2. Patient BN is a 36-year-old female with a type of organ failure that reduces her...

2. Patient BN is a 36-year-old female with a type of organ failure that reduces her quality of life to half of what it would be in good health. Without treatment she can expect to live only two years. With a successful transplant, BN can expect to live four years and have a quality of life that is near 80% what she would enjoy in good health. However, the transplant costs $100,000, plus $10,000 each year for drugs and follow-up care, and carries a 15% risk of rejection resulting in immediate death. a) (20’) What is the cost per additional year of life gained (without discounting for time or quality of life)? b) (20’) What is the cost per discounted Quality-adjusted Life-year (QALY) gained (assuming a 5% time discount rate)?

Expert Solution

1. Cost per additional year of life gained without discounting for time or quality of life

Total costs to be incurred = 1,00,000 + 10,000 per year * 5 years = $ 1,50,000

Cost per additional year = 1,50,000 / 5 years = $ 30,000 per year

2. cost per additional year of life gained if it carries a 15 percent risk of rejection resulting in immediate death

So there is risk of 15% implies that there is cance of 85% that she will survive

Equivalent number of years = ( 0.85 +0.85 +0.85 +0.85) probability * number of years she can live

= 3.4 years

cost per additional year of life = 1,50,000 /3.4 years = $ 44,117 per year

Rahul Sunny answered 2 years ago

You are discharging a 48 year-old female patient recently diagnosed with Type 2 Diabetes. The patient has...

You are discharging a 48 year-old female patient recently diagnosed with Type 2 Diabetes. The patient has a complex medical history, including a BMI> 30, HTN, triglyceride level- 191 mg/dL, and shortness of breath. Which education points would you focus on related to her recent diagnosis and possible development of Metabolic syndrome. explain in summary

. The patient was a 77-year-old female admitted with Congestive Heart Failure, and past medical history...

. The patient was a 77-year-old female admitted with Congestive Heart Failure, and past medical history of an Acute MI, four to six months before admission date. She had been taking Lasix 40mg PO BID and Cardizem 30 mg TID. In a report, I heard that her last O2 saturation was 77% on 3 liters via nasal cannula. Vital signs- afebrile, HR 108, RR 22, BP 148/88. She had an IV of D5W at KVO, the EKG was done, and...

Cystic Fibrosis (CF) A 2-year old female patient whose parents have brought her to the hospital...

Cystic Fibrosis (CF) A 2-year old female patient whose parents have brought her to the hospital because she has a persistent cough and wheezing, and also appears to be underweight despite having a good appetite. The doctor ordered a sweat test, and the excessive amount of salt in the patient's sweat revealed that she likely has cystic fibrosis (CF). What gene is mutated in CF and where in the genome is the gene located? Name the protein that is impacted...

Case Study Salma is a 48-year-old female patient who has a history of anemia, Type 2...

Case Study Salma is a 48-year-old female patient who has a history of anemia, Type 2 diabetes mellitus and hypertension for the last few years. This morning, she has been brought to the Emergency Department (ED) complaining of dyspnea, lethargy, upper and lower extremities edema and pruritus. Salma has also been complaining of nausea and she vomited on arrival to the ED. On the assessment, it was found that Salma had gained 11 Kgs in weight since last month. Salma’s...

A 36 year old female, has had lower back pain that radiates to her right abdomen for...

A 36 year old female, has had lower back pain that radiates to her right abdomen for the last several days. The pain is dull and difficult to localize. As an Olympic shot putter, she had originally attributed the pain to muscle strain. However, today the pain has become persistent and intense. Now she is seeking your expert help. Part A: Lower back pain may include many body systems that we have studied. For each system listed below, list one disorder...

Your patient is a 35 year-old African American female patient that has allergic rhinitis. Her prescriptions...

Your patient is a 35 year-old African American female patient that has allergic rhinitis. Her prescriptions include loratadine 5mg/day and fluticasone two nasal inhalations per day. Previously she had taken OTC drugs and asked if she could continue to take the OTC drugs with her prescription. She has never used a nasal inhaler before. She is admitted to your unit with a fever of 103? and you are supposed to take care of her. Write a care plan for this...

A 24-year-old Caucasian female client presents for her 36 weeks prenatal appointment. She is a G1...

A 24-year-old Caucasian female client presents for her 36 weeks prenatal appointment. She is a G1 P0. She is single and lives with her mom. She is currently working as a certified nurse aid in a nursing home and works 40 hours/week. Her pregnancy was unexpected but making the most of her situation. Her boyfriend lives out if state. She had limited prenatal care since not know she was pregnant until 16 weeks gestation. She has attended prenatal classes at...

Your patient is a 35-year-old African American female patient that has allergic rhinitis. Her prescriptions include...

Your patient is a 35-year-old African American female patient that has allergic rhinitis. Her prescriptions include loratadine 5mg/day and fluticasone two nasal inhalations per day. Previously she had taken OTC drugs and asked if she could continue to take the OTC drugs with her prescription. She has never used a nasal inhaler before. She is admitted to your unit with a fever of 103? and you are supposed to take care of her. Write a care plan for this patient,...

Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her...

Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of...

You are seeing a 50-year-old female for her annual physical. She is a long time patient...

You are seeing a 50-year-old female for her annual physical. She is a long time patient in the practice that you have just joined. She has no complaints and states that she feels well. Her past medical history is notable for "borderline hypertension" and obesity. Last year, her lipid panel was acceptable for someone without known risk factors or coronary artery disease. TC 214; Trig 202; HDL 32; LDL 146 [reading in summer of 2015, fasting]. Her brother and mum...

Question