Cost associated with hematopoietic stem cell transplantation: a retrospective claims data analysis in Germany

Author:

Mayerhoff Lukas1,Lehne Moritz1,Hickstein Lennart2,Salimullah Tayyab3,Prieur Sigurd1,Thomas Simu K4,Zhang Jie4

Affiliation:

1. Elsevier Health Analytics, Berlin, Germany

2. Health Risk Institute, Berlin, Germany

3. Novartis Pharmaceuticals Corporation, Basel, Switzerland

4. Novartis Pharmaceuticals Corporation, East Hanover, NJ 07936, USA

Abstract

Aim: Quantify hematopoietic stem cell transplantation (HSCT) costs in German patients with acute lymphoblastic leukemia (ALL), diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma (FL). Methods: The primary outcome was direct and indirect costs in patients with ALL/DLBCL/FL who received HSCT between 2010 and 2014. Costs were evaluated two to four quarters before to eight quarters after HSCT. Results: Among 258 patients with HSCT, direct costs were €290,125/patient (pediatric ALL), €246,266/patient (adult ALL), €230,399/patient (DLBCL/FL allogeneic) and €107,457/patient (DLBCL/FL autologous). Indirect costs with HSCT were €52,939/patient (adult ALL), €20,285/patient (DLBCL/FL allogeneic) and €29,881/patient (DLBCL/FL autologous). Conclusion: Direct and indirect costs associated with HSCT are substantial for patients with ALL, DLBCL and FL. Novel therapies that reduce HSCT use could reduce medical costs.

Publisher

Future Medicine Ltd

Subject

Health Policy

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