A long-term consideration for living-donor liver transplantation (LDLT) is the expense, compared with cadaveric-liver transplantation.
LDLT is a more complex procedure than cadaveric transplantation. The cost of donor evaluation, surgery, and postoperative care must be included in a cost analysis for LDLT.
|Total cost of transplantation:|
- Living-donor = 162.7 cost units
- Cadaveric = 134.5 cost units
In this study, researchers from the United States compare the comprehensive cost of LDLT with that of cadaveric-liver transplantation.
The research team evaluated all costs for medical services provided at their institution for 24 LDLT and 43 cadaveric recipients. Patients had greater than 1 year follow-up, and were transplanted between 1997 and 2000.
Donor costs included donors evaluated and rejected or accepted, donor right hepatectomy costs, and donor follow-up costs.
In addition, LDLT and cadaveric recipient costs included medical care 90 days pre-LDLT, recipient transplant costs, and follow-up costs, including retransplantation.
The team expressed cost as an arbitrary cost unit (CU), valued between $500 and $1,500.
Total LDLT costs equaled 162.7 CU.
In comparison, total cadaveric transplant costs equaled 134.5 CU
Dr James Trotter’s team concluded, “The total comprehensive cost of LDLT is 21% higher than cadaveric transplantation, although this difference is not significant”.