Multidisciplinary care improves clinical outcome and reduces medical costs for pre-end-stage renal disease in Taiwan.
Bottom Line: The MDC group had a better prevalence in peritoneal dialysis (PD) selection, less temporary catheter use, a lower hospitalization rate at dialysis initiation and 15% reduction in the risk of hospitalization (P < 0.05).Patient mortality was not significantly different.Multidisciplinary care intervention for pre-ESRD patients could not only significantly improve the quality of disease care and clinical outcome, but also reduce medical costs.
Affiliation: Division of Nephrology, Internal Medicine, Changhua Christian Hospital, Changhua City, Taiwan.Show MeSH
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Mentions: Outpatient visits (21.4 vs 20.0, P = 0.05) and costs (NT$ 147 976 dollars vs NT$ 126 659, P = 0.01) were higher in the MDC group, whereas frequency of hospitalization (0.9 vs 1.1, P = 0.005) and in-hospital (NT$ 66 840 vs NT$ 96 902, P = 0.03) and emergency costs (NT$ 3867 vs NT$ 6453, P = 0.002) were lower in the MDC group (Table 4 and Fig. 4).
Affiliation: Division of Nephrology, Internal Medicine, Changhua Christian Hospital, Changhua City, Taiwan.