Bone Marrow Transplantation and Peripheral Blood Stem Cell Transplantation: Questions and Answers
16. What is a "tandem transplant"?
A "tandem transplant" is a type of autologous transplant. This method is being studied in clinical trials for the treatment of several types of cancer, including multiple myeloma and germ cell cancer. During a tandem transplant, a patient receives two sequential courses of high-dose chemotherapy with stem cell transplant. Typically, the two courses are given several weeks to several months apart. Researchers hope that this method can prevent the cancer from recurring (coming back) at a later time.
17. How do patients cover the cost of BMT or PBSCT?
Advances in treatment methods, including the use of PBSCT, have reduced the amount of time many patients must spend in the hospital by speeding recovery. This shorter recovery time has brought about a reduction in cost. However, because BMT and PBSCT are complicated technical procedures, they are very expensive. Many health insurance companies cover some of the costs of transplantation for certain types of cancer. Insurers may also cover a portion of the costs if special care is required when the patient returns home.
There are options for relieving the financial burden associated with BMT and PBSCT. A hospital social worker is a valuable resource in planning for these financial needs. Federal Government programs and local service organizations may also be able to help.
The National Cancer Institute's (NCI) Cancer Information Service (CIS) can provide patients and their families with additional information about sources of financial assistance (see below).
18. What are the costs of donating bone marrow, PBSCs, or umbilical cord blood?
Persons willing to donate bone marrow or PBSCs must have a sample of blood drawn to determine their HLA type. This blood test usually costs $65 to $96. The donor may be asked to pay for this blood test, or the donor center may cover part of the cost. Community groups and other organizations may also provide financial assistance. Once a donor is identified as a match for a patient, all of the costs pertaining to the retrieval of bone marrow or PBSCs is covered by the patient or the patient's medical insurance.
A woman can donate her baby's umbilical cord blood to public cord blood banks at no charge. However, commercial blood banks do charge varying fees to store umbilical cord blood for the private use of the patient or his or her family.
19. Where can people get more information about potential donors and transplant centers?
The National Marrow Donor ProgramÂ® (NMDP), a federally funded nonprofit organization, was created to improve the effectiveness of the search for donors. The NMDP maintains an international registry of volunteers willing to be donors for all sources of blood stem cells used in transplantation: bone marrow, peripheral blood, and umbilical cord blood.
The NMDP Web site contains a list of participating transplant centers at http://www.marrow.org/ABOUT/NMDP_Network/Transplant_Centers/index.html on the Internet. The list includes descriptions of the centers as well as their transplant experience, survival statistics, research interests, pretransplant costs, and contact information.
National Marrow Donor Program
3001 Broadway Street, NE.
Minneapolis, MN 55413-1753
1-888-999-6743 (Office of Patient Advocacy)
Internet Web site: