Caro Martínez, AraceliValcárcel Cabrera, María Del CarmenOlry-de-Labry-Lima, Antonio2024-07-042024-07-042023-12Caro Martínez A, Valcárcel Cabrera MDC, Olry de Labry Lima A. Value of concerted and hospital hemodialysis through a multi-criteria decision analysis. Nefrologia (Engl Ed). 2023 Nov-Dec;43(6):742-749https://hdl.handle.net/10668/23299Objective To evaluate the value of the provision of contracted versus hospital dialysis services for the treatment of chronic kidney disease in Spain using the multicriteria decision analysis methodology. Method The EVIDEM (Evidence and Value: Impact on Decision Making) evaluation framework was used to calculate the estimated value of both dialysis delivery models (arranged vs. hospital) through a virtual workshop in which different profiles participated: directors and managers, professionals and heads of units and representatives of patients and relatives. The scores were combined using an additive lineal model, which combined the weight of the model with the individual score of the criteria, and each value was transformed to a scale between 0 and 1. Results The estimated value for arranged dialysis was 0.29 (DS: ±0.2) and 0.39 (DS: ±0.2) for hospital dialysis. All profiles gave a higher value to hospital hemodialysis compared to contracted hemodialysis. The highest value for hospital dialysis was for patients (0.44), with the lowest mean value for directors (0.36) and the range for arranged dialysis being between patients (0.31) and intermediate positions (0.27). Conclusions Hospital hemodialysis obtained a higher value than concerted dialysis. In general, the panelists affirmed that it is a useful and interesting exercise and that, to a certain extent, it provides security in decision-making, since it allows ordering, rationalizing and considering, in an explicit and transparent manner, the different criteria involved.enToma de decisionesEvaluación de tecnologías sanitariasDiálisisServicios externosDecision MakingTechnology Assessment, BiomedicalDialysisOutsourced Servicesresearch article38246811open accessToma de DecisionesEvaluación de la tecnología biomédicaDiálisisServicios Externos10.1016/j.nefroe.2024.01.001.2013-2514