vitamin D | Per protocol | ₦ 48,000 | $124.80 | |
| Phosphorus binders | Per protocol | ₦ 80,000 | $208.00 | |
| B-Complex vitamin and folic acid | Per protocol | ₦ 10,400 | $27.04 | |
| Nephrologist consultation | Per protocol | ₦ 300,000 | $780.00 | |
| Nutritionist consultation | Once per year | ₦ 250,000 | $650.00 | |
| First year total (three sessions per week) | ₦ 8,883,200 | $23,096.32 | ||
| Recurring costs (three sessions per week) | ₦ 8,363,200 | $22,394.32 | ||
| 3 Year total (three sessions per week) | ₦ 26,109,600 | $67,884.96 | ||
| First year total (two sessions per week) | ₦ 7,323,200 | $19,040.32 | ||
| Recurring costs (two sessions per week) | ₦ 7,053,200 | $18,338.32 | ||
| 3 Year total (two sessions per week) | ₦ 21,429,600 | $55,716.96 | ||
| Living donor kidney transplant | Work up | One time | ₦ 1,500,000 | $3,900.00 |
| Transplant surgery | One time | ₦ 10,000,000 | $26,000.00 | |
| Follow-up labs | One time | ₦ 528,000 | $1,372.80 | |
| Tacrolimus (1 mg ×100 caps) | 45,000 per unit | ₦ 1,296,000 | $3,369.60 | |
| Cellcept (500 mg ×100 caps) | 50,000 per unit | ₦ 720,000 | $1,872.00 | |
| Prednisone (5 mg ×100 tabs) | 10,000 per unit | ₦ 36,500 | $94.90 | |
| Anti-viral | Valcyte | ₦ 180,000 | $468.00 | |
| Anti-fungal | Fluconazole | ₦ 36,500 | $94.90 | |
| Anti-bacterial | Bactrim | ₦ 38,000 | $98.80 | |
| First year total | ₦ 14,335,000 | $37,271.00 | ||
| Recurring costs | ₦ 2,580,500 | $6,709.30 | ||
| 3 Year total | ₦ 19,496,000 | $50,689.60 | ||
| Acute rejection | Kidney biopsy | Per protocol | ₦ 200,000 | $520.00 |
| Anti-thymocyte globulin | Per protocol (cell-mediated) | ₦ 250,000 | $650.00 | |
| IV immunoglobulin | Per protocol (antibody-mediated) | ₦ 250,000 | $650.00 | |
| Plasmapheresis | Per protocol (antibody-mediated) | ₦ 480,000 | $1,248.00 | |
| Total (cell-mediated) | ₦ 450,000 | $1,170.00 | ||
| Total (antibody-mediated) | ₦ 930,000 | $2,418.00 |
Note: 3 year totals are not discounted.