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All Journal Medical Journal of Indonesia Indonesian Journal of Urology Jurnal Ilmu Komunikasi Journal of SouthEast Asian Human Rights ETTISAL Journal of Communication Jurnal Studi Komunikasi Jurnal Pemberdayaan Masyarakat Madani (JPMM) Jurnal SOLMA ISM (Intisari Sains Medis) : Jurnal Kedokteran Best Journal (Biology Education, Sains and Technology) Jurnal Abdi Insani Aspirasi : Jurnal Masalah-masalah Sosial Jurnal Layanan Masyarakat (Journal of Public Service) Jurnal Pengabdian kepada Masyarakat Nusantara Biokultur Journal of Education Research Pedagogy : Jurnal Pendidikan Matematika Jurnal Ilmu Pendidikan Indonesia Makara Journal of Health Research Journal of Governance and Administrative Reform Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education and Research Institute Journal of Law and Legal Reform Merpsy Journal
Irfan Wahyudi
Departement Of Urology, Faculty Of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Physics Public Health Social Sciences Other

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Economic burden and healthcare costs of congenital anomalies of the kidney and urinary tract: a systematic review Alvarino, Akbar Muzakki; Pahlevi, Reza; Situmorang, Gerhard Renaldi; Wahyudi, Irfan; Rodjani, Arry; Raharja, Putu Angga Risky
Medical Journal of Indonesia Vol. 35 No. 1 (2026): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.258074

Abstract

BACKGROUND Congenital anomalies of the kidney and urinary tract (CAKUT) cause significant morbidity and economic burden worldwide, highlighting the needs to understand its associated costs. This study aimed to assess the economic burden of CAKUT management. METHODS A systematic review was conducted across 5 databases, including PubMed, ScienceDirect, ProQuest, Nature, and Google Scholar, for studies published up to September 11, 2024, focusing on both direct (e.g., hospitalizations, surgeries, and treatments) and indirect (e.g., lost work time and complications management) healthcare costs related to CAKUT and published in English. Non-economic studies, reviews, editorials, abstracts, animal/in vitro studies, and duplicates were excluded. Methodological quality was assessed using the Risk Of Bias In Non-randomized Studies - of Interventions tool. Narrative synthesis and descriptive statistics were applied. Cost-effectiveness analysis followed Joanna Briggs Institute guidelines. RESULTS 8 studies met the inclusion criteria, revealing wide variations in CAKUT-related healthcare costs across countries and interventions. These studies focused on reviewing both direct and indirect costs, along with interventions that reduce overall healthcare expenditure. Key findings include: (1) In the USA, bilateral renal agenesis costs averaged USD 26,032; (2) In Australia, early whole exome sequencing reduced diagnostic costs by 20% in genetic kidney disease cases; (3) Robotic surgery demonstrated long-term cost-effectiveness despite higher inpatient costs; (4) Other cost-saving strategies include the early renal ultrasound algorithm and genomic testing for CAKUT. CONCLUSIONS CAKUT imposes a significant and variable economic burden globally. Identifying cost-effective interventions is crucial for optimizing care and reducing the financial impact. Further research on cost management strategies is needed to improve outcomes and efficiency.
The ‘green island’ imaginary: media framing of Bali’s energy policy Febriani, Nufian; Subiakto, Henri; Wahyudi, Irfan; Avicenna, Fitria
Jurnal Studi Komunikasi Vol. 10 No. 1 (2026)
Publisher : Faculty of Communications Science, Dr. Soetomo University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25139/jsk.v10i1.11380

Abstract

This study examined how the mass media depict the transition to renewable energy in Bali through the cultural imagination of the ‘green island’. Using a critical case study approach, this study combines media content analysis, interviews with journalists, policymakers, and community leaders, as well as a review of energy policies implemented between 2019 and 2024. The results show that state and corporate actors strategically adopt local cultural values, such as Tri Hita Karana, to legitimise energy policies. On the other hand, forms of community resistance rooted in customary and spiritual claims gain visibility but have limited political effectiveness because they are integrated into the dominant media narrative. The results of the study show that the ‘green island’ imagination functions as a symbolic mechanism that prioritises tourism-oriented development and political legitimacy over substantial community participation in Bali's energy governance.
Co-Authors Agus Rizal Ardy Hariandy Hamid, Agus Rizal Ardy Hariandy Alam, Gampo Albertus Marcelino Alfarissi, Fekhaza Alfarissi, Fekhaza Alvarino, Akbar Muzakki Andika Rendy Aria Kekalih ARIANTO, EKO Arry Rodjani Asy'ari, Nur Aini Shofiya Avicenna, Fitria Bagong Suyanto Bagus Baskoro Bettisari Napitupulu Bramono, Ikhlas A Chaidir A. Mochtar Chaidir Arif Mochtar CHAIDIR MOCHTAR, CHAIDIR Danurdoro, Aria Delta Bayu Murti Edhi Hapsari Endang Susalit Ervita Mediana Fatan Abshari, Fatan Febriani, Nufian Fortuna, Edyna GAMPO ALAM IRDAM, GAMPO ALAM Gede Wirya Kusuma Duarsa Gerhard Reinaldi Situmorang, Gerhard Reinaldi Ginanda Putra Siregar, Ginanda Putra Happy Lumbantobing, Happy Henri Subiakto Heri Wibowo Hery Tiera Iannone, Aniello Ilham Wahyudi Ilmi, Irfan Immanuel Hutasoit, Yonas Intan Fitranisa Irdam, Gampo A Isnaini, Santi Johannes Aritonang, Johannes Jose RL Batubara Kanadi Sumadipradja Kholid, Irwan Layli Hamida Lisnawati Rachmadi Mandala, Opan Maradona, Maradona Mariati Hutabarat, Ida Maruhum B.H. Marbun Mohammad Fariz Muhamad Taufik Nadeak, Masaulina Klara Naiborhu, Rusdin Nainggolan, Ebram NICHOLAS TAMBUNAN, NICHOLAS Nur Rasyid Nuraini, Dini Rahmatun Pakpahan, Romauli Pangestu, Chandra Trisna Ponco Birowo Prahara Yuri Prasetyo, Dimas Tri Putra, Ida Bagus Oka Widya Putra, Prima Ciko Ade Rachmah Ida Raharja, Putu Angga Risky Rahayu, Titik Puji Rama Firmanto, Rama Ramadhiansyah, Dimas Rani Sukma Ayu Suteja Ratih Puspa REZA PAHLEVI Romadhona, Mochamad Kevin Romdhi Fatkhur Rozi Ronaldo Kho Samosir, Ernita Saparudin Efendi Sapto Andriyono Saputra, Hijrah Sa’diyah, Kamila Sa’diyah, Kamilah Septiani, Dina Setyo Hariyanto, Didik Sholeh, Rio Nur Sihotang, Retta Catherina Situmorang, Gerhard Renaldi Soeroto, Adhitama A. Sri Endah Kinasih Tanaya Ghinorawa Taufik Rakhman Taher Toetik Koesbardiati Widi Atmoko Widia, Fina Widodo, Suko Wijaya, Gustaf Yacob Ruru Yonas Immanuel Hutasoit, Yonas Immanuel Yopie T Satyawan Yopie Tjandradiguna Satyawan Yosep, Eska Yudha Alfanius Hutahaean, Andre Yuniawan Heru Santoso