Direct and indirect costs incurred by Australian living kidney donors

Lianne Barnieh, John Kanellis, Stephen McDonald, Jennifer Arnold, Jessica M. Sontrop, Meaghan Cuerden, Scott Klarenbach, Amit X. Garg, Neil Boudville, for the Donor Nephrectomy Outcomes Research (DONOR) Network

Research output: Contribution to journalArticleResearchpeer-review

1 Citation (Scopus)

Abstract

Aim: To describe the direct and indirect costs incurred by Australian living kidney donors. Methods: A total of 55 living kidney donors from three centres in Perth, Australia and one centre in Melbourne, Australia (2010–2014) was studied. Forty-nine donors provided information on expenses incurred during the donor evaluation period and up to 3 months after donation. A micro-costing approach was used to measure and value the units of resources consumed. Expenses were grouped as direct costs (ground and air travel, accommodation, and prescription medications) and indirect costs (lost wages and lost productivity). Costs were standardized to the year 2016 in Australian dollars. Results: The most common direct costs were for ground travel (100%), parking (76%), and post-donation pain medications or antibiotics (73%). The highest direct costs were for air travel (median $1986 [three donors]) and ground travel (median $459 [49 donors]). Donors also reported lost wages (median $9891 [37 donors]). The inability to perform household activities or care for dependants were reported by 32 (65%) and 23 (47%) donors. Total direct costs averaged $1682 per donor (median $806 among 49 donors). Total indirect costs averaged $7249 per donor (median $7273 among 49 donors). Total direct and indirect costs averaged $8932 per donor (median $7963 among 49 donors). Conclusion: Many Australian living kidney donors incur substantial costs during the donation process. Our findings inform the continued development of policies and programmes designed to minimize costs incurred by living kidney donors.

Original languageEnglish
Pages (from-to)1145-1151
Number of pages7
JournalNephrology
Volume23
Issue number12
DOIs
Publication statusPublished - 1 Dec 2018

Keywords

  • economics
  • health expenditures
  • kidney transplantation
  • living donors

Cite this

Barnieh, L., Kanellis, J., McDonald, S., Arnold, J., Sontrop, J. M., Cuerden, M., ... for the Donor Nephrectomy Outcomes Research (DONOR) Network (2018). Direct and indirect costs incurred by Australian living kidney donors. Nephrology, 23(12), 1145-1151. https://doi.org/10.1111/nep.13205
Barnieh, Lianne ; Kanellis, John ; McDonald, Stephen ; Arnold, Jennifer ; Sontrop, Jessica M. ; Cuerden, Meaghan ; Klarenbach, Scott ; Garg, Amit X. ; Boudville, Neil ; for the Donor Nephrectomy Outcomes Research (DONOR) Network. / Direct and indirect costs incurred by Australian living kidney donors. In: Nephrology. 2018 ; Vol. 23, No. 12. pp. 1145-1151.
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Barnieh, L, Kanellis, J, McDonald, S, Arnold, J, Sontrop, JM, Cuerden, M, Klarenbach, S, Garg, AX, Boudville, N & for the Donor Nephrectomy Outcomes Research (DONOR) Network 2018, 'Direct and indirect costs incurred by Australian living kidney donors', Nephrology, vol. 23, no. 12, pp. 1145-1151. https://doi.org/10.1111/nep.13205

Direct and indirect costs incurred by Australian living kidney donors. / Barnieh, Lianne; Kanellis, John; McDonald, Stephen; Arnold, Jennifer; Sontrop, Jessica M.; Cuerden, Meaghan; Klarenbach, Scott; Garg, Amit X.; Boudville, Neil; for the Donor Nephrectomy Outcomes Research (DONOR) Network.

In: Nephrology, Vol. 23, No. 12, 01.12.2018, p. 1145-1151.

Research output: Contribution to journalArticleResearchpeer-review

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AU - Kanellis, John

AU - McDonald, Stephen

AU - Arnold, Jennifer

AU - Sontrop, Jessica M.

AU - Cuerden, Meaghan

AU - Klarenbach, Scott

AU - Garg, Amit X.

AU - Boudville, Neil

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AB - Aim: To describe the direct and indirect costs incurred by Australian living kidney donors. Methods: A total of 55 living kidney donors from three centres in Perth, Australia and one centre in Melbourne, Australia (2010–2014) was studied. Forty-nine donors provided information on expenses incurred during the donor evaluation period and up to 3 months after donation. A micro-costing approach was used to measure and value the units of resources consumed. Expenses were grouped as direct costs (ground and air travel, accommodation, and prescription medications) and indirect costs (lost wages and lost productivity). Costs were standardized to the year 2016 in Australian dollars. Results: The most common direct costs were for ground travel (100%), parking (76%), and post-donation pain medications or antibiotics (73%). The highest direct costs were for air travel (median $1986 [three donors]) and ground travel (median $459 [49 donors]). Donors also reported lost wages (median $9891 [37 donors]). The inability to perform household activities or care for dependants were reported by 32 (65%) and 23 (47%) donors. Total direct costs averaged $1682 per donor (median $806 among 49 donors). Total indirect costs averaged $7249 per donor (median $7273 among 49 donors). Total direct and indirect costs averaged $8932 per donor (median $7963 among 49 donors). Conclusion: Many Australian living kidney donors incur substantial costs during the donation process. Our findings inform the continued development of policies and programmes designed to minimize costs incurred by living kidney donors.

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KW - health expenditures

KW - kidney transplantation

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Barnieh L, Kanellis J, McDonald S, Arnold J, Sontrop JM, Cuerden M et al. Direct and indirect costs incurred by Australian living kidney donors. Nephrology. 2018 Dec 1;23(12):1145-1151. https://doi.org/10.1111/nep.13205