Abbasi-Dezfouli Azizollah, Pojhan Saviz, Behgam-Shadmehr Mohammad, Najafizadeh Katayoun, Ghorbani Fariba, Lorgard-Dezfuli-Nejad Mohammad, Assari Shervin
Lung Transplantation Research Center, National Research Institute of Tuberclosis and lung Disease, Shaheed Beheshti Medical Sciences University, Tehran, Iran.
Ann Transplant. 2009 Apr-Jun;14(2):30-3.
Lung transplantation is one of the most complicated medical procedures. The aim of the present study is to report the average cost of lung transplantation in Iran.
MATERIAL/METHODS: We reviewed the hospital data of all lung transplantations performed in Masih Daneshvari Hospital, Tehran, Iran, from 2000 to 2008 and extracted information on the costs for hospitalization for the transplantation surgery. We excluded the patients who died shortly after the transplantation surgery.We then categorized the costs into seven distinct groups: accommodations, personnel, medication, paraclinics, supplies, procedures and other costs. Data was primarily extracted based on Iranian national currency (Rials) and then converted to US dollar (10,000 Rials = 1$). The mean of the costs are reported for each category.
The mean total cost of lung transplantation was 13,801.6+/-7,752.3 USD (range: 6,104.9 to 26,888.7). This cost was related to the specified categories as followed: Expenditure tools = 35.55%, medications = 34.46%, personnel cost = 10.14%, accommodations = 8.14%, procedures = 5.66%, paraclinics = 5.49%, other costs = 0.56%.
The cost of lung transplantation is high. This could be due to the complexity of the procedure, the large number of specialists involved, long duration of hospital stay and high rate of complications that might occur following the surgery. The results of the present study also showed that the cost of lung transplantation in Iran is far below the reported costs from other countries.
肺移植是最复杂的医疗程序之一。本研究的目的是报告伊朗肺移植的平均费用。
材料/方法：我们回顾了2000年至2008年在伊朗德黑兰的马西赫·达内什瓦里医院进行的所有肺移植手术的医院数据，并提取了移植手术住院费用的信息。我们排除了移植手术后不久死亡的患者。然后，我们将费用分为七个不同的组：住宿、人员、药物、辅助科室、用品、手术和其他费用。数据主要以伊朗国家货币（里亚尔）提取，然后换算成美元（10,000里亚尔 = 1美元）。报告了每个类别的费用均值。
肺移植的平均总费用为13,801.6±7,752.3美元（范围：6,104.9至26,888.7美元）。该费用与以下特定类别相关：支出工具 = 35.55%，药物 = 34.46%，人员成本 = 10.14%，住宿 = 8.14%，手术 = 5.66%，辅助科室 = 5.49%，其他费用 = 0.56%。
肺移植的费用很高。这可能是由于手术的复杂性、涉及的专家数量众多、住院时间长以及手术后可能出现的高并发症发生率。本研究结果还表明，伊朗肺移植的费用远低于其他国家报告的费用。
