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Table 3 Estimated incremental costs comparing construction of new dialysis unit vs. ICNHD (ICNHD – CvHD)

From: Cost analysis of in-centre nocturnal compared with conventional hemodialysis

Size of new HD unit added Capacity of added HD unit
25% 50% 75% 100%
4 stations (capital cost ~ $2,000,000)     
1 year $1,942,775 $1,885,549 $1,828,324 $1,771,098
5 years $1,713,873 $1,427,745 $1,141,618 $855,490
10 years $1,427,745 $855,490 $283,236 (−$289,019)
6 stations (capital cost ~ $2,700,000)     
1 year $2,614,162 $2,528,324 $2,442,485 $2,356,647
5 years $2,270,809 $1,841,618 $1,412,427 $983,236
10 years $1,841,618 $983,236 $124,853 (−$733,529)
9 stations (capital cost ~ $4,000,000)     
1 year $3,866,474 $3,742,485 $3,608,959 $3,484,971
5 years $3,332,369 $2,712,427 $2,044,796 $1,424,853
10 years $2,664,739 $1,424,853 $89,592 (−$1,150,293)
  1. Assumptions:
  2. - all patients can be accommodated by ICNHD or would be treated with CvHD in a newly built in-centre dialysis unit of varying station capacity.
  3. - annual operating cost per ICNHD patient $24586; annual operating cost per CvHD patient $15048 (incremental cost $ x annually).
  4. - capital costs of establishing new HD units based on estimates from the Northern Alberta Renal Program.
  5. - capacity refers to the use of stations within the unit, assuming 3 shifts per day, 6 days per week.
  6. ICNHD: in-centre nocturnal hemodialysis; CvHD: conventional hemodialysis; HD: hemodialysis.