Economic evaluation of policy options for dialysis in end-stage renal disease patients under the universal health coverage in Indonesia.

ABSTRACT:

Objectives

This study aims to assess the value for money and budget impact of offering hemodialysis (HD) as a first-line treatment, or the HD-first policy, and the peritoneal dialysis (PD) first policy compared to a supportive care option in patients with end-stage renal disease (ESRD) in Indonesia.

Methods

A Markov model-based economic evaluation was performed using local and international data to quantify the potential costs and health-related outcomes in terms of life years (LYs) and quality-adjusted life years (QALYs). Three policy options were compared, i.e., the PD-first policy, HD-first policy, and supportive care.

Results

The PD-first policy for ESRD patients resulted in 5.93 life years, equal to the HD-first policy, with a slightly higher QALY gained (4.40 vs

SUBMITTER: Afiatin 

PROVIDER: S-EPMC5436694 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature