{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:24:27Z","timestamp":1777674267629,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,4,13]],"date-time":"2020-04-13T00:00:00Z","timestamp":1586736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Healthc Manage Forum"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>Much attention is given to patient and provider engagement, cost, and quality. Nephrology is in a unique position to examine the intersection of these issues given kidney dialysis is delivered at a high cost to chronically ill patients. Annual dialysis treatments in Canada range from $56,000-$107,000 per patient dependent on modality. Economists quantify the preferred modality by calculating cost effectiveness through quality-adjusted life years or determining utilization through Discrete Choice Experiments (DCEs). Cost-effectiveness studies identify peritoneal dialysis as the most economical, yet it is the least used. Discrete choice experiments address patient preferences but rarely include cost attributes. This presents a unique paradigm: cost studies do not include patient or physician perspectives, and DCEs do not consider cost. This systematic review of dialysis cost-effectiveness studies and DCEs identifies an opportunity to increase engagement and transparency by involving all care partners in assessing quality and cost.<\/jats:p>","DOI":"10.1177\/0840470420916775","type":"journal-article","created":{"date-parts":[[2020,4,13]],"date-time":"2020-04-13T07:00:38Z","timestamp":1586761238000},"page":"200-205","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["An opportunity for improved engagement and transparency: A systematic review of renal dialysis cost effectiveness and discrete choice experiment studies"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7482-3830","authenticated-orcid":false,"given":"Michael","family":"Heenan","sequence":"first","affiliation":[{"name":"McMaster University, Hamilton, Ontario, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,4,13]]},"reference":[{"key":"bibr1-0840470420916775","doi-asserted-by":"publisher","DOI":"10.1586\/14737167.2015.1012069"},{"key":"bibr2-0840470420916775","doi-asserted-by":"publisher","DOI":"10.12927\/hcq.2016.24864"},{"key":"bibr3-0840470420916775","volume-title":"Dialysis Modalities for the Treatment of End-Stage Kidney Disease","author":"Canadian Agency for Drugs and Technologies in Health","year":"2017"},{"key":"bibr4-0840470420916775","doi-asserted-by":"publisher","DOI":"10.1038\/nrneph.2014.145"},{"key":"bibr5-0840470420916775","unstructured":"US Renal Data System.\n                      USRDS 2013\n                      Annual Data Report: Atlas of End-Stage Renal Disease in the United States. 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