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. 2025 Jul;60(7):971-977.
doi: 10.1038/s41409-025-02600-7. Epub 2025 Apr 18.

Results of the Latin American Bone Marrow Transplantation Society (LABMT) activity survey 2019-2022: the impact of the COVID-19 pandemic and the increase in related haploidentical donors

Affiliations

Results of the Latin American Bone Marrow Transplantation Society (LABMT) activity survey 2019-2022: the impact of the COVID-19 pandemic and the increase in related haploidentical donors

Sebastian Galeano et al. Bone Marrow Transplant. 2025 Jul.

Abstract

A total of 6767 first hematopoietic cell transplants (HCT), 4121 autologous (61%) and 2646 allogeneic (39%), were reported by 166 teams from 12 Latin American countries that answered the 2022 LABMT/WBMT activity survey. The transplant rate (TR) for Latin America in 2022 was 103 HCT/10 million inhabitants with a wide variation between the different countries. The main indication for allogeneic (allo)-HCT was acute lymphoblastic leukaemia (41%) for the pediatric population and acute myeloid leukemia (32%) for adults. The main indication for autologous (auto)-HCT was neuroblastoma (33%) in children and plasma cell disorders (57%) in adults. In alloHCT, the most used hematopoietic cell source was the bone marrow (54%) in pediatric while peripheral blood stem cells (PBSC) (87%) was in adults. PBSC was the source of choice for autoHCT in both ages. The main trends observed in the period 2019-2022 was a decrease in the number of procedures in 2020 in association with the start of the COVID-19 pandemic, resuming growth in the following years. AlloHCT had a greater growth compared to autoHCT, and it was mainly driven by the utilization of haploidentical related donors, which became the main source from 2020 onwards.

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Conflict of interest statement

Competing interests: Andrés Gómez-De León: Honoraria: Janssen, Sanofi, Abbvie, Astellas, Amgen, BMS, Novartis. Advisory board: Pfizer, Janssen.

Figures

Fig. 1
Fig. 1. Disease indications for Hematopoietic Cell Transplantation (HCT) in 2022 in pediatrics.
a Relative proportion of allogeneic HCT; (b) relative proportion of autologous HCT.
Fig. 2
Fig. 2. Disease indications for Hematopoietic Cell Transplantation (HCT) in 2022 in adults.
a Relative proportion of allogeneic HCT; (b) relative proportion of autologous HCT.
Fig. 3
Fig. 3. GDP PPP per capita and TR in Latin American countries in 2022 as reported to LABMT.
HCT hematopoietic cell transplantation, LABMT Latin American Bone and Marrow Transplantation Society, TR Transplant Rate (number of HCT per 10 million population), GDP gross domestic product, PPP purchasing power parity, International $ International dollar (An international dollar would buy in the cited country a comparable amount of goods and services a U.S. dollar would buy in the United States).
Fig. 4
Fig. 4. Trends in Hematopoietic Cell Transplantation in the period 2019-2022 in Latin America.
a Numbers of autologous, allogeneic and total HCT reported to LABMT in 2019–2022. b Donor sources for first allogeneic HCT in the period 2019–2022. HCT hematopoietic cell transplantation, LABMT Latin American Bone and Marrow Transplantation Society, Fam HLA-id MRD human leukocyte antigen identical matched-related donor (HLA identical sibling and syngeneic), Fam HLA non id (haploidentical and other mismatched family donors), URD unrelated donor, CB cord blood, PB peripheral blood, BM bone marrow.

References

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