Literature DB >> 23045832

Predicting mortality and cost of hematopoietic stem-cell transplantation.

Fábio Rodrigues Kerbauy1, Leonardo Raul Morelli, Cláudia Toledo de Andrade, Luis Fernando Lisboa, Miguel Cendoroglo Neto, Nelson Hamerschlak.   

Abstract

OBJECTIVE: To evaluate whether the Pretransplantion Assesment of Mortality risk score is associated to transplant costs and can be used not only to predict mortality but also as a cost management tool.
METHODS: We evaluated consecutively patients submitted to allogeneic (n = 27) and autologous (n = 89) hematopoietic stem cell-transplantation from 2004 to 2006 at Hospital Israelita Albert Einstein (SP), Brazil. Participants mean age at hematopoietic stem cell-transplantation was 42 (range 1 to 72) years; there were 69 males and 47 females; 30 patients had multiple myeloma; 41 had non-Hodgkin and Hodgkin's lymphomas; 22 had acute leukemia; 6 had chronic leukemia; and 17 had non-malignant disease. The Pretransplantion Assesment of Mortality risk score was applied in all patients using the available web site (http://cdsweb.fhcrc.org/ pam/).
RESULTS: Patients could be classified in three risk categories: high, intermediate and low, having significant difference in survival (p = 0.0162). The median cost in US dollars for each group was $ 281.000, $ 73.300 and $ 54.400 for high, intermediate and low risk, respectively. The cost of hematopoietic stem cell-transplantation significantly differed for each Pretransplantin Assesment of Mortality risk group (p = 0.008).
CONCLUSION: The validation of the Pretransplantion Assesment of Mortality risk score in our patients confirmed that this system is an important tool to be used in transplantation units, being easy to apply and fully reproducible.

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Year:  2012        PMID: 23045832     DOI: 10.1590/s1679-45082012000100017

Source DB:  PubMed          Journal:  Einstein (Sao Paulo)        ISSN: 1679-4508


  3 in total

1.  Association of Macroeconomic Factors With Nonrelapse Mortality After Allogeneic Hematopoietic Cell Transplantation for Adults With Acute Lymphoblastic Leukemia: An Analysis From the Acute Leukemia Working Party of the EBMT.

Authors:  Sebastian Giebel; Myriam Labopin; Adalberto Ibatici; Paul Browne; Tomasz Czerw; Gerard Socie; Ali Unal; Slawomira Kyrcz-Krzemien; Andrea Bacigalupo; Hakan Goker; Mike Potter; Caroline L Furness; Grant McQuaker; Dietrich Beelen; Noel Milpied; Antonio Campos; Charles Craddock; Arnon Nagler; Mohamad Mohty
Journal:  Oncologist       Date:  2016-02-11

2.  Economic burden of sickle cell disease in Brazil.

Authors:  Ana Cristina Silva-Pinto; Fernando F Costa; Sandra Fatima Menosi Gualandro; Patricia Belintani Blum Fonseca; Carmela Maggiuzzu Grindler; Homero C R Souza Filho; Carolina Tosin Bueno; Rodolfo D Cançado
Journal:  PLoS One       Date:  2022-06-16       Impact factor: 3.752

3.  Cost of hematopoietic stem cell transplantation in India.

Authors:  Sanjeev Kumar Sharma; Dharma Choudhary; Nitin Gupta; Mayank Dhamija; Vipin Khandelwal; Gaurav Kharya; Anil Handoo; Rasika Setia; Arpita Arora
Journal:  Mediterr J Hematol Infect Dis       Date:  2014-07-01       Impact factor: 2.576

  3 in total

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