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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.