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논문분류	춘계학술대회 초록집
제목	Willingness to Pay for Kidney Transplantation among ESRD Patients Worldwide: A Systematic Review and Meta-Analysis
저자	Hendrik Wahyudi
출판정보	2026; 2026(1):
키워드	End-Stage renal disease, kidney transplantation, willingness to pay, health economics, systematic review
초록	Objectives: This study aims to evaluate the level of willingness to pay (WTP) for kidney transplantation among ESRD patients globally. Methods: This systematic review and meta-analysis was conducted following PRISMA guidelines through a literature search in PubMed, Scopus, and Embase. Observational studies reporting quantitative WTP data among ESRD patients were included. Statistical analysis was performed using a single-arm meta-analysis model with the primary effect size being the pooled event rate, heterogeneity test I², and Egger’s test to identify potential publication bias. Results: Four studies involving 893 participants from various countries, including Iran, Ghana, Turkey and the United States, met the inclusion criteria. Overall, 52% (95% CI: 0.35-0.68; p = 0.824) of patients with ESRD expressed a willingness to pay for kidney transplantation, and considerable heterogeneity was observed (I² = 98.36%). The lowest willingness to pay was found in Ghana, where 26.3% of patients with ESRD were willing, while in Turkey, the mean cost for living donors was US$ 40,751. There was no evidence of publication bias, p = 0.6835. Conclusion: Roughly half of patients with ESRD worldwide are willing to pay for kidney transplantation, reflecting strong interest in this therapy. More inclusive health financing policies are needed to improve global access to kidney transplantation.
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