Treatment costs for patients with chronic kidney disease who received multidisciplinary care in a district hospital in thailand

© 2020 Songsermlosakul et al. Aim: To estimate direct medical treatment costs in patients with pre-dialysis chronic kidney disease (CKD) in a district hospital and to analyze the factors that affected the treatment costs. Patients and Methods: Data were retrospectively retrieved from the hospital da...

Full description

Saved in:
Bibliographic Details
Main Authors: Suwaporn Songsermlosakul, Unchalee Permsuwan, Wanchana Singhan
Format: Journal
Published: 2020
Subjects:
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85084080730&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/70509
Tags: Add Tag
No Tags, Be the first to tag this record!
Institution: Chiang Mai University
id th-cmuir.6653943832-70509
record_format dspace
spelling th-cmuir.6653943832-705092020-10-14T08:44:47Z Treatment costs for patients with chronic kidney disease who received multidisciplinary care in a district hospital in thailand Suwaporn Songsermlosakul Unchalee Permsuwan Wanchana Singhan Economics, Econometrics and Finance Medicine © 2020 Songsermlosakul et al. Aim: To estimate direct medical treatment costs in patients with pre-dialysis chronic kidney disease (CKD) in a district hospital and to analyze the factors that affected the treatment costs. Patients and Methods: Data were retrospectively retrieved from the hospital database in the period from January 2015 to December 2017. Patients who were diagnosed with CKD and had visited ambulatory care services at least two times during the index year (January to December 2015) were included. Patients’ data were excluded if they had cancer, had received renal replacement therapy, or had been referred to receive treatment at other hospitals. Treatment costs based on the providers’ perspectives in the first and second years after the index year were assessed. Descriptive statistics were used to analyze patients’ characteristics, and multiple linear regression was used to analyze the factors in the cost model. Results: Data of 212 patients with CKD stage G3a, G3b, or G4 who met inclusion and exclusion criteria were included for analysis. Average costs for treatment in year 1 and year 2 were not statistically different. Total cost was 5701.34 Thai Baht (THB) per year. The total cost for patients with CKD stage G4 was two times greater than for patients with CKD stage G3. Costs were increased for longer hospitalization, more frequent ambulatory visits, having diabetes mellitus or dyslipidemia as a comorbidity, and uncontrolled fasting blood glucose (FBG). A cost model with R2=0.906 was provided. Significant predictors were length of stay, ambulatory visits, diabetes mellitus, dyslipidemia, serum creatinine, FBG, and body mass index. Conclusion: Total annual treatment costs for the 2 years were not different. A more advanced stage of CKD, having diabetes mellitus or dyslipidemia as comorbidities, and uncontrolled FBG were significantly associated with increased costs for treatment in patients with pre-dialysis CKD. 2020-10-14T08:32:11Z 2020-10-14T08:32:11Z 2020-01-01 Journal 11786981 2-s2.0-85084080730 10.2147/CEOR.S253252 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85084080730&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/70509
institution Chiang Mai University
building Chiang Mai University Library
continent Asia
country Thailand
Thailand
content_provider Chiang Mai University Library
collection CMU Intellectual Repository
topic Economics, Econometrics and Finance
Medicine
spellingShingle Economics, Econometrics and Finance
Medicine
Suwaporn Songsermlosakul
Unchalee Permsuwan
Wanchana Singhan
Treatment costs for patients with chronic kidney disease who received multidisciplinary care in a district hospital in thailand
description © 2020 Songsermlosakul et al. Aim: To estimate direct medical treatment costs in patients with pre-dialysis chronic kidney disease (CKD) in a district hospital and to analyze the factors that affected the treatment costs. Patients and Methods: Data were retrospectively retrieved from the hospital database in the period from January 2015 to December 2017. Patients who were diagnosed with CKD and had visited ambulatory care services at least two times during the index year (January to December 2015) were included. Patients’ data were excluded if they had cancer, had received renal replacement therapy, or had been referred to receive treatment at other hospitals. Treatment costs based on the providers’ perspectives in the first and second years after the index year were assessed. Descriptive statistics were used to analyze patients’ characteristics, and multiple linear regression was used to analyze the factors in the cost model. Results: Data of 212 patients with CKD stage G3a, G3b, or G4 who met inclusion and exclusion criteria were included for analysis. Average costs for treatment in year 1 and year 2 were not statistically different. Total cost was 5701.34 Thai Baht (THB) per year. The total cost for patients with CKD stage G4 was two times greater than for patients with CKD stage G3. Costs were increased for longer hospitalization, more frequent ambulatory visits, having diabetes mellitus or dyslipidemia as a comorbidity, and uncontrolled fasting blood glucose (FBG). A cost model with R2=0.906 was provided. Significant predictors were length of stay, ambulatory visits, diabetes mellitus, dyslipidemia, serum creatinine, FBG, and body mass index. Conclusion: Total annual treatment costs for the 2 years were not different. A more advanced stage of CKD, having diabetes mellitus or dyslipidemia as comorbidities, and uncontrolled FBG were significantly associated with increased costs for treatment in patients with pre-dialysis CKD.
format Journal
author Suwaporn Songsermlosakul
Unchalee Permsuwan
Wanchana Singhan
author_facet Suwaporn Songsermlosakul
Unchalee Permsuwan
Wanchana Singhan
author_sort Suwaporn Songsermlosakul
title Treatment costs for patients with chronic kidney disease who received multidisciplinary care in a district hospital in thailand
title_short Treatment costs for patients with chronic kidney disease who received multidisciplinary care in a district hospital in thailand
title_full Treatment costs for patients with chronic kidney disease who received multidisciplinary care in a district hospital in thailand
title_fullStr Treatment costs for patients with chronic kidney disease who received multidisciplinary care in a district hospital in thailand
title_full_unstemmed Treatment costs for patients with chronic kidney disease who received multidisciplinary care in a district hospital in thailand
title_sort treatment costs for patients with chronic kidney disease who received multidisciplinary care in a district hospital in thailand
publishDate 2020
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85084080730&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/70509
_version_ 1681752915599949824