Clinical and economic burden of benign and malignant skin lesions in renal transplant recipients.

Autor: Thet Z; School of Medicine and Dentistry, Griffith University, Brisbane, Queensland, Australia.; Department of Nephrology, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia., Lam AK; School of Medicine and Dentistry, Griffith University, Brisbane, Queensland, Australia.; Menzies Health Institute Queensland, Gold Coast, Queensland, Australia., Pham T; Department of Nephrology, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia., Ng SK; School of Medicine and Dentistry, Griffith University, Brisbane, Queensland, Australia.; Menzies Health Institute Queensland, Gold Coast, Queensland, Australia., Steel JC; School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia., Sawhney S; Department of Nephrology, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia., Arellano CT; Rural Clinical School, University of Queensland, Rockhampton, Queensland, Australia., Aung SY; Rural Clinical School, University of Queensland, Rockhampton, Queensland, Australia.; Department of Medical Oncology, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia., Han T; Department of Nephrology, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia.; Rural Clinical School, University of Queensland, Rockhampton, Queensland, Australia., Ranganathan D; School of Medicine and Dentistry, Griffith University, Brisbane, Queensland, Australia.; Department of Nephrology, Metro North Hospital and Health Service, Brisbane, Queensland, Australia., John G; Department of Nephrology, Metro North Hospital and Health Service, Brisbane, Queensland, Australia., Pepito C; Department of Nephrology, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia., Rautenberg T; Menzies Health Institute Queensland, Gold Coast, Queensland, Australia.; Centre for Applied Health Economics, School of Medicine and Dentistry, Griffith University, Brisbane, Queensland, Australia.; Allied health, Metro North Hospital and Health Service, Brisbane, Queensland, Australia., Khoo TK; School of Medicine and Dentistry, Griffith University, Brisbane, Queensland, Australia.; Menzies Health Institute Queensland, Gold Coast, Queensland, Australia.; School of Medicine, University of Wollongong, Wollongong, New South Wales, Australia.
Jazyk: angličtina
Zdroj: Internal medicine journal [Intern Med J] 2023 Nov; Vol. 53 (11), pp. 2042-2049. Date of Electronic Publication: 2023 Feb 13.
DOI: 10.1111/imj.16024
Abstrakt: Background: Studies evaluating the economic burden of dermatological care in the transplant setting are currently not available in Australia.
Aims: To evaluate the clinical and economic burden of benign and malignant skin lesions in renal transplant recipients in Central Queensland.
Methods: A bottom-up approach was used to determine the clinical burden and direct costs from patient-level Medicare data obtained from Service Australia for skin lesions.
Results: Seventy-six percent of the renal transplant population in Central Queensland participated in this study. The median age was 57.0 years (standard deviation ± 13.6) and the majority (61.8%) of participants were men. The mean duration after transplant surgery was 99.9 months (interquartile range, 73.2-126.6 months). During a 2-year follow-up, 22 (40%) patients were diagnosed with benign skin lesions, 21 (38%) with nonmelanoma skin carcinoma (NMSC) and one (2%) with melanoma. There was a total of 231 visits to clinicians for diagnostic and therapeutic skin procedures and the direct costs to Medicare was $48 806 Australian Dollars (AUD) or $30 427 US Dollars (USD). Approximately 86% of the total direct costs was spent for nonNMSC and mean direct costs for NMSC was $763 AUD (or $476 USD).
Conclusion: This Medicare data-based study provides further insight into the burgeoning clinical and economic burden of the care for benign and malignant skin lesions in the renal transplantation setting in Australia.
(© 2023 The Authors. Internal Medicine Journal published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Physicians.)
Databáze: MEDLINE
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