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NDT Advance Access originally published online on December 4, 2008
Nephrology Dialysis Transplantation 2009 24(4):1077-1078; doi:10.1093/ndt/gfn680
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org


Intensifying dialysis: how far should we go and at what cost?

Lieven Annemans

Department of Public Health, Ghent University, Belgium

Correspondence and offprint requests to: Lieven Annemans, Department of Public Health, Ghent University, De Pintelaan 185, Blok A 2de verd, GENT, Belgium. Tel: +32-476241144; Fax: +32-2-2709434; E-mail: Lieven.Annemans@UGent.be

Keywords: centre-based dialysis; cost-effectiveness

The first 10% of the full text of this article appears below.

In a recent issue of JASN, Lee and colleagues [1] presented the results of a simulation model estimating the cost-effectiveness of different modalities of centre-based dialysis, increasing frequency and/or duration.

Their simulation shows that this intensified approach, even with—according to the authors—rather conservative assumptions about its benefit is associated with poor cost-effectiveness. None of the simulations resulted in a cost per quality adjusted life year (QALY) below $75 000. Generally, the societal threshold for the willingness to pay for gaining 1 QALY is around $50 000 as . . . [Full Text of this Article]


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