• Maynara Fernanda Carvalho Barreto, DellarozaMara Solange GomesMSG0000-0001-9769-8246PhD. Nurse and Professor, Nursing Department, Universidade Estadual de Londrina, Londrina (PR), Brazil., Karen Barros Parron Fernandes, PissinatiPaloma de Souza CavalcantePSC0000-0001-9050-4330RN, PhD. Coordinator of Planning, Monitoring and Evaluation of Primary Healthcare Actions in Rolândia, Rolândia (PR), Brazil., Maria José Quina Galdino, and Maria do Carmo Fernandez Lourenço Haddad.
• RN. Doctoral Student, Universidade Estadual de Londrina, Londrina (PR), Brazil.
• Sao Paulo Med J. 2019 Nov 1; 137 (6): 498504498-504.

BackgroundCost evaluation is a key tool in monitoring expenditure for budget management. It increases the efficiency of possible changes through identifying potential savings and estimating the resources required to make such changes. However, there is a lack of knowledge of the total cost of hospitalization up to the clinical outcome, regarding patients admitted for kidney transplantation. Likewise, there is a lack of data on the factors that influence the amounts spent by hospital institutions and healthcare systems.ObjectivesTo describe the costs and determining factors relating to hospitalization of patients undergoing kidney transplantation.Design And SettingCross-sectional descriptive study with a quantitative approach based on secondary data from 81 patients who were admitted for kidney transplantation at a leading transplantation center in southern Brazil.MethodsThe direct costs of healthcare for patients who underwent kidney transplantation were the dependent variable, and included personnel, expenses, third-party services, materials and medicines. The factors that interfered in the cost of the procedure were indirect variables. The items that made up these variables were gathered from the records of the internal transplantation committee and from the electronic medical records. The billing sector provided information on the direct costs per patient.ResultsThe estimated total cost of patients' hospitalization was R$ 1,257,639.11 (US$ 571,010.44). Out of this amount, R$ 1,237,338.31 (US$ 561,793.20) was paid by the Brazilian National Health System and R$ 20,300.80 (US$ 9,217.24) by the transplantation center's own resources. The highest costs related to the length of hospital stay and clinical complications such as sepsis and pneumonia.ConclusionsThe costs of hospitalization for kidney transplantation relate to the length of hospital stay and clinical complications.

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