Variable
Transplant Hospitalization
1-year posttransplant
2-years posttransplant
3-years posttransplant
Base Cost
70070
*
-28380
-31799
37576
BMI Category
Underweight
-8540
5596
3730
43801
Normal
Reference
Reference
Reference
Reference
Overweight
-12870
7826
4637
-10162
Obese
-12905
-3617
5642
33218
Morbidly Obese
-19996
-3474
20418
55592
Extremely Morbidly Obese
-20175
40702
22776
-34014
Recipient Characteristics
Gender
Female
26497
**
2399
-3035
-8265
Race
African American
-10098
-9595
-4070
3148
Other
-15977
-16584
3978
-1857
White
Reference
Reference
Reference
Reference
Ethnicity
Hispanic
19276
22279
10252
44235
Age (years)
18 - 30
Reference
Reference
Reference
Reference
31 - 44
-7828
13417
11734
6
45 - 59
-16835
17260
27629
21223
>
60
-14957
14268
42366
*
59930
Primary cause of ESRD
Diabetes mellitus
3121
25316
*
26713
25959
Glomerulonephritis
-6184
-7223
7426
16076
PKD
-7337
-1802
-1562
-13481
Hypertension
-12870
-6970
2356
-14428
Unknown
-45876
-20190
25560
44470
Other
Reference
Reference
Reference
Reference
Pre-Transplant Dialysis Duration
None (pre-emptive)
Reference
Reference
Reference
Reference
0-12 months
12652
12901
-2024
-16203
13-24 months
6231
7864
-12766
-21853
25-60 months
-18621
-16540
*
-13491
-4378
More than 60 months
-51686
**
-9010
-6444
-27753
Diabetes
15439
-11413
4493
371
PVD
-6220
-14875
-23073
16680
Donor Characteristics
Gender
Female
8272
14402
*
9032
465
Race
African American
-18107
8120
31607
*
21420
Other
-6863
-4212
-7077
-12514
White
Reference
Reference
Reference
Reference
Age (years)
≤ 18
6518
13501
10236
1749
19 - 30
Reference
Reference
Reference
Reference
31 - 44
-14405
1579
10937
-7917
45 - 59
-20417
-5060
16748
928
≥ 60
-35394
16802
906
-68840
BMI category (kg/m
2
)
≥ 10 to < 25
Reference
Reference
Reference
Reference
≥ 25 to < 30
18357
*
7544
12205
-5331
≥ 30
-4106
8494
19060
24686
Death due to stroke
9548
15654
*
-1515
-10131
Terminal Creatinine ≥ 1.5
-8113
-11567
-18094
-43371
Hypertension history
5024
8208
-2891
-13125
Diabetes
-2332
-2561
-29683
-30886
CMV sero-positive
-21471
-33716
*
14793
-6232
Transplant Factors
Donor type
SCD
Reference
Reference
Reference
Reference
ECD
30973
-2688
-15660
54694
DCD
-35675
*
224
1002
5077
Peak PRA %
0-10%
Reference
Reference
Reference
Reference
11-30%
9475
-3482
-8659
-10004
>30%
-8005
1138
8841
-7005
Unknown
8640
-9641
-3474
-56647
CMV sero-pairing
Unknown
23107
15345
-14562
18459
Donor - / Recipient -
Reference
Reference
Reference
Reference
Donor - / Recipient +
37938
47374
**
-5895
40650
Donor + / Recipient -
12872
8342
-1149
23114
Donor + / Recipient +
28850
39048
*
-25844
18631
HLA Mismatches
0 HLA mismatches
Reference
Reference
Reference
Reference
1 HLA mismatches
948
-3249
53996
34729
2 HLA mismatches
-17763
2325
-10494
-45940
3 HLA mismatches
-1603
3625
-5230
-35855
4 HLA mismatches
10476
8458
-9789
-13697
5 HLA mismatches
3610
19038
*
-7846
-29259
6 HLA mismatches
-12607
15003
-2082
-23253
Sensitized
1909
10080
25081
12253
Cold Ischemia Time
0 to < 15 hours
Reference
Reference
Reference
Reference
15 to < 20 hours
4044
-4373
-4315
7743
20 to < 26 hours
-18178
5433
4093
1000
26+ hours
-16712
7057
7845
5421
Unknown
-34181
**
15804
*
16992
17583
Year
2000
Reference
Reference
Reference
Reference
2001
39772
-10997
68370
***
-50162
*
2002
41913
*
40669
***
18727
-19618
2003
47434
*
97
6065
-41465
*
2004
41061
*
2885
17926
-14581
2005
72463
***
-721
4239
2006
73810
***
9535
2007
72630
**
Length of Stay
4150
1304
*
1403
1571
* P-value < 0.05
** P-value < 0.01
*** P-value < 0.001
Table 2:
Total accumulated cost (in dollars) at transplant hospitalization as well as one, two, and three year for privately-insured transplant recipients 2000-2007 (N=767).