en Health Technology Assessment Health Technology Assessment Original Research Original Research <p dir="ltr" style="text-align: justify;"><strong>Background: </strong>This cross-sectional study was conducted to compare the cost-effectiveness of three therapeutic methods of long-term hemodialysis, kidney transplant from a living person and kidney transplant from a cadaver utilizing Disability Adjusted Life Years (DALY) using data from the records of patients referred to Afzalipour Hospital of Kerman in 2012.</p> <p dir="ltr" style="text-align: justify;"><strong>&nbsp; Methods</strong>: This cross-sectional study utilizing Disability Adjusted Life Years (DALY) as outcome measure, used data from the records of patients referred to Afzalipour Hospital of Kerman in 2012. The decision tree model and decision tree software (Tree Age pro 11) were used for data analysis. In this research, costs and effects were studied from the patients and healthcare providers&rsquo; perspective.</p> <p dir="ltr" style="text-align: justify;"><strong>&nbsp; Results</strong>: In the patient&rsquo;s perspective, the CER of dialysis was 5.04 times greater than transplant from a living person and 6.15 times higher than transplant from a cadaveric donor. In the hospital&rsquo;s perspective, the average cost-effectiveness ratio of dialysis was 8.4 times greater than transplant from a living person and 14.07 times higher than transplant from a cadaver. The smaller the C-E ratio, the greater was the cost-effectiveness. In both perspectives, the order of effectiveness of treatment methods were transplant from a cadaver, transplant from a living person and dialysis.</p> <p dir="ltr" style="text-align: justify;"><strong>&nbsp; Conclusion</strong>: Considering the results obtained in this study, measures should be taken to increase the desire for organ donation from brain-dead patients, living people and patients&rsquo; relatives.</p> Cost-Effectiveness, DALY, Chronic Dialysis, Kidney Transplant. 640 646 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-1020&slc_lang=en&sid=1 Safiye Yaghoubi Fard s.yaghubi91@yahoo.com 200319475328460023105 200319475328460023105 No Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran. Reza Goudarzi rgoudarzi@kmu.ac.ir 200319475328460023106 200319475328460023106 No Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Ker-man, Iran. Abbas Etminan abbas_etminan@yahoo.com 200319475328460023107 200319475328460023107 No Regional Centre for Training of HIV / AIDS, Institute for Futures Studies in Health, Kerman, Iran. Mohammad Reza Baneshi rbaneshi@yahoo.com 200319475328460023108 200319475328460023108 No Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran. Mohsen Barouni mohsenbarooni @gmail.com 200319475328460023109 200319475328460023109 Yes Modeling in Health Research Center , Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran. Mohammad Jafari Sirizi yamahdi1386@yahoo.com 200319475328460023110 200319475328460023110 No Health Insurance Organization, Head of Kerman office, Kerman, Iran.