title: The costs and benefits of bone marrow transplantation.
abstract: The average direct costs of performing a bone marrow transplant (BMT), including the subsequent year, was found to be NZ$27,074 for 43 consecutive transplants. In 29 BMTs a full two year period of follow up was available and a quality of life analysis was carried out on these patients. It was calculated that 59 quality adjusted life years (QALYs) had been gained by the BMT procedure at the time of analysis. By combining these two analyses the cost of each QALY gained by BMT is NZ$13,272. The relatively low cost of BMT is partly due to the extremely low annual costs in second and subsequent years post BMT. In our patients this cost amounted to $195 per year. The costs and benefits of BMT compare very favourably with other complex medical procedures.
authors.affiliation: Department of Haematology, Christchurch Hospital, N.Z.
authors.forename: M E
authors.initials: ME
authors.lastname: Beard
authors.forename: A B
authors.initials: AB
authors.lastname: Inder
authors.forename: J R
authors.initials: JR
authors.lastname: Allen
authors.forename: D N
authors.initials: DN
authors.lastname: Hart
authors.forename: D C
authors.initials: DC
authors.lastname: Heaton
authors.forename: R L
authors.initials: RL
authors.lastname: Spearing
mesh_terms: D000328:Adult; D000367:Age Factors; D000553:Ambulatory Care / Q000191:economics; D016026:Bone Marrow Transplantation / Q000191:economics* / Q000401:mortality; D002648:Child; D003362:Cost-Benefit Analysis; D005500:Follow-Up Studies; D006760:Hospitalization / Q000191:economics; D006801:Humans; D008017:Life Expectancy; D009520:New Zealand; D011788:Quality of Life; D012189:Retrospective Studies; D016019:Survival Analysis; D026712:Value of Life