Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospital

dc.contributor.authorSalzedas-Netto, Alcides Augusto [UNIFESP]
dc.contributor.authorGonzalez, Adriano Miziara [UNIFESP]
dc.contributor.authorFagundes, Ulysses [UNIFESP]
dc.contributor.authorLinhares, Marcelo Moura [UNIFESP]
dc.contributor.authorVicentine, Fernando Pompeu Piza
dc.contributor.authorRomero, Luis Ramiro Núñez
dc.contributor.authorMartins, Jose Luiz [UNIFESP]
dc.contributor.authorPestana, Jose Osmar Medina [UNIFESP]
dc.contributor.authorOliva, Carlos Alberto Garcia
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionHypertension and Kidney Hospital
dc.date.accessioned2015-06-14T13:47:22Z
dc.date.available2015-06-14T13:47:22Z
dc.date.issued2014-11-01
dc.description.abstractPURPOSE:To perform a cost analysis of simultaneous pancreas-kidney transplantation (SPKT) in a Brazilian hospital.METHODS:Between January 2008 and December 2011, 105 consecutive SPKTs at the Hospital of Kidney and Hypertension in São Paulo were evaluated. We evaluated the patient demographics, payment source (public health system or supplementary system), and the impact of each hospital cost component. The evaluated costs were corrected to December 2011 values and converted to US dollars.RESULTS:Of the 105 SPKT patients, 61.9% were men, and 38.1% were women. Eight patients died, and 97 were discharged (92.4%). Eighty-nine procedures were funded by the public health system. The cost for the patients who were discharged was $18.352.27; the cost for the deceased patients was $18.449.96 (p = 0.79). The FOR for SPKT during this period was positive at $5,620.65. The costs were distributed as follows: supplies, 36%; administrative costs, 20%; physician fees, 15%; intensive care unit, 10%; surgical center, 10%; ward, 9%.CONCLUSION:Mortality did not affect costs, and supplies were the largest cost component.en
dc.description.affiliationFederal University of São Paulo Department of Surgery
dc.description.affiliationUniversidade Federal de São Paulo (UNIFESP) Department of Surgery
dc.description.affiliationHypertension and Kidney Hospital
dc.description.affiliationUniversidade Federal de São Paulo (UNIFESP) Department of Internal Medicine
dc.description.affiliationUniversidade Federal de São Paulo (UNIFESP) Department of Pediatric
dc.description.affiliationUnifespUNIFESP, Department of Surgery
dc.description.affiliationUnifespUNIFESP, Department of Surgery
dc.description.affiliationUnifespUNIFESP, Department of Internal Medicine
dc.description.affiliationUnifespUNIFESP, Department of Pediatric
dc.description.sourceSciELO
dc.format.extent748-751
dc.identifierhttp://dx.doi.org/10.1590/S0102-86502014001800009
dc.identifier.citationActa Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 29, n. 11, p. 748-751, 2014.
dc.identifier.doi10.1590/S0102-86502014001800009
dc.identifier.fileS0102-86502014001100748.pdf
dc.identifier.issn0102-8650
dc.identifier.scieloS0102-86502014001100748
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/8654
dc.identifier.wosWOS:000345426500009
dc.language.isoeng
dc.publisherSociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
dc.relation.ispartofActa Cirurgica Brasileira
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPancreas Transplantationen
dc.subjectKidney Transplantationen
dc.subjectCosts and Cost Analysisen
dc.titleFinancial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospitalen
dc.typeinfo:eu-repo/semantics/article
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