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Review
. 2011 Jul;17(7):956-61.
doi: 10.1016/j.bbmt.2011.03.008. Epub 2011 Apr 12.

Allogeneic transplant physician and center capacity in the United States

Navneet S Majhail  1 , Elizabeth A Murphy, Nancy A Omondi, Pam Robinett, James L Gajewski, C Fred LeMaistre, Dennis Confer, J Douglas Rizzo
Affiliations
Review

Allogeneic transplant physician and center capacity in the United States

Navneet S Majhail et al. Biol Blood Marrow Transplant. 2011 Jul.

Abstract

Shortage of manpower and center capacity is expected to be a major challenge to the anticipated future growth in the utilization of allogeneic hematopoietic cell transplantation (HCT) in the United States. Using data from the National Marrow Donor Program's Transplant Center Network Renewal Survey, we describe transplant center and transplant physician capacity in the United States from 2005 to 2009. Over this 5-year period, the number of allogeneic transplants increased by 30%, bed capacity increased by 17%, and physician full-time equivalents increased by 26%. The number of related donor HCT increased by 15% and unrelated donor HCT increased by 45%. In addition to large centers, small- and medium-sized centers also made a major contribution to overall national transplant volumes for both related and unrelated donor HCT. Increase in utilization of unrelated donor HCT occurred in centers irrespective of their size. The majority of transplant centers were performing more transplantations using existing physician and bed capacity. Our study provides important descriptions of allogeneic transplant activity and capacity of U.S. centers, and our data will assist policy makers plan for the projected growth in the use of transplantation.

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Figures

Figure 1
Figure 1
Allogeneic HCT activity among US centers in the NMDP network between 2005 and 2009. Growth in allogeneic HCT volume was primarily attributed to an increase in NMDP facilitated unrelated donor transplants in centers that were members of the network since at least 2005.
Figure 2
Figure 2
Contribution of existing and new NMDP Network centers on growth in allogeneic transplant activity, transplant beds and physician FTE's from 2005 to 2009.
Figure 3
Figure 3
Scatter plot of number of allogeneic HCT versus number of transplant beds among US centers in the NMDP network in 2009.
Figure 4
Figure 4
Center size and (A) median number of allogeneic HCT/center, (B) median number of transplant physician FTE's/center, (C) median number of allogeneic HCT/bed, and (D) median number of allogeneic HCT/physician FTE. This analysis was limited to 110 centers that participated in the NMDP network for all five years.
See this image and copyright information in PMC

References

    1. Gajewski JL, Lemaistre CF, Silver SM, et al. Impending Challenges in the Hematopoietic Stem Cell Transplant Physician Workforce. Biol Blood Marrow Transplant. 2009;15:1493–1501. - PubMed
    1. Schriber JR, Anasetti C, Heslop HE, Leahigh AK. Preparing for growth: current capacity and challenges in hematopoietic stem cell transplantation programs. Biol Blood Marrow Transplant. 2010;16:595–597. - PubMed
    1. Ballen KK, King RJ, Chitphakdithai P, et al. The national marrow donor program 20 years of unrelated donor hematopoietic cell transplantation. Biol Blood Marrow Transplant. 2008;14:2–7. - PubMed
    1. Karanes C, Nelson GO, Chitphakdithai P, et al. Twenty years of unrelated donor hematopoietic cell transplantation for adult recipients facilitated by the National Marrow Donor Program. Biol Blood Marrow Transplant. 2008;14:8–15. - PubMed
    1. MacMillan ML, Davies SM, Nelson GO, et al. Twenty years of unrelated donor bone marrow transplantation for pediatric acute leukemia facilitated by the National Marrow Donor Program. Biol Blood Marrow Transplant. 2008;14:16–22. - PubMed

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