Guidelines for the use of economic evaluation to inform policies around access to treatment for kidney failure

IF 39.8 1区 医学 Q1 UROLOGY & NEPHROLOGY
Siobhan Botwright, Panji Fortuna Hadisoemarto, Kinanti Khansa Chavarina, Aye Nandar Myint, Brandon Wen Bing Chua, Kridsada Chareonrungrueangchai, Chotika Suwanpanich, Pitsinee Supapol, Ijeoma Edoka, Valerie Luyckx, Martin I. Meltzer, Yot Teerawattananon
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Abstract

Kidney failure is the most advanced stage of chronic kidney disease, at which point patients require kidney replacement therapy (KRT) in the form of kidney transplant or lifelong dialysis to survive. Although many governments seek to provide KRT for patients with kidney failure under publicly funded health schemes, KRT requires considerable financial and human resources, which may need to be diverted from other health programmes. In deciding which KRT services to provide, to whom, and under which conditions, economic evaluation can show the trade-off between the cost and benefit of different policy options. This Guideline has been written for nephrologists, clinicians and policymakers, to build confidence in requesting, contributing towards, and using the results from economic evaluation studies. It is aimed at outlining the cases in which economic evaluation may support KRT policymaking and to lay out good practice for economic evaluation of KRT services. Recommendations cover the process of developing the policy and research questions, conducting the economic evaluation and interpreting results for policy.

Abstract Image

使用经济评估为肾衰竭治疗可及性政策提供信息的指南
肾衰竭是慢性肾脏疾病的最晚期,此时患者需要肾脏替代疗法(KRT)以肾脏移植或终身透析的形式生存。虽然许多政府寻求在公共资助的卫生计划下为肾衰竭患者提供KRT,但KRT需要大量的财政和人力资源,这些资源可能需要从其他卫生规划中调拨。在决定提供哪些KRT服务、向谁提供服务以及在什么条件下提供服务时,经济评估可以显示不同政策选择的成本和收益之间的权衡。本指南是为肾病学家、临床医生和政策制定者编写的,旨在建立对经济评估研究的要求、贡献和使用结果的信心。它的目的是概述经济评估可以支持铁路政策制定的案例,并列出对铁路服务进行经济评估的良好做法。建议包括制定政策和研究问题的过程,进行经济评估和解释政策结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nature Reviews Nephrology
Nature Reviews Nephrology 医学-泌尿学与肾脏学
CiteScore
39.00
自引率
1.20%
发文量
127
审稿时长
6-12 weeks
期刊介绍: Nature Reviews Nephrology aims to be the premier source of reviews and commentaries for the scientific communities it serves. It strives to publish authoritative, accessible articles. Articles are enhanced with clearly understandable figures, tables, and other display items. Nature Reviews Nephrology publishes Research Highlights, News & Views, Comments, Reviews, Perspectives, and Consensus Statements. The content is relevant to nephrologists and basic science researchers. The broad scope of the journal ensures that the work reaches the widest possible audience.
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