{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T04:06:11Z","timestamp":1791864371929,"version":"4.3.4"},"reference-count":52,"publisher":"The Korean Society of Nephrology","issue":"4","license":[{"start":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:00:00Z","timestamp":1744329600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["krcp-ksn.org"],"crossmark-restriction":true},"short-container-title":["Kidney Res Clin Pract"],"published-print":{"date-parts":[[2025,7,1]]},"abstract":"<jats:p>Background: The COVID-19 pandemic accelerated the use of digital health technologies to improve care access and quality of life. The Korean Ministry of Health and Welfare introduced a home care program for end-stage renal disease patients on peritoneal dialysis (PD), incorporating educational consultations and remote monitoring. This study evaluates the long-term economic effectiveness of this digital health-based home care program. Methods: A Markov model was developed to assess the lifetime cost-effectiveness of the PD home care program. Simulations involved 1,000 patients aged 50 in a PD health state, transitioning annually. Effectiveness was measured in quality-adjusted life years (QALYs), and a cost-utility analysis was performed from a limited societal perspective. The willingness-to-pay (WTP) threshold was US$ 32,255 (gross domestic product per capita) per QALY, with a 4.5% discount rate for both QALYs and costs. Outcomes included the incremental cost-effectiveness ratio (ICER) and incremental net monetary benefit, with scenario, sensitivity, and expected value of perfect information (EVPI) analyses addressing uncertainty. Results: The base case analysis yielded an ICER of $4,895 per QALY, well within the WTP threshold. Sensitivity analysis highlighted PD-associated costs as the most critical parameters. Monte Carlo simulations (10,000 iterations) indicated a 79.0% probability of the home care program being optimal. EVPI analysis suggested an additional $2,963 per patient with perfect parameter information. Conclusion: The PD home care program in Korea appears to be a cost-effective strategy, potentially reducing peritonitis incidence and enhancing healthcare efficiency.<\/jats:p>","DOI":"10.23876\/j.krcp.24.246","type":"journal-article","created":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T07:37:11Z","timestamp":1745393831000},"page":"651-663","update-policy":"https:\/\/doi.org\/10.23876\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Home care program with telemonitoring for patients undergoing peritoneal dialysis in South Korea: a cost-utility analysis"],"prefix":"10.23876","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7856-3255","authenticated-orcid":true,"given":"KyungYi","family":"Kim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1053-8958","authenticated-orcid":true,"given":"Tae Hyun","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2955-6382","authenticated-orcid":true,"given":"Jaeyong","family":"Shin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0558-1505","authenticated-orcid":true,"given":"Suk-Yong","family":"Jang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6305-452X","authenticated-orcid":true,"given":"Hyung Woo","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5732-2583","authenticated-orcid":true,"given":"Beom Seok","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4847-2421","authenticated-orcid":true,"given":"Sang Gyu","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"9960","reference":[{"key":"ref1","volume-title":"","author":"Aitken","year":"2021"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2022.63.s56"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2021.62.7.660"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.23332"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2021.02026"},{"key":"ref6","volume-title":"","year":"2021"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.34067\/kid.0001662020"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(21)00519-5"},{"key":"ref9","first-page":"1","volume-title":"KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease","year":"2013"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(11)60178-5"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(16)32064-5"},{"key":"ref12","volume-title":"Stages of kidney disease [Internet]","year":"c2022"},{"key":"ref13","volume-title":"","year":"2021"},{"key":"ref14","volume-title":"End-Stage Renal Disease. In: StatPearls [Internet]","author":"Hashmi","year":"2024"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1111\/nep.12970"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2005.18215.x"},{"key":"ref17","volume-title":"","year":"2022"},{"key":"ref18","volume-title":"","year":"2021"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1111\/nep.12668"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1007\/s40258-014-0108-7"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-020-1708-0"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.vhri.2019.10.004"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4733.2006.00145.x"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.4285\/jkstn.2010.24.3.173"},{"key":"ref25","volume-title":"","year":"2022"},{"key":"ref26","volume-title":"","year":"2022"},{"key":"ref27","volume-title":"","author":"Drummond","year":"2015"},{"key":"ref28","volume-title":"","year":"2021"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czw096"},{"key":"ref30","volume-title":"","year":"2022"},{"key":"ref31","volume-title":"","year":"2021"},{"key":"ref32","volume-title":"Half-cycle correction [Internet]","year":"2016"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1017\/s0266462321001732"},{"key":"ref34","volume-title":"","year":"2017"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.23876\/j.krcp.20.202"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.36959\/832\/401"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-017-0588-4"},{"key":"ref38","volume-title":"KSN NEWS, Issue 17: Factsheet - Kidney transplantation in Korea by the numbers (recipient perspective) [Internet]","year":"2020"},{"key":"ref39","volume-title":"","year":"2021"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.23876\/j.krcp.23.160"},{"key":"ref41","volume-title":"","author":"Israel","year":"1992"},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2587"},{"key":"ref43","volume-title":"","author":"Yu","year":"2006"},{"key":"ref44","volume-title":"Consumer price index by purpose of expenditure by year [Internet]","year":"2022"},{"key":"ref45","volume-title":"2020 Medical service experience survey [Internet]","author":"Shin","year":"2020"},{"key":"ref46","volume-title":"","year":"2020"},{"key":"ref47","volume-title":"","year":"2021"},{"key":"ref48","doi-asserted-by":"publisher","DOI":"10.2147\/CEOR.S212911"},{"key":"ref49","doi-asserted-by":"publisher","DOI":"10.4285\/jkstn.2015.29.4.200"},{"key":"ref50","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsaa223"},{"key":"ref51","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2022.0170"},{"key":"ref52","doi-asserted-by":"publisher","DOI":"10.2165\/00019053-199304050-00006"}],"container-title":["Kidney Research and Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/krcp-ksn.org\/upload\/pdf\/j-krcp-24-246.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/krcp-ksn.org\/journal\/view.php?doi=10.23876\/j.krcp.24.246","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/krcp-ksn.org\/upload\/pdf\/j-krcp-24-246.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T04:22:50Z","timestamp":1751343770000},"score":1,"resource":{"primary":{"URL":"http:\/\/krcp-ksn.org\/journal\/view.php?doi=10.23876\/j.krcp.24.246"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,1]]},"references-count":52,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,7]]}},"URL":"https:\/\/doi.org\/10.23876\/j.krcp.24.246","relation":{},"ISSN":["2211-9140"],"issn-type":[{"value":"2211-9140","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,1]]},"assertion":[{"value":"2024-10-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-11","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-01","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}