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Table 1 Societal costs associated with ADPKD in the US in 2018

From: The societal economic burden of autosomal dominant polycystic kidney disease in the United States

Component1

Excess costs (2018 USD)

Excess direct healthcare costs

 CKD stage 1

$545,894,174

 CKD stage 2

$612,261,195

 CKD stage 3

$619,300,610

 CKD stage 4

$354,143,587

 CKD stage 5 (excluding ESRD-RRT)

$442,190,064

 ESRD-RRT

$3,167,501,412

 Total excess direct healthcare costs

$5,741,291,041

Excess direct non-healthcare costs

 Research, training, and advocacy

$35,714,993

 Costs of matching donors and recipients for kidney transplant

$7,583,334

 Costs of transportation to and from dialysis center

$81,428,941

Total excess direct non-healthcare costs

$124,727,268

Excess indirect costs

 Unemployment

$783,819,493

  CKD stages 1–3

$256,201,951

  CKD stages 4–5 (excluding ESRD-RRT)

$115,955,070

  ESRD-RRT

$411,662,472

 Reduced productivity at work

$390,316,213

  CKD stages 1–3

$237,533,624

  CKD stages 4–5 (excluding ESRD-RRT)

$59,850,579

  ESRD-RRT

$92,932,010

 Productivity loss from premature mortality

$196,789,459

  Caregivers’ productivity loss

$53,060,981

   CKD stages 1–3

$7,086,663

   CKD stages 4–5 (excluding ESRD-RRT)

$9,689,005

   ESRD-RRT

$36,285,312

  Caregivers’ direct healthcare costs

$16,831,670

   CKD stages 1–3

$7,712,428

   CKD stages 4–5 (excluding ESRD-RRT)

$1,210,672

  ESRD-RRT

$7,908,570

 Total excess indirect costs

$1,440,817,816

Total excess direct healthcare, direct non-healthcare, and indirect costs

$7,306,836,126

  1. ADPKD autosomal dominant polycystic kidney disease; CKD chronic kidney disease; CPI consumer price index; ESRD-RRT end stage renal disease requiring renal replacement therapy; US United States; USD United States dollars
  2. Notes
  3. 1. Based on a prevalence of 0.043%, the ADPKD population in the US was estimated at 140,598 individuals in the US. Of those, there were 29,669 individuals with CKD stage 1; 35,129 with CKD stage 2; 29,123 with CKD stage 3; 10,739 with CKD stage 4; 4004 with CKD stage 5 (excluding ESRD-RRT); and 31,934 with ESRD-RRT. Costs were adjusted to 2018 dollars using the Consumer Price Index