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Medical Journal of Islamic Republic of Iran، جلد ۳۰، شماره ۱، صفحات ۶۴۰-۶۴۶
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چکیده فارسی مقاله
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عنوان انگلیسی Cost-effectiveness analysis of dialysis and kidney transplant in patients with renal impairment using disability adjusted life years in Iran
چکیده انگلیسی مقاله Background: This cross-sectional study was conducted to compare the cost-effectiveness of three therapeutic methods of long-term hemodialysis, kidney transplant from a living person and kidney transplant from a cadaver utilizing Disability Adjusted Life Years (DALY) using data from the records of patients referred to Afzalipour Hospital of Kerman in 2012.   Methods: This cross-sectional study utilizing Disability Adjusted Life Years (DALY) as outcome measure, used data from the records of patients referred to Afzalipour Hospital of Kerman in 2012. The decision tree model and decision tree software (Tree Age pro 11) were used for data analysis. In this research, costs and effects were studied from the patients and healthcare providers' perspective.   Results: In the patient's perspective, the CER of dialysis was 5.04 times greater than transplant from a living person and 6.15 times higher than transplant from a cadaveric donor. In the hospital's perspective, the average cost-effectiveness ratio of dialysis was 8.4 times greater than transplant from a living person and 14.07 times higher than transplant from a cadaver. The smaller the C-E ratio, the greater was the cost-effectiveness. In both perspectives, the order of effectiveness of treatment methods were transplant from a cadaver, transplant from a living person and dialysis.   Conclusion: Considering the results obtained in this study, measures should be taken to increase the desire for organ donation from brain-dead patients, living people and patients' relatives.
کلیدواژه‌های انگلیسی مقاله
نویسندگان مقاله صفیه یعقوبی فرد | safiye yaghoubi fard
medical informatics research center, institute for futures studies in health, kerman university of medical sciences, kerman, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی کرمان (Kerman university of medical sciences)

رضا گودرزی | reza goudarzi
health services management research center, institute for futures studies in health, kerman university of medical sciences, ker-man, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی کرمان (Kerman university of medical sciences)

عباس اطمینان | abbas etminan
regional centre for training of hiv aids, institute for futures studies in health, kerman, iran.


محمدرضا بانشی | mohammad reza baneshi
social determinants of health research center, institute for futures studies in health, kerman university of medical sciences, kerman, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی کرمان (Kerman university of medical sciences)

محسن بارونی | mohsen barouni
modeling in health research center , institute for futures studies in health, kerman university of medical sciences, kerman, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی کرمان (Kerman university of medical sciences)

محمد جعفری سیریزی | mohammad jafari sirizi
health insurance organization, head of kerman office, kerman, iran.
نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-1020&slc_lang=en&sid=en
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/18/article-18-568026.pdf
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده Health Technology Assessment
نوع مقاله منتشر شده Original Research
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