Table 4 Comparison of cost-effectiveness for maintenance hemodialysis (HD) and peritoneal dialysis (PD): Lifetime survival functions and costs were estimated from 1:1 matched pairs of incident dialysis patients from the national dialysis cohorts (n = 4285 pairs) based on 14 years of follow-up, and utility values measured for prevalent dialysis patients from the cross-sectional samples after matching (n = 179 pairs).

From: Cost-effectiveness of hemodialysis and peritoneal dialysis: A national cohort study with 14 years follow-up and matched for comorbidities and propensity score

 

HD

PD

p-value

Life expectancy (in years) (SE)

19.11 (0.11)

19.08 (0.09)

0.853

Lifetime cost of NHI ± SE (US dollars)

237,795 ± 6,161*

204,442 ± 4,888*

<0.001

QALE (in QALY) (SE)

16.42 (0.47)

17.41 (0.24)

0.072

QALE (in QALY) (SE) (with 3% discount)

14.29(0.39)

14.94(0.2)

0.149

Cost per QALY ± SE (US dollars)

16,643 ± 659*

13,681 ± 354*

<0.001

ICER (PD-HD)

−50,858* (PD dominance)

  1. Abbreviations: NHI: National Health Insurance; SE: standard error of mean; QALE: quality-adjusted life expectancy; QALY: quality-adjusted life year; ICER: incremental cost-effectiveness ratio.
  2. *The currency exchange rate is based on the value reported by the Central Bank of Taiwan on 2010/12/31: 1 United States Dollar = 30.368 New Taiwan Dollar. The gross domestic product per capita of Taiwan in 2010 is 18,573 US Dollar.
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