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  1. NTU Scholars
  2. 醫學院
  3. 醫學系
Please use this identifier to cite or link to this item: https://scholars.lib.ntu.edu.tw/handle/123456789/526453
Title: Financial burden of national health insurance for treating patients with transfusion-dependent thalassemia in Taiwan
Authors: Ho W.-L.
Lin K.-H.
Wang J.-D.
Hwang J.-S.
Chung C.-W.
Lin D.-T.
SHIANN-TANG JOU 
MENG-YAO LU 
Chern J.P.S.
Issue Date: 2006
Journal Volume: 37
Journal Issue: 6
Start page/Pages: 569-574
Source: Bone Marrow Transplantation
Abstract: 
The thalassemias are a heterogeneous group of inherited hypochromic anemias of varying severity. The mainstay of supportive treatment is regular blood transfusion accompanied by iron-chelating therapy. Hematopoietic stem cell transplantation (HSCT) provides an alternative option when curative therapy is considered. More than 400 patients in Taiwan have β-thalassemia major or other transfusion-dependent thalassemias, and their treatment costs account for a considerable percentage of the National Health Insurance expenditure. In this report, we estimated the treatment costs of conventional therapy (regular blood transfusion accompanied by iron-chelating agents) and HSCT. The undiscounted medical cost of 20 years of follow-up (20 years from diagnosis) and the undiscounted total lifetime cost were NT$ 4739888 (NT$ means New Taiwan Dollars)/US$ 149288 and NT$ 11529990/US$ 363149, respectively, for patients undergoing conventional therapy, and NT$ 2639982/US$ 83149 and NT$ 3511172/US$ 110588, respectively, for those undergoing successful HSCT. Comparisons of treatment costs and other parameters between these two modalities can add to the information base on which policy is made by health authorities or clinicians. ? 2006 Nature Publishing Group. All rights reserved.
URI: https://www.scopus.com/inward/record.uri?eid=2-s2.0-33644879469&doi=10.1038%2fsj.bmt.1705287&partnerID=40&md5=4f4a56e0d7ff3e12b65eb1db35ed77b6
https://scholars.lib.ntu.edu.tw/handle/123456789/526453
ISSN: 0268-3369
DOI: 10.1038/sj.bmt.1705287
SDG/Keyword: antibiotic agent; deferoxamine; granulocyte colony stimulating factor; immunosuppressive agent; iron chelating agent; article; blood transfusion; child; controlled study; cost benefit analysis; drug cost; erythrocyte transfusion; female; follow up; graft infection; graft rejection; graft versus host reaction; health care cost; health care policy; hematopoietic stem cell transplantation; hospital cost; human; infant; major clinical study; male; morbidity; mortality; national health insurance; patient care; priority journal; survival rate; Taiwan; thalassemia; thrombocyte transfusion; beta-Thalassemia; Blood Transfusion; Child, Preschool; Cost of Illness; Disease-Free Survival; Female; Fetal Blood; Follow-Up Studies; Histocompatibility Testing; Humans; Infant; Male; Siblings; Stem Cell Transplantation; Taiwan; Time Factors
[SDGs]SDG3
Appears in Collections:醫學系

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臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

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