Brazil has one of the most important public programs of transplant in the world. Our hospital is a private philanthropic that has already performed more than 2500 transplants of solid organs financed by the Public Health System. However, there are few studies related to cost analysis in transplant in Brazil to support the maintenance of transplant as a therapy cost-effective.Objective: To perform an economic analysis of survival for kidney transplant patients in philanthropic hospital. Methods: We included in this study all admissions which resulted in cost related to kidney transplants, in all phases of transplant treatment (pre, transplant and post transplant) of the year of 2014. Unit costs were associated to each health resource, obtained from the hospital costing system. The unit costs of materials and medicines correspond to the average direct costs of acquisition. For daily rates, tests and procedures unit costs correspond to the fixed and variable costs associated with providing each service. Cost were collected in Brazilian Reais (R$) and converted to USD considering the exchange rate from november 30th, 2014 (1USD=R$3.9). A survival analysis was done using the Cox model, using all kidney transplants performed since 2002 in our institution. Results: The total cost used for kidney transplant program was $ 6,015,160.77 in 2014. Considering the period of 2014, the cost was: in pre, transplant and postransplant phases were $686,696.92, $1,283,362.56 and $4,045,201.28 respectively. The mean survival time was 4,497 days and the life expectation calculated was 17 years in 922 patients included. Cost per patient per year of life-saved was $4,114,33

. Conclusion: In our Institution, the kidney transplant is considered a cost-effective therapy since its value is lower than $50,000.00/year, consumed in dialysis therapy.

CITATION INFORMATION: Matos A, Malheiros D, Morgado S, Requiao-Moura L, Kanamura A, Cendoroglo M, Pavao Santos O, Pacheco-Silva A. Economic Analysis of Survival for Patients Undergoing Kidney Transplant in a Philanthropic Hospital of Sao Paulo, Brazil. Am J Transplant. 2016;16 (suppl 3).

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