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An evaluation of the costs, effectiveness and quality of renal replacement therapy provision in renal satellite units in England and Wales

An evaluation of the costs, effectiveness and quality of renal replacement therapy provision in renal satellite units in England and Wales
An evaluation of the costs, effectiveness and quality of renal replacement therapy provision in renal satellite units in England and Wales
The prevalence and annual acceptance rates for renal replacement therapy (RRT) have increased significantly over the past decades and continue to rise. Over 30,000 patients were being treated with RRT in England by 2000, at a cost of about £600 million. The patients now being treated are older with more co-morbidity. Given the continued shortage of kidneys for transplantation, the expansion of RRT in the last decade has largely been in dialysis. Peritoneal dialysis, although popular in the 1980s, has not grown in recent years; most expansion has been in hospital haemodialysis (HD), increasingly delivered in renal satellite units (RSUs). In general these are nurse-run renal units which provide only chronic HD. They are linked to main renal units (MRUs) at which nephrologists, inpatient services and interventional facilities are based. They are more geographically accessible for patients. Previous national surveys have shown them to be of variable size, location (e.g. some are on non-hospital sites) and organisational arrangements (e.g. some are private). However, there are few data on the effectiveness and costs of RSUs or of patients’ experience. This report presents data first from an updated survey of the structure, processes and organisation of RSUs in England and Wales (Phase 1), and then a detailed comparison of the effectiveness, acceptability, accessibility and economic impact of chronic haemodialysis performed in RSUs compared with MRUs (Phase 2).
1366-5278
24
Gray Publishing
Roderick, P.
dbb3cd11-4c51-4844-982b-0eb30ad5085a
Nicholson, T.
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Armitage, A.
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Mehta, R.
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Mullee, M.
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Gerard, K.
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Drey, N.
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Feest, T.
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Greenwood, R.
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Lamping, D.
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Townsend, J.
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Health Technology Assessment Series
Roderick, P.
dbb3cd11-4c51-4844-982b-0eb30ad5085a
Nicholson, T.
3f7061b0-5d3b-4ed3-b2de-1a50f0d5983e
Armitage, A.
c1f336e5-cde2-4c7f-9515-c67fb897f283
Mehta, R.
1bf632d1-d058-4861-87ca-ae06a07a938a
Mullee, M.
fd3f91c3-5e95-4f56-8d73-260824eeb362
Gerard, K.
ce7b5859-1c5f-4e9f-b5ba-acbd68d0f90e
Drey, N.
f9d958a0-c95d-41e9-b786-ddc13421ea6a
Feest, T.
35e86351-7682-448a-817c-759561797c80
Greenwood, R.
bd58428c-4432-4d77-bc1b-29b2ba9d7d9e
Lamping, D.
9308ac15-7cf0-4099-a93d-65955c00c2e4
Townsend, J.
b5f4c86d-1aa3-4c38-90ad-d9f12db6fd5b

Roderick, P., Nicholson, T., Armitage, A., Mehta, R., Mullee, M., Gerard, K., Drey, N., Feest, T., Greenwood, R., Lamping, D. and Townsend, J. , Health Technology Assessment Series (2005) An evaluation of the costs, effectiveness and quality of renal replacement therapy provision in renal satellite units in England and Wales (Health Technology Assessment, 24, 9) Kent, County of, GB. Gray Publishing 178pp.

Record type: Monograph (Project Report)

Abstract

The prevalence and annual acceptance rates for renal replacement therapy (RRT) have increased significantly over the past decades and continue to rise. Over 30,000 patients were being treated with RRT in England by 2000, at a cost of about £600 million. The patients now being treated are older with more co-morbidity. Given the continued shortage of kidneys for transplantation, the expansion of RRT in the last decade has largely been in dialysis. Peritoneal dialysis, although popular in the 1980s, has not grown in recent years; most expansion has been in hospital haemodialysis (HD), increasingly delivered in renal satellite units (RSUs). In general these are nurse-run renal units which provide only chronic HD. They are linked to main renal units (MRUs) at which nephrologists, inpatient services and interventional facilities are based. They are more geographically accessible for patients. Previous national surveys have shown them to be of variable size, location (e.g. some are on non-hospital sites) and organisational arrangements (e.g. some are private). However, there are few data on the effectiveness and costs of RSUs or of patients’ experience. This report presents data first from an updated survey of the structure, processes and organisation of RSUs in England and Wales (Phase 1), and then a detailed comparison of the effectiveness, acceptability, accessibility and economic impact of chronic haemodialysis performed in RSUs compared with MRUs (Phase 2).

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More information

Published date: July 2005

Identifiers

Local EPrints ID: 24494
URI: http://eprints.soton.ac.uk/id/eprint/24494
ISSN: 1366-5278
PURE UUID: 3ac03144-6871-46e6-9bbf-824c9250d96e
ORCID for P. Roderick: ORCID iD orcid.org/0000-0001-9475-6850

Catalogue record

Date deposited: 31 Mar 2006
Last modified: 09 Jan 2022 02:47

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Contributors

Author: P. Roderick ORCID iD
Author: T. Nicholson
Author: A. Armitage
Author: R. Mehta
Author: M. Mullee
Author: K. Gerard
Author: N. Drey
Author: T. Feest
Author: R. Greenwood
Author: D. Lamping
Author: J. Townsend
Corporate Author: Health Technology Assessment Series

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