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Nephrol Dial Transplant. 2016

End-of-life care for people with chronic kidney disease: cause of death, place of death and hospital costs.

Kerr M, Matthews B, Medcalf JF, O’Donoghue D.

Associations between chronic kidney disease (CKD), place of death and hospital costs in adults with CKD in England in the final 3 years of life.

Using Hospital Episode Statistics data linked to Office for National Statistics mortality data, associations between place of death and hospital costs in adults with chronic kidney disease (CKD) in England was evaluated. From over 1.6 million adults, 13% had CKD. 11% of people with CKD died at home compared with 17% matched non-CKD group. CKD was associated with an increase in hospital costs of £3380 in the last year of life and a home death was associated with a reduction in hospital costs of £2811 in the CKD group in the last year of life. The most commonly recorded cause of death in people with CKD was heart disease and CKD was not on two-thirds of the death certificates.

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