A bone marrow transplant is an extremely complex procedure that involves careful planning and consideration. However, for many patients, it is a life-saving procedure when conducted on time and as needed. Stem cell transplant or hematopoietic cell transplantation (HCT) is the other terms for bone marrow transplantation.
A bone marrow transplant is an extremely complex procedure that involves careful planning and consideration. However, for many patients, it is a life-saving procedure when conducted on time and as needed. Stem cell transplant or hematopoietic cell transplantation (HCT) is the other terms for bone marrow transplantation. The objective of this Bone Marrow Transplant Cost Guide is to present information pertaining to the costs associated with this procedure that helps treat a variety of conditions
In this procedure, the specialists replace the damaged bone marrow cells in the body of the patient with healthy cells. The healthy cells may come from the patient’s own body (autologous stem cells transplant) or from a donor (allogeneic stem cells transplant).
Bone marrow transplant procedure involves a team of specialists, which include hematologists, radiologists, oncologists, laboratory technicians, and other staff members. A majority of hospitals around the world that offer this treatment have dedicated bone marrow transplant departments or units with specialized equipment and state-of-the-art machinery.
Because of the complexities of bone marrow transplant, it often becomes difficult to determine the exact cost of the procedure. Overall, this procedure is quite expensive as it involves the use of special techniques, equipment, and manpower.
Additionally, it provides a detailed break up of the costs that a patient is expected to bear during their course of treatment and the factors that affect the total cost of treatment.
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Certain medical conditions can affect the functioning of the bone marrow and reduce its effectiveness. This can, in turn, lead to a range of complications and warrant the need for an immediate intervention.
Some of the medical conditions and diseases that affect the bone marrow include leukemia, sickle cell anemia, thalassemia, lymphoma. High-intensity chemotherapy for certain forms of cancers can also damage the healthy bone marrow. In such cases as well, bone marrow transplant becomes a necessity.
The following are some of the conditions that the specialists treat with the help of bone marrow transplantation:
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Depending on the type of condition that one is suffering from, the doctors may conduct autologous or allogeneic stem cell transplant.
Stem cell transplantation or bone marrow transplantation is a highly complicated and technical procedure that involves a lot of skills and efforts. In the case of autologous stem cells transplant, healthy bone marrow is retrieved from the body of the patient and later used for transplantation when needed. In an allogeneic transplant, the healthy bone marrow is derived from a matching donor or an unrelated donor.
Then there is something called haploidentical stem cell transplantation, It involves taking the healthy stem cells from a donor that is only half-matched. It is only suitable for patients who do not have an HLA-identical sibling donor.
The cost associated with each type of stem cell transplant is different. This is because the doctors use different techniques, preservation methods, and tests in each case. The following are some of the factors that control the cost of bone marrow transplantation around the world.
The type of medical condition or ailment that an individual has is one of the biggest factors that control the cost of bone marrow transplantation. Each of the conditions affecting the bone marrow cells is treated differently and each patient has a different treatment plan. For example, bone marrows destruction in the case of aplastic anemia patient is treated differently from a patient who has had his or her bone marrow destroyed as due to chemotherapy.
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Bone marrow transplantation often involves a series and rounds of HLA-typing tests with all siblings in the case of allogeneic transplantation. Additionally, the work-up of the patient and the donor costs extra. This is not the same in the case of autologous transplantation. In this case, only the patient is thoroughly evaluated and investigations are carried out before taking the healthy bone marrow cells.
In certain cases such as leukemia, the patient is given a few cycles of chemotherapy before the bone marrow transplantation. The chemotherapy regimen increases the total cost of treatment for that particular condition.
The cost of bone marrow transplantation also varies from one hospital to the other and one country to the other. The total cost depends on whether you are getting it done at a bone marrow transplant center, clinic, or a multispecialty hospital. Also, there is a difference in the cost among countries
Age of the patient is another factor that drives the total cost of bone marrow transplantation. The cost is usually higher in the case of a pediatric patient or those who are aged less than 20. This is because they require more care and tests and also, the total duration of hospitalization is greater in their case.
The total hospital stay also affects the cost of bone marrow transplantation. Sometimes, the total duration of hospitalization gets extended for additional monitoring in the case of pediatric patients. Some of the reasons responsible for an extra or extended hospital stay include monitoring for graft-versus-host disease, need for ventilator support or intensive care, and presence of a bacterial, fungal, or viral infection.
|Autologous bone marrow transplantation||$18000 to $28000||$35000||$120000||$100000|
|Allogeneic bone marrow transplantation from a related donor||$32000||$60000||$200000||$180000|
|Allogeneic bone marrow transplantation from an unrelated donor (from donor bank or registry)||$35000||$75000 to $100000||$600000||$250000|
|Haploidentical bone marrow transplantation||$72000||$125000||--||--|
|Pre-surgery Costs||Surgery Cost||Post-surgery Costs|
Patients who travel from abroad to a particular country for treatment have to bear an additional cost of hotel accommodation, local traveling, and food. This additional cost on top of the treatment cost depends on individual preferences. For example, a patient may decide to stay in a 3-star, 4-star or a 5-star accommodation and prefer to eat exquisite cuisine during his or her stay. The cost increases with an increase in the level of luxury that a patient looks to have.
The following table highlights the approximate cost of accommodation and food in some of the most popular medical tourism destinations:
|Meals for Two Individuals||$20||$42||$90|
|Indraprastha Apollo Hospital (Delhi NCR)|
|BLK Hospital (Delhi)|
|Max Hospital (Delhi NCR)|
|Fortis Group of Hospitals (Pan India)|
|Turkey||Hisar Intercontinental Hospitals|
|Medicana International Hospital|
|Mount Elizabeth Hospital|
|Parkway East Hospital|
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Guneet Bhatia is an avid reader, healthcare writer, and is currently Director of Patient Care Department, MediGence. She has also been featured on many prominent Healthcare portals such as IBTimes, HCIT Expert, Clinician Today.