Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Aug;54(8):1179-1188.
doi: 10.1038/s41409-019-0476-6. Epub 2019 Feb 18.

"Worldwide Network for Blood & Marrow Transplantation (WBMT) special article, challenges facing emerging alternate donor registries"

Affiliations
Review

"Worldwide Network for Blood & Marrow Transplantation (WBMT) special article, challenges facing emerging alternate donor registries"

Mahmoud Aljurf et al. Bone Marrow Transplant. 2019 Aug.

Abstract

Hematopoietic cell transplantation (HCT) activity is increasing at an unprecedented pace with > 50,000 allogeneic transplants occurring annually worldwide. Establishing a functional HCT donor registry can be very challenging with respect to ethnicities, financial, technical, and geopolitical issues. Extensive planning steps are essential to overcome the expected challenges while establishing the registry, and to maintain its functionality. A few strategies can help move past those challenges and push the development of such registries forward. Authorities involved in HCT donor registry establishment will have to balance the advantages and costs of such a project and accommodate the emerging alternatives such as cord blood or related haploidentical transplants. Miscalculations and incomplete understanding of the various aspects of the process can have tremendous impact on the optimization of a HCT donor registry especially in developing countries. Herein we present some challenges in establishing such a registry and present potential solutions.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Expected cancer mortality rates in 2020
Fig. 2
Fig. 2
Projected population growth by country 2005–2050
Fig. 3
Fig. 3
Age distribution in developing versus developed countries
Fig. 4
Fig. 4
Location of unrelated donor registries worldwide
Fig. 5
Fig. 5
Probability to find a 10/10, 9/10, and 8/10 match in Saudi Arabia
Fig. 6
Fig. 6
Changes in donor choice 2006–2015

References

    1. Rosenmayr A, Pointner-Prager M, Mitterschiffthaler A, Bozic L, Pelzmann B, Tüchler H, Fae I, Fischer G F, Greinix H T, Peters Ch, Kalhs P, Krieger O, Linkesch W, Nachbaur D, Urban Ch, Posch U, Lanzer G, Gabriel Ch, Schennach H, Mayr W R. What are a patient's current chances of finding a matched unrelated donor? Twenty years’ central search experience in a small country. Bone Marrow Transplantation. 2011;47(2):172–180. doi: 10.1038/bmt.2011.67. - DOI - PubMed
    1. Thomas ED, Lochte HL, Jr, Lu WC, Ferrebee JW. Intravenous infusion of bone marrow in patients receiving radiation and chemotherapy. New Engl J Med. 1957;257:491–6. doi: 10.1056/NEJM195709122571102. - DOI - PubMed
    1. Thomas ED. Bone marrow transplantation-past, present and future. Scand J Immunol. 1994;39:340–5. doi: 10.1111/j.1365-3083.1994.tb03383.x. - DOI - PubMed
    1. Horowitz SD, Bach FH, Groshong T, Hong R, Yunis EJ. Treatment of severe combined immunodeficiency with bone-marrow from an unrelated, mixed-leucocyte-culture-nonreactive donor. Lancet. 1975;306:431–3. doi: 10.1016/S0140-6736(75)90845-4. - DOI - PubMed
    1. Cleaver SA. The Anthony Nolan Research Centre. Bone Marrow Transplant. 1992;11:38–40. - PubMed

MeSH terms