Journal article
The financial burden of transplantation : A single-center survey of liver and kidney transplant recipients
Transplantation, Vol.84(3), pp.295-300
2007
DOI: 10.1097/01.tp.0000269797.41202.79
PMID: 17700152
Abstract
Little is known about the financial impact of transplantation on patients and families. We interviewed 333 liver transplant (LT) and 318 kidney transplant (KT) recipients who were at least 1 year posttransplant. Patients were asked whether transplantation caused financial problems, whether income had changed since transplantation, what resources they used to pay for transplant-related expenses, and what their out-of-pocket monthly expenses were. Descriptive and comparative statistics, measures of association, and logistic regression analyses were calculated. Many patients reported financial problems secondary to transplantation (40.6%) and less monthly income now than in the year preceding transplantation (46.5%). Average monthly out-of-pocket expense was $476.60. LT recipients had higher out-of-pocket expenses than KT recipients (t=2.46, P=0.015). Patients used personal savings (53.9%) and credit cards (25.0%) to help offset these expenses, among other strategies. For both LT and KT recipients, older age, nonworking status before transplantation, and current nonworking status predicted greater financial impact, whereas younger age and current nonworking status predicted higher monthly out-of-pocket expenses. These findings highlight the potential financial impact of transplantation on patients and families, and they have implications for assisting patients in managing out-of-pocket expenses after transplantation.
Details
- Title: Subtitle
- The financial burden of transplantation : A single-center survey of liver and kidney transplant recipients
- Creators
- James R RODRIGUE - The Transplant Center and the Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA, United StatesAlan I REED - Department of Surgery, University of Florida, Gainesville, FL, United StatesDavid R NELSON - Department of Medicine, University of Florida, Gainesville, FL, United StatesIan JAMIESON - The Transplant Center, Shands Hospital, Gainesville, FL, United StatesBruce KAPLAN - Departments of Medicine and Pharmacology, University of Illinois, Chicago, IL, United StatesRichard J HOWARD - Department of Surgery, University of Florida, Gainesville, FL, United States
- Resource Type
- Journal article
- Publication Details
- Transplantation, Vol.84(3), pp.295-300
- Publisher
- Lippincott; Hagerstown, MD
- DOI
- 10.1097/01.tp.0000269797.41202.79
- PMID
- 17700152
- ISSN
- 0041-1337
- eISSN
- 1534-6080
- Language
- English
- Date published
- 2007
- Academic Unit
- Accounting; Surgery
- Record Identifier
- 9984051534102771
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