[Efficiency of peritoneal dialysis versus hemodialysis for the treatment of renal insufficiency]

Márquez Peláez S, Caro Martínez A, Adam Blanco D, Olry-de-Labry Lima A, Navarro Caballero JA, García Mochón L, Espin Balbino J
Record ID 32014001014
Authors' objectives: Compile the evidence related to the efficiency of the dialysis options considered: hemodialysis and peritoneal dialysis. Estimate the cost of both options using data from hospitals of the Andalusian Public Health System. Identify the evidence on the preferences of citizens about hemodialysis and peritoneal dialysis and its determinant factors.
Authors' recommendations: • Both the evidence from the literature review and the cost study results confirm that the PD treatment has a better cost-effectiveness ratio than the HD treatment. • Significant savings for the SNHS can be achieved by encouraging the use of PD versus HD, as well as reducing the percentage of patients with unscheduled dialysis. • The most recent data show a clear preference (about 70 %) among patients for the PD treatment. • The higher effectiveness of the PD compared to its low level of implementation, makes it necessary to identify the reasons and possible barriers that explain its lower level of dissemination. Health managers can enforce a higher implementation of PD by improving the information available for the health personnel, the existence of a supportive healthcare structure and the increase of scheduled treatment.
Project Status: Completed
Year Published: 2013
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Spain
MeSH Terms
  • Renal Dialysis
  • Peritoneal Dialysis
Organisation Name: Andalusian Health Technology Assessment Area
Contact Address: Area de Evaluacion de Tecnologias Sanitarias Sanitarias de Andalucia (AETSA) Avda. Innovación, s/n Edificio Arena 1. Sevilla (Spain) Tel. +34 955 006 309
Contact Name: aetsa.csalud@juntadeandalucia.es
Contact Email: aetsa.csalud@juntadeandalucia.es
Copyright: Andalusian Agency for Health Technology Assessment (AETSA)
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