Cost to government and society of chronic kidney disease stage 1-5: a national cohort study
Background: Costs associated with chronic kidney disease (CKD) are not well documented. Understanding such costs is important to inform economic evaluations of prevention strategies and treatment options. Aim: To estimate the costs associated with CKD in Australia. Methods: We used data from the 200...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Journal Article |
| Published: |
Blackwell Publishing
2015
|
| Online Access: | http://hdl.handle.net/20.500.11937/47057 |
| _version_ | 1848757729979531264 |
|---|---|
| author | Wyld, M. Lee, Crystal Zhuo, X. White, S. Shaw, J. Morton, R. Colagiuri, S. Chadban, S. |
| author_facet | Wyld, M. Lee, Crystal Zhuo, X. White, S. Shaw, J. Morton, R. Colagiuri, S. Chadban, S. |
| author_sort | Wyld, M. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: Costs associated with chronic kidney disease (CKD) are not well documented. Understanding such costs is important to inform economic evaluations of prevention strategies and treatment options. Aim: To estimate the costs associated with CKD in Australia. Methods: We used data from the 2004/2005 AusDiab study, a national longitudinal population-based study of non-institutionalised Australian adults aged ≥25 years. We included 6138 participants with CKD, diabetes and healthcare cost data. The annual age and sex-adjusted costs per person were estimated using a generalised linear model. Costs were inflated from 2005 to 2012 Australian dollars using best practice methods. Results: Among 6138 study participants, there was a significant difference in the per-person annual direct healthcare costs by CKD status, increasing from $1829 (95% confidence interval (CI): $1740–1943) for those without CKD to $14 545 (95% CI: $5680–44 842) for those with stage 4 or 5 CKD (P < 0.01). Similarly, there was a significant difference in the per-person annual direct non-healthcare costs by CKD status from $524 (95% CI: $413–641) for those without CKD to $2349 (95% CI: $386–5156) for those with stage 4 or 5 CKD (P < 0.01). Diabetes is a common cause of CKD and is associated with increased health costs. Costs per person were higher for those with diabetes than those without diabetes in all CKD groups; however, this was significant only for those without CKD and those with early stage (stage 1 or 2) CKD. Conclusion: Individuals with CKD incur 85% higher healthcare costs and 50% higher government subsidies than individuals without CKD, and costs increase by CKD stage. Primary and secondary prevention strategies may reduce costs and warrant further consideration. |
| first_indexed | 2025-11-14T09:32:44Z |
| format | Journal Article |
| id | curtin-20.500.11937-47057 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:32:44Z |
| publishDate | 2015 |
| publisher | Blackwell Publishing |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-470572017-09-13T14:27:26Z Cost to government and society of chronic kidney disease stage 1-5: a national cohort study Wyld, M. Lee, Crystal Zhuo, X. White, S. Shaw, J. Morton, R. Colagiuri, S. Chadban, S. Background: Costs associated with chronic kidney disease (CKD) are not well documented. Understanding such costs is important to inform economic evaluations of prevention strategies and treatment options. Aim: To estimate the costs associated with CKD in Australia. Methods: We used data from the 2004/2005 AusDiab study, a national longitudinal population-based study of non-institutionalised Australian adults aged ≥25 years. We included 6138 participants with CKD, diabetes and healthcare cost data. The annual age and sex-adjusted costs per person were estimated using a generalised linear model. Costs were inflated from 2005 to 2012 Australian dollars using best practice methods. Results: Among 6138 study participants, there was a significant difference in the per-person annual direct healthcare costs by CKD status, increasing from $1829 (95% confidence interval (CI): $1740–1943) for those without CKD to $14 545 (95% CI: $5680–44 842) for those with stage 4 or 5 CKD (P < 0.01). Similarly, there was a significant difference in the per-person annual direct non-healthcare costs by CKD status from $524 (95% CI: $413–641) for those without CKD to $2349 (95% CI: $386–5156) for those with stage 4 or 5 CKD (P < 0.01). Diabetes is a common cause of CKD and is associated with increased health costs. Costs per person were higher for those with diabetes than those without diabetes in all CKD groups; however, this was significant only for those without CKD and those with early stage (stage 1 or 2) CKD. Conclusion: Individuals with CKD incur 85% higher healthcare costs and 50% higher government subsidies than individuals without CKD, and costs increase by CKD stage. Primary and secondary prevention strategies may reduce costs and warrant further consideration. 2015 Journal Article http://hdl.handle.net/20.500.11937/47057 10.1111/imj.12797 Blackwell Publishing restricted |
| spellingShingle | Wyld, M. Lee, Crystal Zhuo, X. White, S. Shaw, J. Morton, R. Colagiuri, S. Chadban, S. Cost to government and society of chronic kidney disease stage 1-5: a national cohort study |
| title | Cost to government and society of chronic kidney disease stage 1-5: a national cohort study |
| title_full | Cost to government and society of chronic kidney disease stage 1-5: a national cohort study |
| title_fullStr | Cost to government and society of chronic kidney disease stage 1-5: a national cohort study |
| title_full_unstemmed | Cost to government and society of chronic kidney disease stage 1-5: a national cohort study |
| title_short | Cost to government and society of chronic kidney disease stage 1-5: a national cohort study |
| title_sort | cost to government and society of chronic kidney disease stage 1-5: a national cohort study |
| url | http://hdl.handle.net/20.500.11937/47057 |