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Progressive slowdown of the growth of the number of patients

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Assessment of Program Implementation Efficacy

Medical Results

  1. Reduction of CKD-related mortality
  2. Timely prevention to avoid CKD development
  3. Timely detection and treatment of early-stage CKD to prevent progression
  4. Provision of RRT at CKD5
  5. Improvement of the efficacy and quality of dialysis therapy, complete preparation of patients with end-stage stage CKD for renal transplantation, extension of the contingency of such patients by increasing the number of dialysis beds, prevention of the propagation of HIV, hepatitis B and C among the patients and the personnel of hemodialysis centers.
  6. Risk group prevention
  7. Extension of the life expectancy of patients with CKD5 by 10-15 years.
  8. Provision of specialized medical support in emergency situations (timely ARF treatment)
  9. Economic effect due to the organization of timely prophylaxis in order to prevent CKD
  10. Timely detection and treatment of early-stage CKD to prevent progression
  11. Preservation of the working ability of patients with CKD over a longer period of time due to the improvement of clinical indicators
  12. Economic effect due to the decrease in the working hours for equipment maintenance as the result of its significant automation
  13. Enhancement of the efficacy of using consumables and equipment by optimizing and controlling every hemodialysis procedure 
  14. Gradual slowing increasing the number of patients with CKD5 and their transition to dialysis treatment at the expense of CKD1-CKD4 and kidney transplantation 
  15. Reduction of the costs of providing the procedures RRT due to the redistribution of financial resources for the development of prevention methods of identifying and treating patients in the early stages of CKD, which are cost less compared with hemodialysis

Economic Results

  1. Economic effect due to the organization of timely prophylaxis in order to prevent CKD
  2. Timely detection and treatment of early-stage CKD to prevent progression
  3. Preservation of the working ability of patients with CKD over a longer period of time due to the improvement of clinical indicators
  4. Economic effect due to the decrease in the working hours for equipment maintenance as the result of its significant automation
  5. Enhancement of the efficacy of using consumables and equipment by optimizing and controlling every hemodialysis procedure 
  6. Reduction of the costs of providing the procedures RRT due to the redistribution of financial resources for the development of prevention methods of identifying and treating patients in the early stages of CKD, which are cost less compared with hemodialysis


Economic Efficacy of Dialysis Management System

EXAMPLE: Before the provision of the hemodialysis department of the regional hospital in one of the regions with a hardware and software complex, the objective treatment quality indicator (KT/V) was calculated manually, once in 2-3 months. The average value of KT/V for the whole patient pool was 0.81. Under the recommended level of KT/V making 1.3 and the cost of one procedure (according to estimates from private dialysis centers) of about 150 euro, it means that the treatment efficacy level was 62% at the economic losses of 56.5 euro per 1 procedure. Moreover, the average KT/V for some patients was below 0.6, which is a high mortality marker.

As the result of introducing Exalis and the subsequent work on treatment quality improvement, optimization of the use of consumables, the average value of KT/V makes today 1.24 and continues growing. Besides, the efficacy of using consumables has grown by 65% (or by 49.6 euro per 1 procedure).

All the more, improving the quality of replacement therapy also provides for the social and professional rehabilitation of patients, reduces the cost of pharmaceutical treatment and social support.

Social Results

Complete satisfaction of the need in nephrological care, reduction of mortality among CKD patients, organization of timely prophylaxis in order to prevent CKD, timely detection and treatment of early-stage CKD to prevent progression, further improvement and maintenance of the efficacy and quality of CKD patients’ treatment, preservation of CKD patients’ working ability for a longer period of time, absence of the socially unacceptable line of patients who die without such medical care, prolongation of patients’ average life expectancy by 10-15 years, provision of specialized medical care for victims of emergency situations, prevention of acute renal failure patients’ disability, uniform territorial coverage of the entire population with nephrological care as a result of the changes in the nephrology service’s structure.