Læknablađiđ
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Comparative Study
[Cost-effectiveness analysis of treatment for end-stage renal disease].
End-stage renal disease (ESRD) requires costly life-sustaining therapy, either dialysis or kidney transplantation. The purpose of this study was to analyse and compare the cost-effectiveness of kidney transplantation and dialysis in Iceland. ⋯ The cost of live donor kidney transplantation is within the range generally considered acceptable for life-sustaining therapies. The transplant surgery is less expensive in Iceland than in Denmark. Increasing the number of kidney transplants is cost-effective in light of the lower cost per life-year gained by kidney transplantation compared to dialysis.
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This paper highlights the treatment factors of concern after the transition from an outpatient clinic for children and adolescents to an outpatient clinic for adults. ⋯ Special attention should be made to the fact that HbA1c measures were on the average above the treatment target and complications were common. Psychotropic medication usage was high which indicates that more cooperation between the Diabetes clinic and psychologists and/or psychiatrists is needed. New methods should be explored in reaching out to young people with diabetes.