The social cost of chronic kidney disease in Italy

Giuseppe Turchetti (), S. Bellelli, M. Amato, S. Bianchi, P. Conti, A. Cupisti, V. Panichi, A. Rosati and F. Pizzarelli
Additional contact information
Giuseppe Turchetti: Scuola Superiore Sant’Anna
S. Bellelli: Scuola Superiore Sant’Anna
M. Amato: Azienda USL Toscana centro (ex-AUSL 4)
S. Bianchi: Azienda USL Toscana nord ovest (ex-AUSL 6)
P. Conti: Azienda USL Toscana sud est (ex-AUSL 9)
A. Cupisti: University of Pisa
V. Panichi: Azienda USL Toscana nord ovest (ex-AUSL 12)
A. Rosati: Azienda USL Toscana nord ovest (ex-AUSL 2)
F. Pizzarelli: Azienda USL Toscana centro (ex-AUSL 10, Santa Maria Annunziata Hospital)

The European Journal of Health Economics, 2017, vol. 18, issue 7, No 4, 847-858

Abstract: Abstract This study aims to estimate the mean annual social cost per patient with chronic kidney disease (CKD) by stages 4 and 5 pre-dialyses and cost components in Italy. The multicenter cross-sectional study included all adult outpatients in charge of the 14 main Nephrology Centers of Tuscany Region during 7 weeks from 2012 to 2013. Direct medical costs have been estimated using tariffs for laboratory tests, diagnostic exams, visits, hospitalization and prices for drugs. Non-medical costs included expenses of low-protein special foods, travel, and formal and informal care. Patients’ and caregivers’ losses of productivity have been estimated as indirect costs using the human capital approach. Costs have been expressed in Euros (2016). Totals of 279 patients in stage 4 and 205 patients in stage 5 have been enrolled. The estimated mean annual social cost of a patient with CKD were €7422 (±€6255) for stage 4 and €8971 (±€6503) for stage 5 (p

Keywords: Cost of illness; Chronic kidney disease; CKD stages 4 and 5; Direct costs; Indirect costs; Italy (search for similar items in EconPapers)
JEL-codes: I15 (search for similar items in EconPapers)
Date: 2017
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Citations: View citations in EconPapers (2)

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DOI: 10.1007/s10198-016-0830-1

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