Use of Machine Perfusion to Increase the Number of Expanded Criteria Deceased Donor Kidney Transplants: A Pharmacoeconomic Analysis

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Autor(es): dc.contributorFundação Oswaldo Ramos-
Autor(es): dc.contributorUniversidade Federal de São Paulo (UNIFESP)-
Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.contributorAxia.Bio Life Sciences-
Autor(es): dc.contributorHospital São Francisco Na Providência de Deus-
Autor(es): dc.contributorTransplant Unit Santa Casa Juiz de for A-
Autor(es): dc.contributorInstituto de Medicina Integral Prof. Fernando Filgueira-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorMedical School FAMERP-
Autor(es): dc.contributorHospital de Clínicas de Porto Alegre-
Autor(es): dc.contributorHospital Geral de Fortaleza-
Autor(es): dc.contributorSanta Casa de Misericórdia de Porto Alegre-
Autor(es): dc.creatorTedesco Silva, Helio-
Autor(es): dc.creatorRamos, Teresa Raquel De Moraes-
Autor(es): dc.creatorDe Carvalho, Deise De Boni Monteiro-
Autor(es): dc.creatorFerreira, Gustavo Fernandes-
Autor(es): dc.creatorDe Andrade, João Marcelo Medeiros-
Autor(es): dc.creatorDe Andrade, Luis Gustavo Modelli-
Autor(es): dc.creatorAbbud-Filho, Mario-
Autor(es): dc.creatorForesto, Renato Demarchi-
Autor(es): dc.creatorManfro, Roberto Ceratti-
Autor(es): dc.creatorEsmeraldo, Ronaldo De Matos-
Autor(es): dc.creatorFreitas, Tainá Veras De Sandes-
Autor(es): dc.creatorGarcia, Valter Duro-
Autor(es): dc.creatorPestana, José Medina-
Autor(es): dc.creatorFonseca, Marcelo Cunio Machado-
Data de aceite: dc.date.accessioned2025-08-21T21:11:11Z-
Data de disponibilização: dc.date.available2025-08-21T21:11:11Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2024-07-05-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1097/TXD.0000000000001668-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/309210-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/309210-
Descrição: dc.descriptionBackground. The discard of expanded criteria donor (ECD) kidneys is unacceptably high, considering the growing demand for transplantation. Using machine perfusion may reduce the discard rate, increase the number of transplants, and reduce mortality on the waiting list. Methods. We developed a 5-y Markov model to simulate incorporating the pulsatile perfusion machine into the current government-funded healthcare system. The model compared the universal use of static cold storage for all kidneys with the selective use of machine perfusion for ECD kidneys. Real-life data were used to compose the cohort characteristics in this model. This pharmacoeconomic analysis aimed to determine the cost-effectiveness and budgetary impact of using machine perfusion to preserve ECD kidneys. Results. Compared with the universal use of static cold storage, the use of machine perfusion for ECD kidneys was associated with an increase in the number of kidney transplants (n = 1123), a decrease in the number of patients on the waiting list (n = 815), and decrease in mortality (n = 120), with a cost difference of US dollar 4 486 009 in the period. The budget impact analysis revealed an additional cost of US dollar 4 453 749 >5 y. The budget impact analysis demonstrated a progressive reduction in costs, becoming cost-saving during the last year of the analysis. Conclusions. This stochastic model showed that incorporating machine perfusion for ECD kidneys is most often a dominant or cost-effective technology associated with an increase in the number of transplants and a reduction in the number of patients on the waiting list, reducing mortality on the waiting list.-
Descrição: dc.descriptionHospital Do Rim Fundação Oswaldo Ramos-
Descrição: dc.descriptionDisciplina de Nefrologia Escola Paulista de Medicina UNIFESP-
Descrição: dc.descriptionWomen's Health Technology Assessment Center Department of Gynecology Federal University of São Paulo Medical School-
Descrição: dc.descriptionAxia.Bio Life Sciences-
Descrição: dc.descriptionHospital São Francisco Na Providência de Deus-
Descrição: dc.descriptionTransplant Unit Santa Casa Juiz de for A-
Descrição: dc.descriptionUnidade de Transplantes Instituto de Medicina Integral Prof. Fernando Filgueira-
Descrição: dc.descriptionUniversidade Estadual Paulista-
Descrição: dc.descriptionHospital de Base Medical School FAMERP-
Descrição: dc.descriptionHospital de Clínicas de Porto Alegre-
Descrição: dc.descriptionHospital Geral de Fortaleza-
Descrição: dc.descriptionSanta Casa de Misericórdia de Porto Alegre-
Descrição: dc.descriptionUniversidade Estadual Paulista-
Formato: dc.formate1668-
Idioma: dc.languageen-
Relação: dc.relationTransplantation Direct-
???dc.source???: dc.sourceScopus-
Título: dc.titleUse of Machine Perfusion to Increase the Number of Expanded Criteria Deceased Donor Kidney Transplants: A Pharmacoeconomic Analysis-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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