Victoria Socha

DocwireNews

Due to elevated levels of potassium, patients with kidney failure requiring dialysis are at high risk for hyperkalemia, a complication associated with increased morbidity and mortality. Interventions designed for early detection of hyperkalemic events may aid in prevention of those adverse outcomes and their associated costs.
Ryan J. Bamforth and colleagues at the Chronic Disease Innovation Centre, Winnipeg, Manitoba, Canada, performed a cost-utility analysis comparing the use of a real-time potassium monitoring device in patients on hemodialysis with usual care. Results of the analysis were reported during a poster session at the American Society of Nephrology Kidney Week 2022 in a poster titled Cost-Utility of Real-Time Potassium Monitoring in Hemodialysis Patients.
The researchers developed a decision analytic microsimulation model from the perspective of the United States health care payer. Outcomes included were the monthly break-even cost per patient of the proposed intervention and the incremental cost-effectiveness ratio comparing the use of the real-time potassium monitoring device with usual care. Included costs were those associated with hyperkalemic events (emergency department and hospitalization specific) and dialysis.
Utilities for patients on dialysis were developed using utility estimates from a systematic review and meta-analysis. In the intervention scenario, a reduction in hyperkalemic events of 25% was used as a baseline effectiveness estimate, with a range between 10% and 50% considered in sensitivity analyses.
In the base case scenario, threshold analysis revealed a monthly break-even cost of $689.56 US dollars per patient. In the microsimulation model, the intervention provided 0.04 additional quality-adjusted life-years. Thus, at any price point equal to or below the break-even cost the intervention was dominant compared with usual care. In effectiveness estimates of a reduction of hyperkalemic events between 10% and 50%, the monthly break-even cost ranged from $265.36 to $1387.90 US dollars respectively.
“Implementing a real-time potassium monitoring device in hemodialysis patients to prevent hyperkalemic events has the potential for cost savings and increased quality of life from the perspective of the United States health care payer,” the researchers said.
Source: Bamforth R, Ferguson TRW, Komenda P. Cost-utility of real-time potassium monitoring in hemodialysis patients. FR-PO542. Abstract of a poster presented at the American Society of Nephrology Kidney Week 2022; November 4, 2022; Orlando, Florida.

Rob Dillard

Analyzing Rural and Urban Patterns of Monitoring of Implanted Cardiac Devices

AHA 2024

Left Atrial Appendage Closure Devices Effective at Preventing Stroke in Very Elderly Patients

Emily Menendez

Non-Invasive NETseq Classifier Determines NET Diagnosis With High Accuracy, Sensitivity

GEP-NETs

Latest News

Monitoring Potassium in Hemodialysis Patients

Hyperkalemia

Due to elevated levels of potassium, patients with kidney failure requiring dialysis are at high risk for hyperkalemia, a complication associated with increased morbidity and ...

About Us

Editorial Policy

Advertising

eNewsletters

Contribute

Contact Us

MashupMD

Blood Cancers Today

Cancer Nursing Today

GU Oncology Now

Urban Health Today

Bile Duct Cancer

Colorectal Cancer

Gastroesophageal Cancer

Gastric Cancer

GIST

Liver Cancer

Pancreatic Cancer

GI Oncology Now

Anemia

Deep Vein Thrombosis

Essential Thrombocythemia

Hemophilia

Immune Thrombocytopenic Purpura

Myelodysplastic Syndromes

Myelofibrosis

Myeloproliferative Neoplasms

Polycythemia Vera

Pulmonary Embolism

Sickle Cell Disease

Thrombocytopenia

Thrombophilia

Thrombosis

Thrombotic Thrombocytopenic Purpura

Venous Thromboembolism

von Willebrand Disease

Heme Today

Acute Kidney Injury

ADPKD

Anemia and Kidney Disease

Chronic Kidney Disease

COVID-19 and Kidney Disease

Diabetes and Hypertension

End-Stage Renal Disease

Gout

IgAN

Kidney Transplantation

Metabolic Acidosis

Nephrology Times

Mesothelioma

Non-Small Cell Lung Cancer

Small Cell Lung Cancer

Squamous Cell Lung Carcinoma

Lung Cancers Today

Atherosclerotic Disease

Atrial Fibrillation

Heart Failure

Hypertension

Interventional Cardiology

Lipid Management

Practice Tips With Dr. Lichaa

Preventive Cardiology

Stroke

Cardiology

Breast Cancer

Gynecologic Cancer

Head and Neck Cancer

Skin Cancer

Oncology

Sleep

Diabetes

Ophthalmology

— Demodex Blepharitis

Neurology

Rheumatology

Gastroenterology

Pulmonology

Infectious Diseases

— HIV

Health and Wellness

Lupus

Future of Medicine

Orthopedics

Pharmacology

Career News

More

Conferences

CardioNerds

The Sleep Source With Dr. Morse

The Oncology Brothers

Rheumatology Rounds With Dr. Maheswaranathan

Healthcare Unfiltered

The Fellow on Call

Partners

Hurricanes & Health Care

Career Center

Expert Interviews

Subscribe