**Author details**

Khalid AlSaran1,2,3\* and Khalid Mirza4

\*Address all correspondence to: Khalid\_aln@yahoo.co.uk

1 Pediatric Nephrology Department, King Saud Medical City, Riyadh, Saudi Arabia

2 College of Medicine, Alfaisal University, Riyadh, Saudi Arabia

3 King Salman Kidney Center, Riyadh, Saudi Arabia

4 King Saud Medical City, Riyadh, Saudi Arabia

#### **References**

McFarlane et al. [24] assessed the cost-effectiveness of home nocturnal hemodialysis (HNHD) in relative to in-center hemodialysis (IHD). In this Canadian one-year prospective study which was done at two centers in Toronto in the year 2000, HNHD had a higher mean number of treatments per week (5.7 vs. 3.0, *P* = 0.004). In the cost categories, staffing was found to be less expensive for HNHD (weekly \$210 vs. \$423, *P* < 0.001, PMA \$4179 vs. \$12,393). There was a trend toward lower costs for hospital procedures and admissions (weekly \$23 vs. \$134, *P* = 0.355, PMA \$1173 vs. \$6997), for the capital costs (weekly \$118 vs. \$17, *P* < 0.001, PMA \$6139 vs. \$871) and the cost of direct hemodialysis materials (weekly \$318 vs. \$126, *P* < 0.001, PMA \$16,587 vs. \$6575). On the other hand, there was a trend toward higher cost for laboratory tests (weekly \$33 vs. \$26, *P* = 0.094, PMA \$1744 vs. \$1364). Physician costs were the same at \$128 per week (PMA \$6650). The projected mean annual costs were more than \$10,000 lower (\$56,394 vs. \$68,935). The weekly mean total cost for health care delivery was 20% less for HNHD (\$1082 vs. \$1322, *P* = 0.006). Their conclusion was that HNHD provides about three times as many treatment hours at nearly a one-fifth lower cost. The savings were evident even

OL-HDF seems to be cost-effective and much better than conventional hemodialysis for the patient's satisfaction, quality of life, patient's survival, dialysis-related mortality and morbid‐ ity, and cardiovascular outcomes. However, more prospective studies are needed on the cost-

The authors are grateful to Engineer Fahad Alderh for his contribution in cost calculation.

1 Pediatric Nephrology Department, King Saud Medical City, Riyadh, Saudi Arabia

when only program and funding specific costs were considered.

**5. Conclusion**

148 Advances in Hemodiafiltration

effectiveness of this procedure.

Khalid AlSaran1,2,3\* and Khalid Mirza4

\*Address all correspondence to: Khalid\_aln@yahoo.co.uk

3 King Salman Kidney Center, Riyadh, Saudi Arabia

4 King Saud Medical City, Riyadh, Saudi Arabia

2 College of Medicine, Alfaisal University, Riyadh, Saudi Arabia

**Acknowledgements**

**Author details**


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