Open AccessTHE EVALUATION OF EFFECT OF VARIOUS OUTCOMES OF KIDNEY TRANSPLANTATION SURGERY ON ECONOMIC COSTS UNDER TREATMENT OF KIDNEYS CHRONIC DISEASE
Author(s) -
И. А. Лакман,
А. А. Халикова,
Alexey A. Korzhenevskiy
Publication year - 2019
Publication title -
zdravoohranenie rossijskoj federacii
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.164
H-Index - 3
eISSN - 2412-0723
pISSN - 0044-197X
DOI - 10.18821/0044-197x-2018-62-2-60-67
Subject(s) - medicine , transplantation , dialysis , kidney transplantation , population , quality of life (healthcare) , disease , surgery , kidney disease , intensive care medicine , environmental health , nursing
The growth of number of patients suffering with chronic kidneys disease became a reverse side of increasing of population life-span during recent decades. The treatment of the given pathology places a heavy burden on state economics. Nowadays, the implementation of kidneys transplantation is the main and only one mode of treatment of this disease permitting both to prolong human life and to significantly ameliorate its quality. The actual problem is the evaluation of economic costs occurring under both successful and unsuccessful outcomes of transplantation. The last one results in returning patient to dialysis procedure. The assessment was applied to direct and indirect expenses of kidney transplantation surgery and post-operational monitoring of patient, including application of dialysis. The expenses of treatment of patient with chronic kidneys disease per one person made annually up to: 1 266 967,88 rubles using dialysis therapy; 1 665 110,19 rubles using transplantation with positive outcome; 2 922 078,07 rubles using transplantation with unsuccessful outcome. Besides, in case of unsuccessful outcome of transplantation total amount of economic losses increased more on 91 343,77 rubles annually at the expense of decreasing of tax levy and increasing of disability compensation.