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.
Department of Health Care Policy and Management, Erasmus University, Rotterdam, Netherlands.
B
B
van Hout
G
G
Bonsel
D
D
Habbema
P
P
van der Maas
F
F
de Charro
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