{"meta":{"humanUrl":"https://jp.bookimed.com/clinics/country=colombia/city=medellin/procedure=stem-cell-for-ankylosing-spondylitis/","canonicalUrl":"https://jp.bookimed.com/clinics/country=colombia/city=medellin/procedure=stem-cell-for-ankylosing-spondylitis/","jsonUrl":"https://jp.bookimed.com/clinics/country=colombia/city=medellin/procedure=stem-cell-for-ankylosing-spondylitis/data.json","title":"メデジン（コロンビア）の幹細胞療法の費用【2026年版】 — 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harvest from bone marrow or fat","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of treatment"}},{"code":"infusion","label":"Intravenous stem cell infusion","after":{"min":14,"max":28,"unit":"days","qualifier":"After 2-4 weeks of cell culture"}}],"qualifier":"Autologous cells are expanded in culture between harvest and infusion."},"success":{"metric":null,"value":null,"unit":null,"horizon":null,"population":"Adults with active AS refractory to or intolerant of NSAIDs","evidence_status":"not_proven"},"techniques":[{"name":"Intravenous mesenchymal stem cell infusion","suits_whom":"Active AS refractory to or intolerant of NSAIDs","recovery":"Brief observation; return to light activity within days."},{"name":"Intra-articular or sacroiliac joint cell injection","suits_whom":"Predominant sacroiliac joint inflammation","recovery":"Local soreness for a few days; light activity resumes quickly."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"2-4 hours per visit; harvest or infusion, excluding weeks of cell culture."},"initial_assessment_documents":["Pelvis and sacroiliac joint MRI report","Pelvis X-ray report","HLA-B27 test result","Current biologic and NSAID treatment history","Rheumatologist's diagnosis report","Blood tests: CRP and ESR"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"One 2-5 week trip covers both visits; two trips also possible."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","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}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the 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checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer claims to cure ankylosing spondylitis or reverse its damage","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/ankylosing-spondylitis/","host":"nhs.uk","quote":"There's no cure for AS and it's not possible to reverse the damage caused by the condition.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","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":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-14","next_check_at":"2027-02-12"},"take_home":{"status":"ok","items":[{"id":"T1","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":"T2","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":"T3","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":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your symptoms need more than first-line anti-inflammatory drugs","name":"Biologic medicines","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10874590/","host":"pmc.ncbi.nlm.nih.gov","quote":"First-line treatments such as non-steroidal anti-inflammatory drugs are no longer the only options, even though disease-modifying anti-rheumatic drugs and biologics, especially tumor necrosis factor blockers, have been developed.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A2","text":"You want exercise, stretching, and posture maintenance for symptom management","name":"Physical 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inflammation.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"intravenous-mesenchymal-stem","name":"Intravenous mesenchymal stem cell infusion","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"intra-articular","name":"Intra-articular or sacroiliac joint cell 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