Cost of renal transplant in Belgium

Chaib-Eddour, D;Chaib-Eddour, H;Malaise, Jacques;Mourad, Michel;Squifflet, Jean-Paul
(2005) 28th National Congress of the Italian-Society-for-Organ-Transplantation — Location: Rome (Italy) (21.November.2004)

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Authors
  • Chaib-Eddour, DUCLouvain
    Author
  • Chaib-Eddour, HUCLouvain
    Author
  • Malaise, JacquesUCLouvain
    Author
  • Mourad, MichelUCLouvain
    Author
  • Squifflet, Jean-PaulUCLouvain
    Author
Abstract
The objective of this study was to analyze 1-year direct medical costs of kidney transplantation in Belgium. The analysis included the last 150 patients who received a kidney transplant, were treated with cyclosporine, and had 1 year follow-up data. All patient were adults (> 18 years) at the time of transplantation. Patient files were retrospectively analyzed. Key clinical events, such as primary hospitalization for transplantation; immunosuppressive drug use; patient survival; graft survival; acute rejection; CMV infection; adverse events and serious complications; treatment of adverse events; treatment of complications; repeat hospitalization; and follow-up hospital consultations were recorded. Total length of stay in the hospital was also recorded. For each patient, information up to 1 year following renal transplantation (or until death if death occurred before 1 year posttransplantation) was collected. Cost information was obtained from anonymous hospital bills that provided amounts paid by the health care payer and patient. Two perspectives are considered in this study: health care payer (INAMI/RIZIV) perspective and patient perspective. For the whole population (n = 143), 7 patients with graft failure were excluded. The mean direct medical costs from the health care payer's perspective, and patient's perspective were 37,792 Euro, and 2,034 Euro, respectively. During this 1-year period, patients were hospitalized for an average of 29 days. One-year direct medical costs of kidney transplantation are substantial. In Belgium, most of the direct medical costs are borne by the health care payer.
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Citations

Chaib-Eddour, D., Chaib-Eddour, H., Malaise, J., Mourad, M., & Squifflet, J.-P. (2005). Cost of renal transplant in Belgium. Transplantation Proceedings, 37(6), 2819-2820. https://doi.org/10.1016/j.transproceed.2005.05.035 (Original work published 2005)