Cost Analysis for Home and Home-Assisted Renal Replacement Therapy Compared to In-Centre Hemodialysis.

Authors

Lorenzo Aterini, Gian Marco Caselli, Costanza Gaudio, Sonia Salvestrini, Gianna Bucci, Paola Becherelli, Elio Di Marcantonio, Laura Fortunato, Filippo Maria Fani, Chiara Merciai, Giuseppina Rosso, Nicoletta Scopetani, Emanuele D'Arpino, Franca Agrippino, Sandro Signorini, Alberto Rosati

Published in

Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia. Volume 43. Issue 3. Jun 30, 2026. Epub Jun 30, 2026.

Abstract

Introduction. Chronic kidney disease (CKD) is a prevalent condition which may require dialysis; the most common form of this is facility-based haemodialysis. This study aims to provide cost estimates for in-centre haemodialysis/haemodiafiltration compared with home-based peritoneal dialysis and haemodialysis, with or without healthcare staff assistance. Methods. A cost analysis was conducted at the Nephrology and Dialysis Units of San Giovanni di Dio Hospital (Florence, Italy) for the following procedures: high- and low-flux bicarbonate HD (39.95.4), HDF (39.95.7), APD (54.98.1), CAPD (54.98.2), and daily home HD for at least 12 hours/week (39.95.O). Costs were calculated on a monthly basis and included direct medical costs, indirect costs, healthcare personnel costs, and patient transportation costs. Results. In-centre bicarbonate hemodialysis and hemodiafiltration showed a monthly cost of €4672 and €4766, respectively. CAPD and APD monthly costs were €1613 and €2080 without, and €4454 and €3774, respectively, with healthcare assistance. Home hemodialysis monthly costs were €2225 and €4049 in case of healthcare assistance. Discussion. Home-based dialysis modalities, including assisted treatments, demonstrated overall cost competitiveness compared with in-centre hemodialysis. These findings support the potential economic sustainability of expanding home dialysis programs within the healthcare system.

PMID:
42423057
Bibliographic data and abstract were imported from PubMed on 09 Jul 2026.

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