Understanding Inpatient Cost Variation in Kidney Transplantation: Implications for Payment Reforms.

ABSTRACT:

Objective

To examine the magnitude and sources of inpatient cost variation for kidney transplantation.

Methods

We used the 2005-2009 Nationwide Inpatient Sample to identify patients who underwent kidney transplantation. We first calculated the patient-level cost of each transplantation admission and then aggregated costs to the hospital level. We fit hierarchical linear regression models to identify sources of cost variation and to estimate how much unexplained variation remained after adjusting for case-mix variables commonly found in administrative datasets.

Results

We identified 8866 living donor (LDRT) and 5589 deceased donor (DDRT) renal transplantations. We found that higher costs were associated with the presence of complications (LDRT, 14%; P <.001; DDRT, 24%;

SUBMITTER: Ellimoottil C 

PROVIDER: S-EPMC8236318 | biostudies-literature | 2016 Jan

REPOSITORIES: biostudies-literature