Page 25 - GHES-3-2
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Global Health Economics and
            Sustainability
                                                                      Retrospective analysis of dialysis and kidney transplant


            This survey has a score range of 0–100, with higher scores   transplant programs, even when they are more costly
            indicating better QoL. Clinically, this survey can guide   upfront but garner more significant savings over time.
            treatments by incorporating patient-reported outcomes,   These insights can also support the justification of seeking
            providing  better patient monitoring  of symptoms and   supplementary funds or investment to ensure the efficient
            therapy outcomes. Ultimately, it helps to correlate these   utilization of resources (Sarhan et al., 2021).
            factors, leading to improved patient QoL (Maglakelidze
            et al., 2011).                                     8.2. Clinical significance
                                                               The clinical significance of this analysis lies in its potential
            7.2. QoL analysis of kidney transplant patients
                                                               to improve patient outcomes by providing a comparative
            Unlike the survey for dialysis patients, the questionnaire   analysis of the QoL between dialysis and transplant patients.
            for kidney transplant patients includes various categories,   For instance, if a study indicates that transplant patients
            such as physical health, mental health, financial condition,   experience significantly better QoL, this could justify
            daily life experience, and medication change. The scoring   prioritizing transplants to enhance patient satisfaction and
            typically ranges from 1 to 5, with higher scores indicating   long-term health outcomes (Van Mil et al., 2024).
            better QoL. The total score, when summed, reflects the   The findings by Van Mil et al. (2024) can improve patient
            overall well-being in that area (Maglakelidze et al., 2011).
                                                               care by providing evidence-based recommendations. For
            7.3. Inclusion criteria                            example, if one establishes that kidney transplants offer far
                                                               greater QoL compared to dialysis, clinicians may be more
            The inclusion criteria were as follows: (i) adult participants   likely to recommend transplantation earlier in the process
            diagnosed with hypertension and diabetes mellitus who   of treatment (Van Mil et al., 2024).
            had undergone kidney transplants or dialysis at least
            6 months – 1 year prior; and (ii) participants with a stable   9. Future advancements in the field of the
            medical condition.
                                                               analysis of the QoL of patients
            7.4. Exclusion criteria                            QoL assessment is a relatively new field in patient care,
            The exclusion criteria were as follows: (i) individuals who   more so for patients suffering from chronic diseases or
            have received kidney transplants before starting dialysis to   undergoing long-term treatment processes. In this regard,
            maintain homogeneity within the dialysis group; and/or   future  improvements  are  most  likely  to  emanate  from
            (ii) those who are unwilling to participate or have recently   technological advances, more holistic and patient-centered
            undergone major surgeries or complications that might   assessment tools,  and growing interest in  personalized
            affect their current QoL or cost-effectiveness metrics.  medicine, some of which are discussed in this section.

            8. Significance of the analysis of dialysis        9.1. Digital health and wearable technology
            and kidney transplants                             Monitoring physical and psychological health is anticipated

            8.1. Impact on the hospital sector                 to be conducted by wearable devices and mobile health
                                                               apps, where the patient’s wearable continuously records data
            8.1.1. Policy formulation                          on various QoL metrics. These assessments are expected
            This analysis is instrumental in convincing hospitals to   to be timelier and more accurate (Swan, 2012). Health
            make policies that emphasize kidney transplant programs,   practitioners can also make more informed decisions
            as they not only boost patient success but also prove to be   regarding patient care by integrating wearable technology
            cost-effective. Achieving this requires establishing more   data into electronic health records, providing a more
            transplant centers and enhancing pre- and post-transplant   comprehensive view of the patient’s health (Swan, 2012).
            care systems to better serve a growing number of patients
            (Sarhan et al., 2021).                             9.2. Utilization of artificial intelligence (AI) and
                                                               machine learning
            8.1.2. Financial planning                          The use of AI and machine learning algorithms can predict
            Cost analysis between dialysis and transplantation can   potential QoL outcomes based on a patient’s prior records,
            better support hospital financial planning by allocating   selected treatment plan, and real-time data; proactive
            budgets to treatments that have the biggest effect on patient   clinical and scientific treatments can also be included
            outcomes and long-term cost-effectiveness. This approach   to enhance  QoL prediction  (Cohen  et al., 2021).  Other
            also helps in supporting long-term financial planning by   implications  of  natural  language  processing  in  the  deep
            focusing on  sustainable  investments,  such  as  expanding   analysis of patient-reported outcomes arise from various


            Volume 3 Issue 2 (2025)                         17                       https://doi.org/10.36922/ghes.4639
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