Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Márquez Peláez S, Caro Martínez A, Adam Blanco D, Olry-de-Labry Lima A, Navarro Caballero JA, García Mochón L, Espin Balbino J. Eficiencia de la diálisis peritoneal frente a hemodiálisis para el tratamiento de la insuficiencia renal. [Efficiency of peritoneal dialysis versus hemodialysis for the treatment of renal insufficiency] Seville: Andalusian Agency for Health Technology Assessment (AETSA). AETSA 2010/7. 2013 Authors' objectives Compile the evidence related to the efficiency of the dialysis options considered: hemodialysis and peritoneal dialysis.
Estimate the cost of both options using data from hospitals of the Andalusian Public Health System.
Identify the evidence on the preferences of citizens about hemodialysis and peritoneal dialysis and its determinant factors.
Authors' conclusions • Both the evidence from the literature review and the cost study results confirm that the PD treatment has a better cost-effectiveness ratio than the HD treatment.
• Significant savings for the SNHS can be achieved by encouraging the use of PD versus HD, as well as reducing the percentage of patients with unscheduled dialysis.
• The most recent data show a clear preference (about 70 %) among patients for the PD treatment.
• The higher effectiveness of the PD compared to its low level of implementation, makes it necessary to identify the reasons and possible barriers that explain its lower level of dissemination.
Health managers can enforce a higher implementation of PD by improving the information available for the health personnel, the existence of a supportive healthcare structure and the increase of scheduled treatment.
Indexing Status Subject indexing assigned by CRD MeSH Kidney Failure, Chronics; Peritoneal Dialysis; Renal Dialysis Language Published Spanish Country of organisation Spain English summary An English language summary is available. Address for correspondence Agencia de Evaluación de Tecnologías Sanitarias de Andalucía (AETSA) Av/ Innovación s/n, Edificio Arena 1.Planta Baja. CP 41020 Sevilla (España) Tel. +34 955 006 309 Fax + 34 955 006 327 Email: aetsa.csalud@juntadeandalucia.es AccessionNumber 32014001014 Date abstract record published 01/09/2014 |