Healthcare costs in relation to kidney function among older people: the SCOPE study

• Published in: European geriatric medicine 2024-11
• Main Authors: Balducci, Francesco, Di Rosa, Mirko, Roller-Wirnsberger, Regina, Wirnsberger, Gerhard, Mattace-Raso, Francesco, Tap, Lisanne, Formiga, Francesc, Moreno-González, Rafael, Kostka, Tomasz, Guligowska, Agnieszka, Artzi-Medvedik, Rada, Melzer, Itshak, Weingart, Christian, Sieber, Cornel, Ärnlöv, Johan, Carlsson, Axel C, Lattanzio, Fabrizia, Corsonello, Andrea
• Format: Article
• Language: English
• Subjects: Chronic kidney disease; Healthcare costs; Multicentre; Older people; Resources consumption
• ISSN: 1878-7649; 1878-7657; 1878-7657
• DOI: 10.1007/s41999-024-01086-8

In this study, a comprehensive analysis of costs of chronic kidney disease (CKD) was performed, to understand factors associated with the economic burden of the disease in a multicentre international framework. The impact on costs of demographics, socio-economics, clinical, and functional variables was tested in 2204 subjects aged 75 years or more attending outpatient clinics in Europe using a multicentre 2-year prospective cohort study. By means of collected resources consumption and unit cost data a comprehensive cost database was built and then investigated using multilevel regression modeling. Overall, hospitalization, medications and specialist visits were the main cost items, with a notable variability among countries. Estimated yearly costs were 4478€ ± 9804€, rising up to 6683€ ± 10,953€ for subjects with estimated Glomerular Filtration Rate (eGFR)