• Enrique Villarreal-Ríos, Cecilia Cárdenas-Maldonado, Emma Rosa Vargas-Daza, Liliana Galicia-Rodríguez, Lidia Martínez-González, and Roberto Baca-Baca.
• Querétaro Epidemiological Investigation and Health Services Unit, Mexican Social Security Institute, Querétaro, Mexico.
• Rev Assoc Med Bras (1992). 2014 Jul 1; 60 (4): 335-41.

Objectiveto determine the cost of institutional and familial care for patients with chronic kidney disease replacement therapy with continuous ambulatory peritoneal dialysis.Methodsa study of the cost of care for patients with chronic kidney disease treated with continuous ambulatory peritoneal dialysis was undertaken. The sample size (151) was calculated with the formula of the averages for an infinite population. The institutional cost included the cost of outpatient consultation, emergencies, hospitalization, ambulance, pharmacy, medication, laboratory, x-rays and application of erythropoietin. The family cost included transportation cost for services, cost of food during care, as well as the cost of medication and treatment materials acquired by the family for home care. The analysis included averages, percentages and confidence intervals.Resultsthe average annual institutional cost is US$ 11,004.3. The average annual family cost is US$ 2,831.04. The average annual cost of patient care in continuous ambulatory peritoneal dialysis including institutional and family cost is US$ 13,835.35.Conclusionthe cost of chronic kidney disease requires a large amount of economic resources, and is becoming a serious problem for health services and families. It's also true that the form of patient management in continuous ambulatory peritoneal dialysis is the most efficient in the use of institutional resources and family.

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