OPTN/SRTR 2016 Annual Data Report: Economics

OPTN/SRTR 2016 Annual Data Report: Economics
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DOI:
10.1111/ajt.14564
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发表时间:
2018-01-01
影响因子:
8.8
通讯作者:
Kasiske, B. L.
Kasiske, B. L.
中科院分区:
医学2区
文献类型:
--
作者:
Schnitzler, M. A.;Skeans, M. A.;Kasiske, B. L.

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实体器官移植受者的医疗保险费用因结果而异:移植物功能存活、移植失败存活和死亡。对于移植后第一年幸存并具有功能性移植物的肾脏接受者,每人每年平均报销为 7.5 万美元;对于需要返回透析或重新移植的人,每人每年平均报销 17.1 万美元;对于死亡但仍具有功能的人,人均每年报销 35 万美元。对于胰腺受者来说:移植后第一年幸存的患者可获得 10.5 万美元,胰腺衰竭后幸存的患者可获得 12 万美元,死亡后仍具有功能的患者可获得 44.3 万美元。对于肝脏接受者:移植功能正常的存活者为 15.4 万美元,需要再次移植的患者为 38.8 万美元,死亡时功能正常的患者为 74 万美元。对于肠道接受者:那些存活且具有功能性移植物的患者可获得 30.1 万美元,而那些具有功能性死亡的患者则可获得 100 万美元。对于心脏受者来说:27.2万美元用于那些移植功能正常的存活者,120万美元用于那些功能正常死亡的人。对于肺移植受者:移植功能正常的存活者为 19.6 万美元,需要再次移植的患者为 64.2 万美元,而死亡时仍具有功能的患者为 76.1 万美元。
Medicare costs vary for solid organ transplant recipients by outcome: survival with graft function, survival with graft failure, and death. Average per-person per-year reimbursement was $75 thousand for kidney recipients who survived the first year posttransplant with a functioning graft, $171 thousand for those who required a return to dialysis or retransplant, and $350 thousand for those who died with function. For pancreas recipients: $105 thousand for those who survived the first year with a functioning graft, $120 thousand for those who survived pancreas failure, and $443 thousand for those who died with function. For liver recipients: $154 thousand for those who survived with a functioning graft, $388 thousand for those who required retransplant, and $740 thousand who died with function. For intestine recipients: $301 thousand for those who survived with a functioning graft and $1 million for those who died with function. For heart recipients: $272 thousand for those who survived with a functioning graft and $1.2 million for those who died with function. For lung recipients: $196 thousand for those who survived with a functioning graft, $642 thousand for those who required retransplant, and $761 thousand for those who died with function.