Economic evaluation of policy options for dialysis in end-stage renal disease patients under the universal health coverage in Indonesia
Publication Date
May 18, 2017
Authors
Afiatin, Levina Chandra Khoe, Erna Kristin, Lusiana Siti Masytoh, et al
Volume
12
Issue
5
Pages
e0177436
DOI
https://dx.plos.org/10.1371/journal.pone.0177436
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0177436
Scopus
85019371927
Mendeley
http://www.mendeley.com/research/economic-evaluation-policy-options-dialysis-endstage-renal-disease-patients-under-universal-health-c-3
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Mendeley | Further Information

{"title"=>"Economic evaluation of policy options for dialysis in end-stage renal disease patients under the universal health coverage in Indonesia", "type"=>"journal", "authors"=>[{"last_name"=>"Afiatin", "scopus_author_id"=>"57194228502"}, {"first_name"=>"Levina Chandra", "last_name"=>"Khoe", "scopus_author_id"=>"56586245200"}, {"first_name"=>"Erna", "last_name"=>"Kristin", "scopus_author_id"=>"6504458442"}, {"first_name"=>"Lusiana Siti", "last_name"=>"Masytoh", "scopus_author_id"=>"57194227773"}, {"first_name"=>"Eva", "last_name"=>"Herlinawaty", "scopus_author_id"=>"57194229356"}, {"first_name"=>"Pitsaphun", "last_name"=>"Werayingyong", "scopus_author_id"=>"57042584300"}, {"first_name"=>"Mardiati", "last_name"=>"Nadjib", "scopus_author_id"=>"24401623600"}, {"first_name"=>"Sudigdo", "last_name"=>"Sastroasmoro", "scopus_author_id"=>"6507794136"}, {"first_name"=>"Yot", "last_name"=>"Teerawattananon", "scopus_author_id"=>"57193358558"}], "year"=>2017, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"85019371927", "pmid"=>"28545094", "pui"=>"616266451", "issn"=>"19326203", "isbn"=>"1111111111", "scopus"=>"2-s2.0-85019371927", "doi"=>"10.1371/journal.pone.0177436"}, "id"=>"3ddc3c06-4edf-39fe-ab7a-d548934bc776", "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 4.34). The total lifetime cost for a patient under the PD-first policy is around 700 million IDR, which is lower than the cost under the HD-first policy, i.e. 735 million IDR per patient. Compared to supportive care, the incremental cost-effectiveness ratio of the PD-first policy is 193 million IDR per QALY, while the HD-first policy resulted in 207 million IDR per QALY. Budget impact analysis indicated that the required budget for the PD-first policy is 43 trillion IDR for 53% coverage and 75 trillion IDR for 100% coverage in five years, which is less than the HD-first policy, i.e. 88 trillion IDR and 166 trillion IDR. CONCLUSIONS The PD-first policy was found to be more cost-effective compared to the HD-first policy. Budget impact analysis provided evidence on the enormous financial burden for the country if the current practice, where HD dominates PD, continues for the next five years.", "link"=>"http://www.mendeley.com/research/economic-evaluation-policy-options-dialysis-endstage-renal-disease-patients-under-universal-health-c-3", "reader_count"=>17, "reader_count_by_academic_status"=>{"Researcher"=>1, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>1, "Student > Master"=>7, "Student > Bachelor"=>2, "Lecturer"=>1}, "reader_count_by_user_role"=>{"Researcher"=>1, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>1, "Student > Master"=>7, "Student > Bachelor"=>2, "Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Nursing and Health Professions"=>2, "Medicine and Dentistry"=>8, "Philosophy"=>1, "Social Sciences"=>2, "Economics, Econometrics and Finance"=>1, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Business, Management and Accounting"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>8}, "Social Sciences"=>{"Social Sciences"=>2}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>2}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Unspecified"=>{"Unspecified"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}, "Philosophy"=>{"Philosophy"=>1}}, "group_count"=>1}

Scopus | Further Information

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