A strategy to reduce inflammation and anemia treatment's related costs in dialysis patients.

Autor:	Di Iorio BR; Department of Nephrology, A. Landolfi Hospital, Solofra, Avellino, Italy., Di Micco L; Nephrology Unit, AORN G. Moscati, Avellino, Italy., Russo L; Chair of Nephrology, University of Naples Federico II, Naples, Italy., Nardone L; Department of Nephrology, A. Landolfi Hospital, Solofra, Avellino, Italy., De Simone E; Nephrology Unit, AORN G. Moscati, Avellino, Italy., Sirico ML; Department of Nephrology, A. Landolfi Hospital, Solofra, Avellino, Italy., Di Natale G; Department of Nephrology, A. Landolfi Hospital, Solofra, Avellino, Italy., Russo D; Chair of Nephrology, University of Naples Federico II, Naples, Italy.
Jazyk:	English; Italian
Zdroj:	Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia [G Ital Nefrol] 2018 Feb; Vol. 35 (1).
Abstrakt:	This is a post-hoc analysis evaluating erythropoiesis stimulating agents' (ESA) related costs while using an additional ultrafilter (Estorclean PLUS) to produce ultrapure dialysis water located within the fluid pathway after the treatment with reverse osmosis and before the dialysis machine. Twenty-nine patients (19 treated with epoetin alfa and 10 with darboepoetin alfa) were included in the analysis. We showed to gain savings of 210 € per patient (35 € per patient each month) with epoetin alfa during the experimental period of 6 months, compared to the control period and of 545 € per patient (90 € per patient each month) with darboepoetin alfa. Estorclean PLUS had a cost of 600 € (25 € per month per each patient) and was used for 6 months. Intravenous iron therapy with sodium ferrigluconate had a cost of 0,545 €/62,5 mg. In conclusion, during the experimental period with the use of Estorclean, we obtained global savings of 11 € per patient per month with epoetin alfa and 30 € per patient per month with darboepoetin alfa to treat anemia in dialysis patients. (Copyright by Società Italiana di Nefrologia SIN, Rome, Italy.)
Databáze:	MEDLINE
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