Global Hospital Chennai leads in immunotherapy with Dr. Sandeep Attawar, Director of Cardiac Surgery & Thoracic Organ Transplant Program, who has performed 10,000+ cardiothoracic surgeries with an 85-90% success rate. The hospital specializes in organ transplants, including immunotherapy treatments that may cost around $7,800–$14,800. Dr. Attawar holds memberships in The International Society for Heart and Lung Transplantation and The European Association for Cardio-Thoracic Surgery.
Global Hospital Chennai is a NABH-accredited hospital with over 1,000 successful liver transplants, the most in the world. It specializes in organ and bone marrow transplant, cardiology, pulmonology, and oncology. Part of Gleneagles Global Hospitals, the group sees 2 million patients annually.
Dr. Sandeep Attawar is a cardiothoracic surgeon who has performed 10,000+ heart surgeries. He serves as the Director of the Lung Transplant Program at Gleneagles Global Health City. Dr. Attawar specializes in complex heart and lung transplants for both adults and children. He maintains an 85–90% success rate for thoracic organ transplant procedures.
Global Hospital Chennai is a NABH-accredited hospital with over 1,000 successful liver transplants, the most in the world. It specializes in organ and bone marrow transplant, cardiology, pulmonology, and oncology. Part of Gleneagles Global Hospitals, the group sees 2 million patients annually.
Day 1
\nDay 2
\nDay 3
\nDay 4
\nDay 5 to Day 7
\nWeek 2
\nWeek 3
\nWeek 4
\nPlease note that each patient\"s case is unique and the above schedule can change depending on the patient\"s health condition and response to the treatment.
"}}},"articles":[{"id":"en:the-cost-of-immunotherapy-for-cancer-a-global-comparison-and-affordable-options","name":"Immunotherapy for Cancer Cost: Global Comparison 2026","image":{"main":"https://bookimed.s3.eu-central-1.amazonaws.com/articles/e6d5_b.jpeg","preview":"https://bookimed.s3.eu-central-1.amazonaws.com/articles/e6d5_s.jpeg"},"author":{"first_name":"Kateryna","last_name":"Zamkovska","avatar":"https://s3.eu-central-1.amazonaws.com/bookimed/admin/66ab3953e4c4e_b.jpeg"}}],"relations":{"countries":[{"name":"Austria","alias":"austria","iso_code":"AT"},{"name":"Azerbaijan","alias":"azerbaijan","iso_code":"AZ"},{"name":"China","alias":"china","iso_code":"CN"},{"name":"Czech Republic","alias":"czech-republic","iso_code":"CZ"},{"name":"Dominican 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neurological inflammation"],"pain":"Minimal; only a needle insertion for the intravenous infusion. Mild aches or headache may follow.","preparation":["Confirm diagnosis and biomarker testing (e.g., PD-L1)","Blood tests including liver, kidney and thyroid","Screen for hepatitis, HIV and tuberculosis","Review autoimmune history and current medications","Baseline imaging","Review of steroid and antibiotic use"],"recovery_timeline":[{"phase":"Infusion day","description":"Intravenous infusion lasting 30-60 minutes with observation, then home.","restrictions":["Report fever, breathlessness or rash"]},{"phase":"Days 1-3","description":"Possible mild fatigue, low fever or aches.","restrictions":["Avoid strenuous exertion if tired"]},{"phase":"Weeks 1-6","description":"Window when immune-related side effects such as diarrhea, rash or cough may appear.","restrictions":["Report new symptoms promptly","Do not self-treat diarrhea"]},{"phase":"Ongoing cycles","description":"Repeated infusions every 2-6 weeks with monitoring and periodic imaging.","restrictions":["Avoid live vaccines unless approved by the oncologist"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Time to normal function after each infusion; depends on fatigue and side effects."},"result_longevity":"Responders may keep durable control for years, while others progress within months. Duration depends on cancer type and response depth.","revision_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Share of patients stopping therapy for immune-related toxicity; varies by drug and tumor."},"scars":"No scars; treatment is an IV infusion without incisions.","sessions_or_stages":{"sessions":{"min":4,"max":35,"unit":"visits","qualifier":"Infusions every 2-6 weeks; length depends on drug, response and tolerance, up to about two years."},"stages":[{"code":"baseline_workup","label":"Baseline testing and imaging","after":{"min":0,"max":0,"unit":"days","qualifier":"Before the first infusion."}},{"code":"first_infusion","label":"First infusion cycle","after":{"min":0,"max":0,"unit":"days","qualifier":"Start of treatment."}},{"code":"maintenance_cycles","label":"Repeat cycles with monitoring","after":{"min":14,"max":42,"unit":"days","qualifier":"Interval between cycles depends on the drug."}},{"code":"response_imaging","label":"Response assessment imaging","after":{"min":60,"max":90,"unit":"days","qualifier":"After about 3-4 cycles."}}],"qualifier":"Repeated infusion cycles continue while the cancer responds and side effects are tolerable."},"success":{"metric":"Objective tumor response rate on imaging","value":30,"unit":"percent of patients","horizon":"3-6 months","population":"Adults with advanced melanoma, lung, kidney or bladder cancer on PD-1/PD-L1 inhibitor","evidence_status":"limited"},"techniques":[{"name":"PD-1 inhibitor infusion (e.g., pembrolizumab, nivolumab)","suits_whom":"Melanoma, lung, kidney and many other solid tumors.","recovery":"Same-day discharge; immune side effects are common and monitored."},{"name":"PD-L1 inhibitor infusion (e.g., atezolizumab, durvalumab)","suits_whom":"Lung, bladder and liver cancers.","recovery":"Same-day discharge; immune side effects monitored."},{"name":"CTLA-4 inhibitor combination (e.g., ipilimumab plus nivolumab)","suits_whom":"Selected melanoma and kidney cancer patients.","recovery":"Higher side-effect rate; closer monitoring needed."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Per visit, including check-in, blood tests, 30-60 minute infusion and observation."},"initial_assessment_documents":["Pathology report confirming cancer diagnosis","Biomarker results such as PD-L1 or MSI","Recent CT or PET imaging reports","Recent blood test results","List of current medications and steroid use","Records of previous cancer treatments"],"travel_trips":{"min":1,"max":6,"one_trip_possible":true,"qualifier":"One trip for the first cycle, then treatment continues at home; 4-6 trips if cycles are given abroad."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the clinician who will do the procedure","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check the facilities and standards of the clinic or hospital where treatment will be given","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Make sure you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Patient cannot ask the treating doctor questions about the treatment before it starts","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Consultation or care offered in a language you do not speak fluently risks misunderstandings","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Receiving care at a facility where you do not speak the language fluently could lead to misunderstandings about your care.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Pressure to decide quickly, or cheap time-limited offers, is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Feeling short of breath","urgency":"emergency","general":false,"source":{"url":"https://www.cancer.gov/about-cancer/treatment/side-effects/organ-inflammation","host":"cancer.gov","quote":"Inflammation in the lungs, called pneumonitis, can cause you to feel short of breath and have a bad cough.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Painful blisters, open sores, or peeling skin","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mdanderson.org/patients-family/diagnosis-treatment/emotional-physical-effects/immunotherapy-treatment-side-effects.html","host":"mdanderson.org","quote":"Contact your care team if you experience painful blisters, open sores, fever or skin that begins to peel.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W3","text":"Yellowing of skin or eyes","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cancer.gov/about-cancer/treatment/side-effects/organ-inflammation","host":"cancer.gov","quote":"Liver inflammation, called hepatitis, may cause your skin and eyes to be yellowish.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W4","text":"Diarrhea","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cancer.gov/about-cancer/treatment/side-effects/diarrhea","host":"cancer.gov","quote":"Tell your doctor or nurse if you are having diarrhea.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Keep showing it to treating staff for up to a year after stopping steroids","document":"steroid alert card","source":{"url":"https://www.worcsacute.nhs.uk/leaflets/iocn-immunotherapy-patient-information-leaflet/","host":"worcsacute.nhs.uk","quote":"Always carry this card and show it to anybody that treats you up to one year after stopping steroids.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your team recommends drugs that kill cancer cells","name":"Chemotherapy","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types/chemotherapy","host":"cancer.gov","quote":"Chemotherapy (also called chemo) is a type of cancer treatment that uses drugs to kill cancer 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to).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=india/city=chennai/procedure=immunoterapiya/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"offersBlock":{},"procedureTexts":[{"operation_id":491,"operation_info":{"id":491,"name":" Immunotherapy with Keytruda (Pembolizumab)","alias":"keytruda"},"texts":{"overview":{"text":"Keytruda, a form of immune-based therapy, leverages the body's immune system to target and destroy cancer cells using monoclonal antibodies.
The therapy is a treatment enhancing the body\"s immune system to fight cancer, using a drug highly targeted and effective.
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