Economic burden of end stage renal disease: a case study in southern Iran
Abstract Background The condition of renal failure is widely regarded as one of the most significant challenges currently facing public health and typically treated through hemodialysis. The objective of this study was to estimate the Economic burden of hemodialysis in Bushehr province and, by exten...
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BMC
2025-06-01
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| Series: | Health Economics Review |
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| Online Access: | https://doi.org/10.1186/s13561-025-00647-2 |
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| author | Habib Omranikhoo Saeed Shabani Atefeh Esfandiari Hedayat Salari Mehdi Rezaee |
| author_facet | Habib Omranikhoo Saeed Shabani Atefeh Esfandiari Hedayat Salari Mehdi Rezaee |
| author_sort | Habib Omranikhoo |
| collection | DOAJ |
| description | Abstract Background The condition of renal failure is widely regarded as one of the most significant challenges currently facing public health and typically treated through hemodialysis. The objective of this study was to estimate the Economic burden of hemodialysis in Bushehr province and, by extension, Iran. Method This was a cross-sectional and partial economic evaluation study conducted to estimate the Economic burden of hemodialysis using the bottom-up approach in Bushehr province and, consequently Iran. Direct medical costs and the number of hemodialysis patients were attained from health information system (HIS). Indirect costs were calculated by including the cost of lost production due to hospitalization, rest at home, absenteeism from work, and also the loss of productivity due to premature death. finally, to reduce the uncertainty around the data, a two-way sensitivity analysis was carried out. Result The mean cost of hemodialysis per patient was calculated to be 169,016 $ Purchasing Power Parity (PPP) resulting in a total economic burden of hemodialysis for Bushehr province and Iran in 2022 as 13,849,321 and 977,677,441$ (which is equivalent to 0.3% Iran’s GDP) PPP respectively in 2022. The highest proportion of overall costs (52%) was attributable to indirect costs. Premature death accounted for 82.1% of this figure. While, the largest cost component within the direct costs category (57.2%) belonged to the professional and technical tariffs. Conclusion Hemodialysis imposes a significant economic burden on Iranian society. In 2022, the annual cost of hemodialysis for Iran was approximately equivalent to 0.3% of the country’s GDP. Preventive measures targeting the factors that predispose individuals to hemodialysis need to be seriously considered. |
| format | Article |
| id | doaj-art-c96c6a27a9e64f1d88cfc2bde4764a11 |
| institution | Kabale University |
| issn | 2191-1991 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | BMC |
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| series | Health Economics Review |
| spelling | doaj-art-c96c6a27a9e64f1d88cfc2bde4764a112025-08-20T03:47:24ZengBMCHealth Economics Review2191-19912025-06-011511910.1186/s13561-025-00647-2Economic burden of end stage renal disease: a case study in southern IranHabib Omranikhoo0Saeed Shabani1Atefeh Esfandiari2Hedayat Salari3Mehdi Rezaee4Department of Management, Economics and Health policy, School of Health, Bushehr University of Medical SciencesSchool of Medicine, Bushehr University of Medical SciencesDepartment of Management, Economics and Health policy, School of Health, Bushehr University of Medical SciencesDepartment of Management, Economics and Health policy, School of Health, Bushehr University of Medical SciencesDepartment of Management, Economics and Health policy, School of Health, Bushehr University of Medical SciencesAbstract Background The condition of renal failure is widely regarded as one of the most significant challenges currently facing public health and typically treated through hemodialysis. The objective of this study was to estimate the Economic burden of hemodialysis in Bushehr province and, by extension, Iran. Method This was a cross-sectional and partial economic evaluation study conducted to estimate the Economic burden of hemodialysis using the bottom-up approach in Bushehr province and, consequently Iran. Direct medical costs and the number of hemodialysis patients were attained from health information system (HIS). Indirect costs were calculated by including the cost of lost production due to hospitalization, rest at home, absenteeism from work, and also the loss of productivity due to premature death. finally, to reduce the uncertainty around the data, a two-way sensitivity analysis was carried out. Result The mean cost of hemodialysis per patient was calculated to be 169,016 $ Purchasing Power Parity (PPP) resulting in a total economic burden of hemodialysis for Bushehr province and Iran in 2022 as 13,849,321 and 977,677,441$ (which is equivalent to 0.3% Iran’s GDP) PPP respectively in 2022. The highest proportion of overall costs (52%) was attributable to indirect costs. Premature death accounted for 82.1% of this figure. While, the largest cost component within the direct costs category (57.2%) belonged to the professional and technical tariffs. Conclusion Hemodialysis imposes a significant economic burden on Iranian society. In 2022, the annual cost of hemodialysis for Iran was approximately equivalent to 0.3% of the country’s GDP. Preventive measures targeting the factors that predispose individuals to hemodialysis need to be seriously considered.https://doi.org/10.1186/s13561-025-00647-2Cost of illnessEconomic burdenHemodialysisSocietal costIran |
| spellingShingle | Habib Omranikhoo Saeed Shabani Atefeh Esfandiari Hedayat Salari Mehdi Rezaee Economic burden of end stage renal disease: a case study in southern Iran Health Economics Review Cost of illness Economic burden Hemodialysis Societal cost Iran |
| title | Economic burden of end stage renal disease: a case study in southern Iran |
| title_full | Economic burden of end stage renal disease: a case study in southern Iran |
| title_fullStr | Economic burden of end stage renal disease: a case study in southern Iran |
| title_full_unstemmed | Economic burden of end stage renal disease: a case study in southern Iran |
| title_short | Economic burden of end stage renal disease: a case study in southern Iran |
| title_sort | economic burden of end stage renal disease a case study in southern iran |
| topic | Cost of illness Economic burden Hemodialysis Societal cost Iran |
| url | https://doi.org/10.1186/s13561-025-00647-2 |
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