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Trop Med Int Health. 2015 Jan;20(1):2-7. doi: 10.1111/tmi.12409. Epub 2014 Oct 27.

Peritoneal dialysis vs. haemodialysis in the management of paediatric acute kidney injury in Kano, Nigeria: a cost analysis.

Author information

1
Department of Paediatrics, University of Witwatersrand/Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa.

Abstract

OBJECTIVE:

To determine the cost of the dialytic management of paediatric acute kidney injury in a low-income country.

METHODS:

All children under the age of 15 years, who had either peritoneal dialysis or haemodialysis for acute kidney injury in Aminu Kano Teaching Hospital over a 1-year period, were studied. The average cost of each dialysis modality was estimated.

RESULTS:

Of 20 children, who had dialysis for acute kidney injury, 12 (60%) had haemodialysis and 8 (40%) had peritoneal dialysis. The mean cost for haemodialysis exceeded that of peritoneal dialysis ($363.33 vs. $311.66, t = 1.04, P = 0.313) with the mean cost of consumables significantly accounting for most of the cost variation ($248.49 vs. $164.73, t = 2.91, P = 0.009). Mean costs of nephrologist visit and nursing were not found to be significant.

CONCLUSION:

Peritoneal dialysis is the less costly alternative for managing acute kidney injury in children in our environment.

KEYWORDS:

acute kidney injury; analyse de coûts; análisis de coste; cost analysis; daño renal agudo; dialyse péritonéale; diálisis peritoneal; haemodialysis; hemodiálisis; hémodialyse; insuffisance rénale aiguë; paediatrics; pediatría; peritoneal dialysis; pédiatrie

PMID:
25345767
DOI:
10.1111/tmi.12409
[Indexed for MEDLINE]
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