Heart transplantation in the Netherlands; costs, effects and scenarios.
The Dutch heart transplantation programme was subjected to a prospective economic evaluation and costs and effects with or without such programme were estimated. The no-programme estimates were derived from pretransplant patient data. Future projections of both options were based on micro-stimulation using additional data on severe heart disease prevalence and on multi-organ donation. Costs per life year gained are estimated at NLG 57,650 (quality adjusted: NLG 71,900). Sensitivity analysis showed these results to depend highly on long term incidence of costs and on quality of life after transplantation.
van Hout
B
B
Department of Health Care Policy and Management, Erasmus University, Rotterdam, Netherlands.
Bonsel
G
G
Habbema
D
D
van der Maas
P
P
de Charro
F
F
D003362:Cost-Benefit Analysis; D003659:Decision Making, Organizational; D017048:Health Care Costs; D006302:Health Services Research; D016027:Heart Transplantation / Q000191:economics* / Q000401:mortality; D006801:Humans; D017146:Models, Organizational; D009313:National Health Programs / Q000191:economics*; D009426:Netherlands / Q000453:epidemiology; D015397:Program Evaluation / Q000191:economics; D011788:Quality of Life; D012107:Research Design; D012680:Sensitivity and Specificity; D015996:Survival Rate; D013673:Technology Assessment, Biomedical / Q000191:economics* / Q000379:methods; D026712:Value of Life