Khảo sát sự cải thiện chức năng thận và chi phí y tế của người bệnh suy thận mạn giai đoạn cuối được điều trị bằng chạy thận nhân tạo và ghép thận sau một năm tại Bệnh viện Trung ương Quân đội 108

Abstract

Objective: To evaluate of the improvement of kidney function after one year of treatment and medical expenses in one year of patients with end-stage chronic renal failure treated with hemodialysis and kidney transplant at 108 Military Central Hospital. Subject and method: A cross-sectional and retrospective study were collected from 155 hemodialysis patients and 62 kidney transplant patients from January 2019 to December 2022 at 108 Military Central Hospital. Result: Renal transplantation was remarkably effective in improving kidney function because the transplanted kidney functions like a normal kidney in the recipient's body (GFR 76.48mL/min/1.73m²). The hemodialysis method spent most of the costs on dialysis procedures (53.69%), while kidney transplantation spent large amount of money on anti-rejection drugs, medical supplies and blood for surgery (52.98%). Total direct medical costs in the first year after a kidney transplant were 3.6 times higher than those in one year of hemodialysis (492 million compared to 136 million dong). Conclusion: Renal transplantation is dominant in terms of improvement of kidney function, although the cost in the first year of treatment is higher than that of hemodialysis.