IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i21p14007-d955453.html
   My bibliography  Save this article

Hemodialysis and Peritoneal Dialysis in Germany from a Health Economic View—A Propensity Score Matched Analysis

Author

Listed:
  • Arim Shukri

    (Institute for Health Economics and Clinical Epidemiology (IGKE), Faculty of Medicine, University Hospital Cologne, University of Cologne, 50923 Cologne, Germany)

  • Thomas Mettang

    (Kidney Center Wiesbaden, 65189 Wiesbaden, Germany)

  • Benjamin Scheckel

    (Institute for Health Economics and Clinical Epidemiology (IGKE), Faculty of Medicine, University Hospital Cologne, University of Cologne, 50923 Cologne, Germany)

  • Isabell Schellartz

    (Institute of Health Care Research, Rhineland State Council, 51109 Cologne, Germany)

  • Dusan Simic

    (Institute for Health Economics and Clinical Epidemiology (IGKE), Faculty of Medicine, University Hospital Cologne, University of Cologne, 50923 Cologne, Germany)

  • Nadine Scholten

    (Institute of Medical Sociology, Health Services Research and Rehabilitation Science (IMVR), Faculty of Human Sciences and Medicine, University of Cologne, 50923 Cologne, Germany)

  • Martin Müller

    (Institute for Health Economics and Clinical Epidemiology (IGKE), Faculty of Medicine, University Hospital Cologne, University of Cologne, 50923 Cologne, Germany
    Department of Emergency Medicine, Inselspital, University Hospital, University of Bern, 3012 Bern, Switzerland
    These authors contributed equally to this work.)

  • Stephanie Stock

    (Institute for Health Economics and Clinical Epidemiology (IGKE), Faculty of Medicine, University Hospital Cologne, University of Cologne, 50923 Cologne, Germany
    These authors contributed equally to this work.)

Abstract

Background: Hemodialysis (HD) and peritoneal dialysis (PD) are deemed medically equivalent for therapy of end-stage renal disease (ESRD) and reimbursed by the German statutory health insurance (SHI). However, although the home dialysis modality PD is associated with higher patient autonomy than HD, for unknown reasons, PD uptake is low in Germany. Hence, we compared HD with PD regarding health economic outcomes, particularly costs, as potentially relevant factors for the predominance of HD. Methods: Claims data from two German health insurance funds were analysed in a retrospective cohort study regarding the prevalence of HD and PD in 2013–2016. Propensity score matching created comparable HD and PD groups ( n = 436 each). Direct annual health care costs were compared. A sensitivity analysis included a comparison of different matching techniques and consideration of transportation costs. Additionally, hospitalisation and survival were investigated using Poisson regression and Kaplan-Meier curves. Results: Total direct annual average costs were higher for HD (€47,501) than for PD (€46,235), but not significantly ( p = 0.557). The additional consideration of transportation costs revealed an annual cost advantage of €7000 for PD. HD and PD differed non-significantly in terms of hospitalisation and survival rates ( p = 0.610/ p = 0.207). Conclusions: PD has a slight non-significant cost advantage over HD, especially when considering transportation costs.

