Interpreting cost-effectiveness in dialysis: can the most expensive be more expensive?

McFarlane, P. A.
June 2006
Kidney International;Jun2006, Vol. 69 Issue 12, p2120
Academic Journal
In this issue, Tonelli et al. describe the cost-effectiveness of arteriovenous fistulae (AVF) screening, and conclude that such a program represents “good value for money.” Here, I examine the robustness of this conclusion by considering traditional definitions of acceptable cost-effectiveness and more pragmatic definitions, which include consideration of the maximum amount that society would be willing to pay for hemodialysis.Kidney International (2006) 69, 2120–2121. doi:10.1038/sj.ki.5001556


Related Articles

  • Randomized controlled trial of clopidogrel to prevent primary arteriovenous fistula failure in hemodialysis patients. Ghorbani, A.; Aalamshah, M.; Shahbazian, H.; Ehsanpour, A.; Aref, A. // Indian Journal of Nephrology;Apr-Jun2009, Vol. 19 Issue 2, p57 

    The optimal vascular access for chronic maintenance hemodialysis is the arteriovenous fistula (AVF). Several studies suggest a role for antiplatelet agents in the prevention of primary AVF failure. A double-blind, randomized trial was conducted to assess the efficacy and safety of clopidogrel in...

  • National Vascular Access Improvement Initiative: "Fistula First" Compton, Ann // Nephrology Nursing Journal;Mar/Apr2005, Vol. 32 Issue 2, p221 

    Answers a question on the actions being taken to address the problems associated with vascular access in the U.S. Launch of the Fistula First initiative by the U.S. Centers for Medicare and Medicaid Services to increase the use of native arterio-venous fistulas in patients requiring...

  • New probing and warm-wash-out technique improves early patency rates in arteriovenous fistula surgery. KADAN, M.; EROL, G.; KARABACAK, K.; KAYA, E.; ÖZKAN, G.; DOĞANCI, S.; YILDIRIM, V.; DEMIRKILIÇ, U. // European Review for Medical & Pharmacological Sciences;2015, Vol. 19 Issue 20, p3917 

    OBJECTIVE: Arteriovenous fistulas (AVFs) are commonly used during hemodialysis. Early failure of AVFs is quite common with incidence of 43% to 63%. In this study we aimed to describe a novel approach to AVF surgery for improving early patency rates. PATIENTS AND METHODS: Patients were divided...

  • Correction: The Role of Iex-1 in the Pathogenesis of Venous Neointimal Hyperplasia Associated with Hemodialysis Arteriovenous Fistula.  // PLoS ONE;Sep2014, Vol. 9 Issue 9, p1 

    No abstract available.

  • Thrombosed arteriovenous fistula for hemodialysis access is characterized by a marked inflammatory activity. Chi-Jen Chang; Yu-Shien Ko; Po-Jen Ko; Lung-An Hsu; Chin-Fen Chen; Chih-Wei Yang; Tsu-Shiu Hsu; Pang, Jong-Hwei S. // Kidney International;Sep2005, Vol. 68 Issue 3, p1312 

    Thrombosed arteriovenous fistula for hemodialysis access is characterized by a marked inflammatory activity. Background. Thrombosis is the dominant cause of failure of arteriovenous fistulas for hemodialysis access. Vascular inflammation, an important pathologic change in various human vascular...

  • A dye-dilution cardiac output technique for hemodialyzed patients with arteriovenous fistula. Charra, B.; Huchard, G.; Mion, C.; Barjon, P. // Kidney International;Jan1973, Vol. 3 Issue 1, p51 

    The article presents information on dye-dilution cardiac output technique for hemodialyzed patients with arteriovenous fistula. For the determination of cardiac output, two needles were inserted in the arterialized vein of the A-V fistula as used for hemodialysis. One needle was implanted...

  • Arteriovenous fistula following kidney biopsy. Raju, D. Sreebhushan; Rammurti, S. // Indian Journal of Nephrology;Apr-Jun2008, Vol. 18 Issue 2, p83 

    The article describes the case of a 35-year-old man who experienced an arteriovenous fistula (AVF) following kidney biopsy. The man was admitted to a hospital with loss of appetite for two months and difficulty in breathing for one week. The results of his clinical examination are given. The...

  • Tube Banding to Correct Steal Syndrome after Arteriovenous Fistula Construction for Hemodialysis. Babakhani, Arneh; Jindal, Rahul M. // American Surgeon;Mar2014, Vol. 80 Issue 3, pE71 

    The article presents case studies of five patients who underwent tube banding to correct steal syndrome after arteriovenous fistula construction for hemodialysis. A discussion of the symptoms of steal syndrome, and of the technique which was used to treat it in the five patients, is presented.

  • Randomized Trials in Hemodialysis Patients. Tonelli, Marcello // JAMA: Journal of the American Medical Association;5/14/2008, Vol. 299 Issue 18, p2205 

    The author comments on the results of a study titled "Effect of Clopidogrel on Early Failure of Arteriovenous Fistulas for Hemodialysis," published within this issue of the publication. He argues that the early termination of the trial for "efficacy" adversely affected the weight of results and...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics