I've had mine on my single-speed hack-bike for about 2 years and the bearings are still smooth as the day I got it despite using the bike for Downhill, Dirt Jumping and XC in thick mud.
For reliability, it seems to be top.
Is it worth it? … Well, it is very expensive, but before my hope BB I had seized 3 shimano BB's in about the same 2 year period. So, yes. I think they should last long enough to outweigh the cost of replacing cheaper units. Combine this with the hassle of changing the things or a BB seizing the day before a race and it makes them a bargain!