Peripheral blood progenitor cell transplantation mobilised by r-metHuG-CSF (filgrastim); a less costly alternative to autologous bone marrow transplantation

Eur J Cancer. 1994;30A(11):1631-5. doi: 10.1016/0959-8049(94)00328-3.

Abstract

In a retrospective study, we calculated the treatment costs of 63 patients who received either autologous bone marrow transplantation (ABMT) with recombinant human granulocyte colony-stimulating factor (r-metHuG-CSF) (filgrastim) (n = 13) or without r-metHuG-CSF (n = 22) or alternatively, peripheral blood progenitor cell (PBPC) transplantation mobilised by r-metHuG-CSF (n = 28). The recovery of granulocytes, platelets and reticulocytes after PBPC was markedly accelerated as compared with ABMT with or without r-metHuG-CSF. The accelerated haematopoietic recovery was associated with a reduction in platelets and red blood cell transfusion requirements, with a reduction in episodes of fever and with earlier discharge from the hospital. This resulted in the average cost per treatment of the PBPC group being almost 30% lower than the treatment costs in the ABMT groups.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Bone Marrow Transplantation / economics*
  • Female
  • Filgrastim
  • Granulocyte Colony-Stimulating Factor / economics*
  • Granulocyte Colony-Stimulating Factor / therapeutic use
  • Hematopoietic Stem Cell Transplantation / economics*
  • Hospital Costs
  • Hospitalization / economics
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / therapy*
  • Netherlands
  • Recombinant Proteins / economics
  • Recombinant Proteins / therapeutic use
  • Retrospective Studies

Substances

  • Recombinant Proteins
  • Granulocyte Colony-Stimulating Factor
  • Filgrastim