Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospital
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/8654 http://dx.doi.org/10.1590/S0102-86502014001800009 |
Resumo: | PURPOSE:To perform a cost analysis of simultaneous pancreas-kidney transplantation (SPKT) in a Brazilian hospital.METHODS:Between January 2008 and December 2011, 105 consecutive SPKTs at the Hospital of Kidney and Hypertension in São Paulo were evaluated. We evaluated the patient demographics, payment source (public health system or supplementary system), and the impact of each hospital cost component. The evaluated costs were corrected to December 2011 values and converted to US dollars.RESULTS:Of the 105 SPKT patients, 61.9% were men, and 38.1% were women. Eight patients died, and 97 were discharged (92.4%). Eighty-nine procedures were funded by the public health system. The cost for the patients who were discharged was $18.352.27; the cost for the deceased patients was $18.449.96 (p = 0.79). The FOR for SPKT during this period was positive at $5,620.65. The costs were distributed as follows: supplies, 36%; administrative costs, 20%; physician fees, 15%; intensive care unit, 10%; surgical center, 10%; ward, 9%.CONCLUSION:Mortality did not affect costs, and supplies were the largest cost component. |
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Salzedas-Netto, Alcides Augusto [UNIFESP]Gonzalez, Adriano Miziara [UNIFESP]Fagundes, Ulysses [UNIFESP]Linhares, Marcelo Moura [UNIFESP]Vicentine, Fernando Pompeu PizaRomero, Luis Ramiro NúñezMartins, Jose Luiz [UNIFESP]Pestana, Jose Osmar Medina [UNIFESP]Oliva, Carlos Alberto GarciaUniversidade Federal de São Paulo (UNIFESP)Hypertension and Kidney Hospital2015-06-14T13:47:22Z2015-06-14T13:47:22Z2014-11-01Acta Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 29, n. 11, p. 748-751, 2014.0102-8650http://repositorio.unifesp.br/handle/11600/8654http://dx.doi.org/10.1590/S0102-86502014001800009S0102-86502014001100748.pdfS0102-8650201400110074810.1590/S0102-86502014001800009WOS:000345426500009PURPOSE:To perform a cost analysis of simultaneous pancreas-kidney transplantation (SPKT) in a Brazilian hospital.METHODS:Between January 2008 and December 2011, 105 consecutive SPKTs at the Hospital of Kidney and Hypertension in São Paulo were evaluated. We evaluated the patient demographics, payment source (public health system or supplementary system), and the impact of each hospital cost component. The evaluated costs were corrected to December 2011 values and converted to US dollars.RESULTS:Of the 105 SPKT patients, 61.9% were men, and 38.1% were women. Eight patients died, and 97 were discharged (92.4%). Eighty-nine procedures were funded by the public health system. The cost for the patients who were discharged was $18.352.27; the cost for the deceased patients was $18.449.96 (p = 0.79). The FOR for SPKT during this period was positive at $5,620.65. The costs were distributed as follows: supplies, 36%; administrative costs, 20%; physician fees, 15%; intensive care unit, 10%; surgical center, 10%; ward, 9%.CONCLUSION:Mortality did not affect costs, and supplies were the largest cost component.Federal University of São Paulo Department of SurgeryUniversidade Federal de São Paulo (UNIFESP) Department of SurgeryHypertension and Kidney HospitalUniversidade Federal de São Paulo (UNIFESP) Department of Internal MedicineUniversidade Federal de São Paulo (UNIFESP) Department of PediatricUNIFESP, Department of SurgeryUNIFESP, Department of SurgeryUNIFESP, Department of Internal MedicineUNIFESP, Department of PediatricSciELO748-751engSociedade Brasileira para o Desenvolvimento da Pesquisa em CirurgiaActa Cirurgica BrasileiraPancreas TransplantationKidney TransplantationCosts and Cost AnalysisFinancial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospitalinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALS0102-86502014001100748.pdfapplication/pdf250478${dspace.ui.url}/bitstream/11600/8654/1/S0102-86502014001100748.pdf44eff6a3e54e31f6518a7db7bb0e0212MD51open accessTEXTS0102-86502014001100748.pdf.txtS0102-86502014001100748.pdf.txtExtracted texttext/plain14785${dspace.ui.url}/bitstream/11600/8654/21/S0102-86502014001100748.pdf.txt04a43258bc1233f9cb29bb38d2195b0cMD521open accessTHUMBNAILS0102-86502014001100748.pdf.jpgS0102-86502014001100748.pdf.jpgIM Thumbnailimage/jpeg5899${dspace.ui.url}/bitstream/11600/8654/23/S0102-86502014001100748.pdf.jpg68ad6ec3631837801e757a127f688a2dMD523open access11600/86542023-06-05 19:38:06.136open accessoai:repositorio.unifesp.br:11600/8654Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-06-05T22:38:06Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospital |
