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Updated: Oct 26, 2025

A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
Total Annual Economic Burden of Patients with Sickle Cell Disease in Steady State in Greece
Vasileios Tsolakidis1, Efthymia Vlachaki2, Maria Papaioannou3
1Faculty of Health Sciences, Department of Pharmacology, Medical School, Aristotle University of Medical Sciences Thessaloniki, Thessaloniki, Greece.
Insights
The estimated annual cost to treat sickle cell disease in Greece is over €21 million, representing about 1.0% of the national pharmaceutical budget. This study provides crucial economic insights for managing this genetic blood disorder.
Area of Science:
- Hematology
- Public Health
- Health Economics
Background:
- Sickle cell disease is a group of inherited hemolytic anemias characterized by abnormal hemoglobin (Hb S).
- Population migration patterns are increasing the prevalence of sickle cell disease globally, impacting healthcare systems.
- Greece faces a growing need to manage sickle cell disease due to these demographic shifts.
Purpose of the Study:
- To estimate the total annual treatment cost of sickle cell disease in Greece.
- To provide the first economic assessment for sickle cell disease patients in a steady state within the country.
- To contextualize these costs within Greece's national pharmaceutical expenditure.
Main Methods:
- Cost estimation for sickle cell disease treatment in Greece.
- Analysis of steady-state patient treatment costs.
- Comparison of sickle cell disease treatment expenditure against the national pharmaceutical budget.
Main Results:
- The estimated annual cost for sickle cell disease treatment in Greece is €21,152,340.00 (US$25,219,300.41).
- This figure excludes the significant costs associated with hospitalizations for severe complications.
- Sickle cell disease treatment accounts for approximately 1.0% of Greece's annual pharmaceutical spending budget.
Conclusions:
- The economic burden of sickle cell disease in Greece is substantial, even before accounting for severe complications.
- Approximately 1.0% of the pharmaceutical budget is allocated to managing sickle cell disease.
- These findings are critical for healthcare planning and resource allocation for genetic blood disorders in Greece and similar settings.
Abstract:
Sickle cell disease includes a group of congenital hemolytic anemias, all characterized by the predominance of Hb S (HBB: c.20A>T). The population movement due to economic migration or escape from conflict zones will further affect the health systems of countries by either increasing the number of patients or forcing countries to create care units for sickle cell disease patients. This will probably also increase the incidence of the disease in areas where their incidence and prevalence were previously low. In the present study, an attempt has been made to estimate the total annual cost of the treatment of sickle cell disease in Greece. This was the first attempt to calculate the total annual cost of treating sickle cell disease patients in a steady state. The annual cost of sickle cell disease was estimated to be €21,152,340.00 (US$25,219,300.41), without calculating the cost of hospitalization for severe complications. Since 2013, in Greece, a pharmaceutical expenditure limit (decreasing with the years) has been budgeted at €1,945,000,000.00 (US$2,318,965,150.00), annually. It is therefore calculated that approximately 1.0% of the budget allocated to pharmaceutical spending is used to treat patients with sickle cell disease.
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