A Cost-Minimization Analysis of Nurse-Led Virtual Case Management in Late-Stage CKD.

ABSTRACT:

Introduction

Interventions are needed to improve early detection of indications for dialysis before development of severe symptoms or complications. This may reduce suboptimal dialysis starts, prevent hospitalizations, and decrease costs. Our objectives were to explore assumptions around a nurse-led virtual case management intervention for patients with late-stage chronic kidney disease (CKD) with a 2-year Kidney Failure Risk Equation (KFRE) estimated risk of kidney failure ≥80% and to estimate how these assumptions affect potential cost savings.

Methods

We performed a cost-minimization analysis by developing a decision analytic microsimulation model constructed from the perspective of the health payer. Our primary outcome was the break-even point, defined as the maximum amo

SUBMITTER: Ferguson TW 

PROVIDER: S-EPMC7271003 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature