Top Hospitals for Neoadjuvant Chemotherapy in India
Explore top hospitals in India offering neoadjuvant chemotherapy with advanced oncology care, experienced cancer specialists, and personalized treatment plans for better outcomes.
Artemis Hospital, Sector 51 Gurgaon is a 600 bed multi-capable hospital having a JCI accreditation (2013) as well as a NABH accreditation (2017).
Artemis Cancer Centre provides oncology care across the board, in a single roof, e.g. medical oncology, surgical oncology and radiation oncology and having a very good infrastructure as well as international standard.
Cancer Centre provides a high-level and specific day-chemotheraphy unit to dispense NACT, assisted by trained and medically experienced oncologists with nursing staff on hand to administer central-line therapy (e.g. PICC, Hickman port).
Artemis is equipped with state of the art 3T MRI, 64slice CT, 16slice PET-CT and state of the art nuclear medicine (PET-CT, Gamma camera), which give it the capabilities of pre and post treatment staging and response monitoring that are crucial in NACT.
These features also comprise IGRT, CyberKnife, HDR brachytherapy, pain clinic, blood component therapy services as well as telemedicine that provide follow-up in remote locations.
Medanta-The Medicity, Gurgaon
Medanta -The Medicity Gurgaon is one of the largest multi-super-specialty hospitals in India (1,600+ beds) opened in 2009 by Dr. Naresh Trehan.
It has a special and sophisticated Cancer Institute with branches in medical, surgery and radiation oncology and assisted by JCI/NABH recognition.
Medanta provides NACT across various cancers with breast, gastrointestinal, head & neck, lung, and haematologic being some of them.
Their cancer specialists are well versed in the use of both conventional cytotoxic cycles and targeted/immunotherapies should it be necessary.
Imaging has to support 3T MRI, 256-slice CT, and high-level PET-CT, which are vital in the proper staging and monitoring throughout NACT.
The institution has true beam linear accelerators, cyber knife VSI robot radiosurgery, IGRT/VMAT, tomodomatherapy, and integrated brachytherapy suites to enable all-inclusive treatment planning and delivery.
Fortis Memorial Research Institute, Gurgaon
FMRI is a quaternary hospital that has JCI and NABH certification and is ~262- 330-bedded, which is the flagship facility of the Fortis Healthcare at Gurugram.
The hospital was one of the recipients of the 2021 Newsweek Best Smart Hospitals in the World and was appreciated as an excellent oncology center by Economic Times and The Week magazine.
Treatment in FCI Gurugram covers the spectrum of integrated cancer care with an in-house program in medical oncology, surgical oncology, radiation oncology, gynaecologic oncology, haematology, and bone marrow transplant.
Offers standard chemotherapy, immunotherapy, targeted therapy, antibody drug conjugates (ADCs), CAR-T therapy along with providing access to clinical trials to those who qualify.
FMRI include 3 T and 1.5 T MRI, 256 slices CT, digital PET-CT, with time-of-flight in addition, SPECT CT to establish accurate staging and response of neoadjuvant treatment.
The radiation oncology department provides the Elekta MR Linac, IMRT, IGRT, VMAT, stereotactic radiotherapy and brachytherapy, which allow precise adjuvant therapy as neoadjuvant combination when necessary.
Surgical oncology provides the benefits of robotic (Da Vinci) systems, HIPEC, sentinel node biopsy and minimally invasive surgery, which are effective when surgery occurs after chemotherapy.
Max Hospital, Saket
Max Saket is a 35+ specialty unit, 500+ bedded tertiary care JCI- and NABH-accredited hospital which came into existence with a full-fledged oncology division offering medical oncology, surgical oncology, and radiation oncology.
The Max Institute of Cancer Care offers multidisciplinary cancer therapy- chemotherapy, chemoradiation, radiation therapy, target and immunotherapy for breast, lung, GI tract, head neck and gynaecology units.
Advanced imaging comprises 3 T MRI; 256-slice CT, intra-operative MRI (BrainSUITE), and PET/CT/SPECT digital imaging for response monitoring and staging NACT.
Precision courses are TrueBeam Linac, Novalis Tx (IMRT/IGRT/SRS/SRT), HIPEC, and robotic surgical systems (Da Vinci XI) to make radiation oncology more precise, and they are usually required after chemotherapies.
Factors Affecting Neoadjuvant chemotherapy cost in India
The price of neoadjuvant chemotherapy in India depends on various factors and is defined as the application of chemotherapy prior to the surgery or radiation of tumor shrinking. Here is the breakdown of the details:
Stage and Kind of Cancer
The regimen of drugs is determined by the type of the cancer (e.g., breast, lung, colorectal).
The severity and length of chemotherapy depends upon stage of cancer.
More violent or advanced cancers might require more cycles or more intense (and more expensive) pharmaceuticals.
Kind of Chemotherapy Drugs
Generic drugs vs. branded drug: Generic drugs are less costly compared to branded drugs.
The cost is high as targeted therapy or immunotherapy (which is a common component of neoadjuvant therapy) is used.
There are also imported drugs and this introduces cost.
Total amount of Chemo-Therapy Cycles
The most common doses are 2- 6 or more cycles.
The more cycles the higher the total cost.
Hospital Type or Cancer Center Type
There are higher rates in the case of the private hospitals (such as Apollo, Fortis, Max).
Pricing may also be affected by accreditation level (e.g. NABH, JCI).
Treatment location
There might be an extra cost in metro cities such as Delhi, Mumbai, Bengaluru, Chennai as the cost of living is high.
Production of cheaper packages can be done in Tier-2 cities or hospital specializing in cancer.
Costs of Diagnostic and Monitoring
Before and during treatment, blood tests, imaging (CT, MRI, PET scans) and cancer markers are required.
This hike up the overall costs.
Hospital charges and Supportive Care
Day- care vs. inpatient admission: Day-care chemotherapy is less expensive.
They are usually added to the expenses of pre-medications, anti-nausea medications, growth factors, etc.
There is the cost of ICU or treatment of the side effects such as infections or low blood counts.
The Team Involved and oncologist experience
They can be more expensive by being treated under an oncologist who is very experienced or a multidisciplinary team.
There are those hospitals that will provide a complete package and there are those that are item wise.
International Patients and Medical Tourism
In case you are an international patient all charges can include:
Translation
Logistics
Visa assistance
Quality care services
Neoadjuvant chemotherapy treatment in India
Neoadjuvant chemotherapy (NACT) refers to a surgical precedent cancer therapy in which a patient receives pre-surgery chemotherapy or radiation targets to minimize the size or the extent of a tumor. This is common practice in breast, lung, esophagus, rectal, ovary and some sarcomas.
India is now poised to be the first choice of people in the advanced and reasonable treatment of cancer especially in neoadjuvant chemotherapy as India offers the best facilities of oncology centers and the world-and-experience of cancer specialists combined with affordable rates.
Important Prospects of Neoadjuvant Chemotherapy
Shrink tumors making surgery efficient or less complicated
Consider maintenance of organs (e.g. breast-conserving surgery)
Evaluation of tumor response to drugs
Early targeting of micrometastatic disease
Enhance survival and outlook
Oncology specialists for neoadjuvant therapy India
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