title: Hematopoietic stem cell transplantation in Europe. Differences between Eastern and Western countries.
abstract: Hemopoietic stem cell transplantation (HSCT) is increasingly used worldwide. The geographical distribution of this procedure is not homogenous within a particular continent. We have previously reviewed these differences in the use of bone marrow transplant in Europe,  and in two reports we emphasized the economical reasons explaining these differences. The increasing demand for this high cost procedure represents a challenge for health care institutions. While patients need an optimal therapy, public health is confronted with limited resources. Information  on changes in HSCT technology and on factors associated with its utilization might be of help. Insights into mechanisms of HSCT use are essential for rational decision making.
authors.affiliation: Institute of Hematology and Oncology, Hospital Clinic Barcelona, University of Barcelona, José Carreras Institute of Research, Barcelona, Spain. aurbano@ub.edu
authors.forename: Alvaro
authors.initials: A
authors.lastname: Urbano-Ispizua
authors.forename: Helen
authors.initials: H
authors.lastname: Baldomero
authors.forename: Alois
authors.initials: A
authors.lastname: Gratwohl
mesh_terms: D016026:Bone Marrow Transplantation / Q000191:economics*; D003695:Delivery of Health Care / Q000191:economics; D005060:Europe; D018380:Hematopoietic Stem Cell Transplantation / Q000191:economics*; D006801:Humans; D014182:Transplantation, Autologous / Q000191:economics; D014184:Transplantation, Homologous / Q000191:economics