End-of-life healthcare utilisation and costs of older patients on kidney replacement therapy - analysis of Dutch health insurance claims data.

ABSTRACT:

Background

Patients on kidney replacement therapy (KRT) face high symptom and treatment burden, especially at end of life. Yet insights into end-of-life healthcare utilisation and costs remain limited. We aimed to describe healthcare utilisation and costs during the last year of life across KRT modalities.

Methods

We used Dutch health insurance claims data to identify incident and prevalent patients aged ≥ 65 years, treated with KRT during the year preceding death, and who deceased between June 2016 and December 2021. Healthcare utilisation and costs in the last year of life were analysed for different KRT modalities and compared with controls without kidney disease-related claims, with controls being matched on sex, age, socio-economic status, and year of death.

Results<

SUBMITTER: Jongejan M 

PROVIDER: S-EPMC12801591 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature