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A prospective micro-costing pilot study of the health economic costs of acute kidney injury
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Mistry, Hema, Abdelaziz, Tarek Samy and Thomas, Mark (2018) A prospective micro-costing pilot study of the health economic costs of acute kidney injury. Kidney International Reports, 3 (6). pp. 1285-1293. doi:10.1016/j.ekir.2018.06.006 ISSN 2468-0249.
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Official URL: http://dx.doi.org/10.1016/j.ekir.2018.06.006
Abstract
Introduction
Acute Kidney Injury (AKI) prevalence in the UK is estimated to be about 20% of all emergency admissions. Complications of AKI have a huge impact on healthcare costs. Most studies that have looked at the economic costs of AKI have used macro level costing by using national tariffs and applying this to Hospital Episode Statistics.
Methods
The Acute Kidney Outreach to Reduce Deterioration and Death (AKORDD) study was a pilot study testing the provision of early specialist advice to improve outcomes for patients with AKI. As part of this prospective study, we undertook a health economics sub-study which involved micro costing to help more accurately define the total cost per patient.
Results
We found that the total cost of providing an AKI alert system and an outreach service (intervention group) was lower than current practice (control group) for patients with AKI. Overall an episode of AKI requiring inpatient care costs about £5,000 over 12 months, somewhat higher than previous UK estimates. Even though it is feasible to collect the required complex dataset needed to conduct a health economics analysis of an outreach service, significant amount of time and resources need to be dedicated.
Conclusion
We have shown that it is possible to demonstrate a clearer, more detailed picture of the prolonged economic costs of AKI for a healthcare system, as part of a sub-study of a larger trial. A larger scale randomised controlled trial of AKI outreach is needed with a prospective full economic evaluation conducted alongside the trial.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Kidneys -- Wounds and injuries, Acute renal failure, Medical economics, Medical care, Cost of | ||||||||
Journal or Publication Title: | Kidney International Reports | ||||||||
Publisher: | Elsevier | ||||||||
ISSN: | 2468-0249 | ||||||||
Official Date: | 1 November 2018 | ||||||||
Dates: |
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Volume: | 3 | ||||||||
Number: | 6 | ||||||||
Page Range: | pp. 1285-1293 | ||||||||
DOI: | 10.1016/j.ekir.2018.06.006 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 13 July 2018 | ||||||||
Date of first compliant Open Access: | 16 July 2018 | ||||||||
RIOXX Funder/Project Grant: |
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