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Multidisciplinary care improves clinical outcome and reduces medical costs for pre-end-stage renal disease in Taiwan.

Chen YR, Yang Y, Wang SC, Chou WY, Chiu PF, Lin CY, Tsai WC, Chang JM, Chen TW, Ferng SH, Lin CL - Nephrology (Carlton) (2014)

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.

View Article: PubMed Central - PubMed

Affiliation: Division of Nephrology, Internal Medicine, Changhua Christian Hospital, Changhua City, Taiwan.

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Related in: MedlinePlus

Medical costs (excluding dialysis costs) of multidisciplinary care (MDC) and usual care group in observation periods. Before 3 months and after 6 months were based on the total number of subjects. At dialysis initiation, costs were based on the number of valid subjects (adjusting for gender, age and CCI score). □, outpatient; , in-hospital; ■, emergency.
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fig04: Medical costs (excluding dialysis costs) of multidisciplinary care (MDC) and usual care group in observation periods. Before 3 months and after 6 months were based on the total number of subjects. At dialysis initiation, costs were based on the number of valid subjects (adjusting for gender, age and CCI score). □, outpatient; , in-hospital; ■, emergency.

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).


Multidisciplinary care improves clinical outcome and reduces medical costs for pre-end-stage renal disease in Taiwan.

Chen YR, Yang Y, Wang SC, Chou WY, Chiu PF, Lin CY, Tsai WC, Chang JM, Chen TW, Ferng SH, Lin CL - Nephrology (Carlton) (2014)

Medical costs (excluding dialysis costs) of multidisciplinary care (MDC) and usual care group in observation periods. Before 3 months and after 6 months were based on the total number of subjects. At dialysis initiation, costs were based on the number of valid subjects (adjusting for gender, age and CCI score). □, outpatient; , in-hospital; ■, emergency.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4265277&req=5

fig04: Medical costs (excluding dialysis costs) of multidisciplinary care (MDC) and usual care group in observation periods. Before 3 months and after 6 months were based on the total number of subjects. At dialysis initiation, costs were based on the number of valid subjects (adjusting for gender, age and CCI score). □, outpatient; , in-hospital; ■, emergency.
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).

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.

View Article: PubMed Central - PubMed

Affiliation: Division of Nephrology, Internal Medicine, Changhua Christian Hospital, Changhua City, Taiwan.

Show MeSH
Related in: MedlinePlus