Suggested Citation

  • Arim Shukri & Thomas Mettang & Benjamin Scheckel & Isabell Schellartz & Dusan Simic & Nadine Scholten & Martin Müller & Stephanie Stock, 2022. "Hemodialysis and Peritoneal Dialysis in Germany from a Health Economic View—A Propensity Score Matched Analysis," IJERPH, MDPI, vol. 19(21), pages 1-11, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14007-:d:955453
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/21/14007/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/21/14007/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Catrin Treharne & Frank Liu & Murat Arici & Lydia Crowe & Usman Farooqui, 2014. "Peritoneal Dialysis and In-Centre Haemodialysis: A Cost-Utility Analysis from a UK Payer Perspective," Applied Health Economics and Health Policy, Springer, vol. 12(4), pages 409-420, August.
    2. Isabell Schellartz & Sunita Mettang & Arim Shukri & Nadine Scholten & Holger Pfaff & Thomas Mettang, 2021. "Early Referral to Nephrological Care and the Uptake of Peritoneal Dialysis. An Analysis of German Claims Data," IJERPH, MDPI, vol. 18(16), pages 1-10, August.
    3. Ho, Daniel & Imai, Kosuke & King, Gary & Stuart, Elizabeth A., 2011. "MatchIt: Nonparametric Preprocessing for Parametric Causal Inference," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 42(i08).
    4. Werner Kleophas & Helmut Reichel, 2007. "International study of health care organization and financing: development of renal replacement therapy in Germany," International Journal of Health Economics and Management, Springer, vol. 7(2), pages 185-200, September.
    5. Chu-Chun Hsu & Chiu-Ching Huang & Yue-Cune Chang & Jin-Shuen Chen & Wen-Chen Tsai & Kwua-Yun Wang, 2020. "A comparison of quality of life between patients treated with different dialysis modalities in Taiwan," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-11, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chervier, Colas & Le Velly, Gwenolé & Ezzine-de-Blas, Driss, 2019. "When the Implementation of Payments for Biodiversity Conservation Leads to Motivation Crowding-out: A Case Study From the Cardamoms Forests, Cambodia," Ecological Economics, Elsevier, vol. 156(C), pages 499-510.
    2. Moritz Flubacher & George Sheldon & Adrian Müller, 2015. "Comparison of the Economic Performance between Organic and Conventional Dairy Farms in the Swiss Mountain Region Using Matching and Stochastic Frontier Analysis," Journal of Socio-Economics in Agriculture (Until 2015: Yearbook of Socioeconomics in Agriculture), Swiss Society for Agricultural Economics and Rural Sociology, vol. 7(1), pages 76-84.
    3. Akoh Fabien Yao & Maxime Sèbe & Laura Recuero Virto & Abdelhak Nassiri & Hervé Dumez, 2024. "The effect of LNG bunkering on port competitiveness using multilevel data analysis [L'effet du soutage par GNL sur la compétitivité des ports à l'aide de l'analyse de données à plusieurs niveaux]," Post-Print hal-04611804, HAL.
    4. Ellen Busink & Dana Kendzia & Fatih Kircelli & Sophie Boeger & Jovana Petrovic & Helen Smethurst & Stephen Mitchell & Christian Apel, 2023. "A systematic review of the cost-effectiveness of renal replacement therapies, and consequences for decision-making in the end-stage renal disease treatment pathway," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(3), pages 377-392, April.
    5. Rigdon, Joseph & Berkowitz, Seth A. & Seligman, Hilary K. & Basu, Sanjay, 2017. "Re-evaluating associations between the Supplemental Nutrition Assistance Program participation and body mass index in the context of unmeasured confounders," Social Science & Medicine, Elsevier, vol. 192(C), pages 112-124.
    6. Rongtao Jiang & Stephanie Noble & Matthew Rosenblatt & Wei Dai & Jean Ye & Shu Liu & Shile Qi & Vince D. Calhoun & Jing Sui & Dustin Scheinost, 2024. "The brain structure, inflammatory, and genetic mechanisms mediate the association between physical frailty and depression," Nature Communications, Nature, vol. 15(1), pages 1-11, December.
    7. Finocchiaro Castro, Massimo & Guccio, Calogero & Rizzo, Ilde, 2023. "How "one-size-fits-all" public works contract does it better? An assessment of infrastructure provision in Italy," EconStor Preprints 270729, ZBW - Leibniz Information Centre for Economics.
    8. Lo, A. W.-T. & Houston, D., 2018. "How do compact, accessible, and walkable communities promote gender equality in spatial behavior?," Journal of Transport Geography, Elsevier, vol. 68(C), pages 42-54.
    9. Stjepan Srhoj & Michael Lapinski & Janette Walde, 2019. "Size matters? Impact evaluation of business development grants on SME performance," Working Papers 2019-14, Faculty of Economics and Statistics, Universität Innsbruck.
    10. Jiaming Zeng & Michael F. Gensheimer & Daniel L. Rubin & Susan Athey & Ross D. Shachter, 2022. "Uncovering interpretable potential confounders in electronic medical records," Nature Communications, Nature, vol. 13(1), pages 1-14, December.
    11. Dong, Hongwei, 2017. "Rail-transit-induced gentrification and the affordability paradox of TOD," Journal of Transport Geography, Elsevier, vol. 63(C), pages 1-10.
    12. Peter Psathas, 2024. "Top of the Class Assessing the Credit Performance of Graduates from Secured Credit Card Programs," Consumer Finance Institute discussion papers DP24-02, Federal Reserve Bank of Philadelphia.
    13. Chen, Shanting & Mallory, Allen B., 2021. "The effect of racial discrimination on mental and physical health: A propensity score weighting approach," Social Science & Medicine, Elsevier, vol. 285(C).
    14. Katie Devenish & Sébastien Desbureaux & Simon Willcock & Julia P. G. Jones, 2022. "On track to achieve no net loss of forest at Madagascar’s biggest mine," Nature Sustainability, Nature, vol. 5(6), pages 498-508, June.
    15. Changjun Gu & Pei Zhao & Qiong Chen & Shicheng Li & Lanhui Li & Linshan Liu & Yili Zhang, 2020. "Forest Cover Change and the Effectiveness of Protected Areas in the Himalaya since 1998," Sustainability, MDPI, vol. 12(15), pages 1-24, July.
    16. Häusler, Mara-Magdalena & Zabel, Astrid, 2024. "Sites side by side: Can an agglomeration bonus with an adjacency rule connect agri-environmental sites?," Ecological Economics, Elsevier, vol. 224(C).
    17. Leite, Walter & Zhang, Huibin & collier, zachary & Chawla, Kamal & , l.kong@ufl.edu & Lee, Yongseok & Quan, Jia & Soyoye, Olushola, 2024. "Machine Learning for Propensity Score Estimation: A Systematic Review and Reporting Guidelines," OSF Preprints gmrk7, Center for Open Science.
    18. Arne Lauer & Samantha L. Speroni & Myoung Choi & Xiao Da & Christine Duncan & Siobhan McCarthy & Vijai Krishnan & Cole A. Lusk & David Rohde & Mikkel Bo Hansen & Jayashree Kalpathy-Cramer & Daniel J. , 2023. "Hematopoietic stem-cell gene therapy is associated with restored white matter microvascular function in cerebral adrenoleukodystrophy," Nature Communications, Nature, vol. 14(1), pages 1-10, December.
    19. Maekawa, Wakako, 2024. "United Nations peacekeeping operations and multilateral foreign aid: Credibility of good governance," World Development, Elsevier, vol. 176(C).
    20. Mei-Cheng Wang & Yuxin Zhu, 2022. "Bias correction via outcome reassignment for cross-sectional data with binary disease outcome," Lifetime Data Analysis: An International Journal Devoted to Statistical Methods and Applications for Time-to-Event Data, Springer, vol. 28(4), pages 659-674, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14007-:d:955453. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.