08/07/2025
Here's a detailed overview of bone marrow transplants in India:
*What is a Bone Marrow Transplant?*
A bone marrow transplant (BMT) is a medical procedure that replaces damaged or diseased bone marrow with healthy stem cells. There are two main types of BMTs:
1. *Autologous BMT*: Uses the patient's own stem cells.
2. *Allogeneic BMT*: Uses stem cells from a donor.
*Types of Bone Marrow Transplants*
1. *Matched Related Donor (MRD) Transplant*: Stem cells are collected from a sibling or family member with a matching HLA type.
2. *Matched Unrelated Donor (MUD) Transplant*: Stem cells are collected from an unrelated donor with a matching HLA type.
3. *Haploidentical Transplant*: Stem cells are collected from a family member with a half-matching HLA type.
4. *Umbilical Cord Blood Transplant*: Stem cells are collected from umbilical cord blood.
*Cost of Bone Marrow Transplant in India*
The cost of BMT in India varies depending on the hospital, type of transplant, and other factors. Here's a rough estimate:
- Autologous BMT: ₹ 15,00,000 to ₹ 25,00,000
- Allogeneic BMT: ₹ 18,00,000 to ₹ 35,00,000
- Haploidentical Transplant: ₹ 20,00,000 to ₹ 40,00,000
*Top Hospitals for Bone Marrow Transplant in India*
Some of the top hospitals for BMT in India include:
1. *Tata Memorial Hospital, Mumbai*
2. *Narayana Superspeciality Hospital, Delhi*
3. *Fortis Memorial Research Institute, Gurgaon*
4. *Medanta - The Medicity, Gurgaon*
5. *Apollo Hospitals, Chennai*
6. *Manipal Hospitals, Bangalore*
7. *BLK Super Speciality Hospital, New Delhi*
8. *Artemis Hospital, Gurgaon*
9. *Kokilaben Dhirubhai Ambani Hospital, Mumbai*
10. *Gleneagles Global Hospitals, Chennai*
*Success Rate and Survival Rate*
The success rate and survival rate of BMT in India have improved significantly over the years. The overall survival rate for BMT patients in India is around 60-70% for malignant diseases and 80-90% for non-malignant diseases.
*Government-funded Options*
Some government-funded hospitals offer free or subsidized BMT procedures under certain schemes. These include:
1. *Rajiv Gandhi Government General Hospital, Chennai*
2. *Government Medical College, Thiruvananthapuram*
3. *Safdarjung Hospital, New Delhi*
*Pre-Transplant Evaluation*
Before undergoing a BMT, patients undergo a thorough evaluation, including:
1. *HLA typing*: To determine the compatibility of the donor and recipient.
2. *Blood tests*: To assess the patient's overall health and detect any infections.
3. *Bone marrow biopsy*: To assess the patient's bone marrow function.
4. *Imaging tests*: To assess the patient's overall health and detect any infections.
*Post-Transplant Care*
After a BMT, patients require close monitoring and care to prevent complications, such as:
1. *Graft-versus-host disease (GVHD)*: A potentially life-threatening complication where the donor's immune cells attack the recipient's tissues.
2. *Infections*: Patients are at a higher risk of developing infections due to their compromised immune system.
3. *Organ damage*: Patients may experience damage to their organs, such as the liver, lungs, or kidneys.
*Conclusion*
Bone marrow transplants are a complex and high-risk procedure that requires careful evaluation and planning. India has several top-notch hospitals that offer BMT procedures with a high success rate and survival rate. However, the cost of BMT can be high, and patients may need to explore government-funded options or insurance coverage to make the procedure more affordable.
Dr. Pawan Kumar Singh is a renowned Haemato-Oncologist & Bone Marrow Transplant specialist. He completed his DM in Haematology from the prestigious All India Institute of Medical Sciences, Delhi. With more than 15 years of experience, Dr. Pawan is credited with the highest number of Haematopoietic S...