Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN; Center for Outcomes Research, Saint Louis University School of Medicine, St. Louis, MO.
Am J Transplant. 2015 Jan;15 Suppl 2:1-24. doi: 10.1111/ajt.13201.
While the costs to Medicare of solid organ transplant are varied and considerable, the total Medicare expenditure of $4.4 billion for solid organ transplant recipients was less than 1 remains one of the most cost-effective surgical interventions in medicine. Heart transplant, the most expensive of the major transplants, is likely cost-effective; SRTR has released an Excel-based tool for investigators to use in exploring this question further. It is likely that most solid organ transplants are cost-effective, given the results presented here and the relatively high cost of heart transplant. However, this must be verified with further study.
虽然实体器官移植对医疗保险的费用是多样且相当大的,但接受实体器官移植的医疗保险总支出为 44 亿美元,不到 1%,仍然是医学上最具成本效益的手术干预之一。心脏移植是主要移植中最昂贵的一种,可能具有成本效益;SRTR 已经发布了一个基于 Excel 的工具,供研究人员进一步探索这个问题。考虑到这里提出的结果以及心脏移植的相对高成本,大多数实体器官移植很可能具有成本效益。然而,这必须通过进一步的研究来验证。