title |
Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospital |
spellingShingle |
Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospital Salzedas-Netto, Alcides Augusto [UNIFESP] Pancreas Transplantation Kidney Transplantation Costs and Cost Analysis |
title_short |
Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospital |
title_full |
Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospital |
title_fullStr |
Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospital |
title_full_unstemmed |
Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospital |
title_sort |
Financial cost of the admissions for simultaneous pancreas-kidney transplant in a Brazilian Hospital |
author |
Salzedas-Netto, Alcides Augusto [UNIFESP] |
author_facet |
Salzedas-Netto, Alcides Augusto [UNIFESP] Gonzalez, Adriano Miziara [UNIFESP] Fagundes, Ulysses [UNIFESP] Linhares, Marcelo Moura [UNIFESP] Vicentine, Fernando Pompeu Piza Romero, Luis Ramiro Núñez Martins, Jose Luiz [UNIFESP] Pestana, Jose Osmar Medina [UNIFESP] Oliva, Carlos Alberto Garcia |
author_role |
author |
author2 |
Gonzalez, Adriano Miziara [UNIFESP] Fagundes, Ulysses [UNIFESP] Linhares, Marcelo Moura [UNIFESP] Vicentine, Fernando Pompeu Piza Romero, Luis Ramiro Núñez Martins, Jose Luiz [UNIFESP] Pestana, Jose Osmar Medina [UNIFESP] Oliva, Carlos Alberto Garcia |
author2_role |
author author author author author author author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) Hypertension and Kidney Hospital |
dc.contributor.author.fl_str_mv |
Salzedas-Netto, Alcides Augusto [UNIFESP] Gonzalez, Adriano Miziara [UNIFESP] Fagundes, Ulysses [UNIFESP] Linhares, Marcelo Moura [UNIFESP] Vicentine, Fernando Pompeu Piza Romero, Luis Ramiro Núñez Martins, Jose Luiz [UNIFESP] Pestana, Jose Osmar Medina [UNIFESP] Oliva, Carlos Alberto Garcia |
dc.subject.eng.fl_str_mv |
Pancreas Transplantation Kidney Transplantation Costs and Cost Analysis |
topic |
Pancreas Transplantation Kidney Transplantation Costs and Cost Analysis |
description |
PURPOSE:To perform a cost analysis of simultaneous pancreas-kidney transplantation (SPKT) in a Brazilian hospital.METHODS:Between January 2008 and December 2011, 105 consecutive SPKTs at the Hospital of Kidney and Hypertension in São Paulo were evaluated. We evaluated the patient demographics, payment source (public health system or supplementary system), and the impact of each hospital cost component. The evaluated costs were corrected to December 2011 values and converted to US dollars.RESULTS:Of the 105 SPKT patients, 61.9% were men, and 38.1% were women. Eight patients died, and 97 were discharged (92.4%). Eighty-nine procedures were funded by the public health system. The cost for the patients who were discharged was $18.352.27; the cost for the deceased patients was $18.449.96 (p = 0.79). The FOR for SPKT during this period was positive at $5,620.65. The costs were distributed as follows: supplies, 36%; administrative costs, 20%; physician fees, 15%; intensive care unit, 10%; surgical center, 10%; ward, 9%.CONCLUSION:Mortality did not affect costs, and supplies were the largest cost component. |
publishDate |
2014 |
dc.date.issued.fl_str_mv |
2014-11-01 |
dc.date.accessioned.fl_str_mv |
2015-06-14T13:47:22Z |
dc.date.available.fl_str_mv |
2015-06-14T13:47:22Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Acta Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 29, n. 11, p. 748-751, 2014. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/8654 http://dx.doi.org/10.1590/S0102-86502014001800009 |
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0102-8650 |
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S0102-86502014001100748.pdf |
dc.identifier.scielo.none.fl_str_mv |
S0102-86502014001100748 |
dc.identifier.doi.none.fl_str_mv |
10.1590/S0102-86502014001800009 |
dc.identifier.wos.none.fl_str_mv |
WOS:000345426500009 |
identifier_str_mv |
Acta Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 29, n. 11, p. 748-751, 2014. 0102-8650 S0102-86502014001100748.pdf S0102-86502014001100748 10.1590/S0102-86502014001800009 WOS:000345426500009 |
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http://repositorio.unifesp.br/handle/11600/8654 http://dx.doi.org/10.1590/S0102-86502014001800009 |
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Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
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Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
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