Bone marrow harvest in donors with anaemia

Background Bone marrow harvest (BMH) for haematopoietic stem cell transplantation is a well‐established procedure. The guidelines of World Marrow Donor Association provide information on donor selection. However, some of the guidelines regarding donors with anaemia prior to harvest lack in supportin...

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Published in	Vox sanguinis Vol. 113; no. 8; pp. 795 - 802
Main Authors	Bartnik, Krzysztof, Pruszczyk, Katarzyna, Skwierawska, Kamila, Król, Małgorzata, Płachta, Milena, Moskowicz, Albert, Zakrzewski, Tomasz, Urbanowska, Elżbieta, Jędrzejczak, Wiesław Wiktor, Snarski, Emilian
Format	Journal Article
Language	English
Published	England S. Karger AG 01.11.2018
Subjects	Adult anaemia prior to procedure Anemia Anemia - blood Blood Donors Blood transfusion Body weight Bone marrow Bone Marrow Cells - chemistry Bone marrow transplantation Bone Marrow Transplantation - methods Bone Marrow Transplantation - standards Donor Selection - methods Donor Selection - standards Female Guidelines Hematopoietic stem cells Hemoglobin Hemoglobins - analysis Humans Middle Aged Stem cell transplantation Stem cells Transfusion Transplantation unrelated donors anaemia prior to procedure unrelated donors
Online Access	Get full text
ISSN	0042-9007 1423-0410 1423-0410
DOI	10.1111/vox.12709

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Abstract	Background Bone marrow harvest (BMH) for haematopoietic stem cell transplantation is a well‐established procedure. The guidelines of World Marrow Donor Association provide information on donor selection. However, some of the guidelines regarding donors with anaemia prior to harvest lack in supporting data from clinical studies. With this study, we aimed to provide such data. Material and Methods In this retrospective, single‐centre study, we analysed the interplay between haemoglobin levels and BMH and BMH impact on haemoglobin levels in a cohort of 149 unrelated BM donors, including 13 subjects with mild anaemia. Results The BMH led to significantly lower decrease in haemoglobin levels in donors with anaemia than in control group (1·79 g/dl vs. 2·56 g/dl, P < 0·0001). The following parameters: BMH volume (ml), BMH volume/donor body weight (ml/kg), total nucleated cells (TNC) in product (×108) and TNC/kg recipient body weight in product (×108/kg) did not differ significantly between those two analysed groups (P > 0·05). Median BM volume harvested from anaemic donors was 16·34 ml/kg; none of them required blood transfusion after BMH. Conclusion Mild anaemia prior to BMH does not significantly impact the collection results. The BMH is safe and feasible in donors with mild anaemia.
AbstractList	Background Bone marrow harvest (BMH) for haematopoietic stem cell transplantation is a well‐established procedure. The guidelines of World Marrow Donor Association provide information on donor selection. However, some of the guidelines regarding donors with anaemia prior to harvest lack in supporting data from clinical studies. With this study, we aimed to provide such data. Material and Methods In this retrospective, single‐centre study, we analysed the interplay between haemoglobin levels and BMH and BMH impact on haemoglobin levels in a cohort of 149 unrelated BM donors, including 13 subjects with mild anaemia. Results The BMH led to significantly lower decrease in haemoglobin levels in donors with anaemia than in control group (1·79 g/dl vs. 2·56 g/dl, P < 0·0001). The following parameters: BMH volume (ml), BMH volume/donor body weight (ml/kg), total nucleated cells (TNC) in product (×108) and TNC/kg recipient body weight in product (×108/kg) did not differ significantly between those two analysed groups (P > 0·05). Median BM volume harvested from anaemic donors was 16·34 ml/kg; none of them required blood transfusion after BMH. Conclusion Mild anaemia prior to BMH does not significantly impact the collection results. The BMH is safe and feasible in donors with mild anaemia. BackgroundBone marrow harvest (BMH) for haematopoietic stem cell transplantation is a well‐established procedure. The guidelines of World Marrow Donor Association provide information on donor selection. However, some of the guidelines regarding donors with anaemia prior to harvest lack in supporting data from clinical studies. With this study, we aimed to provide such data.Material and MethodsIn this retrospective, single‐centre study, we analysed the interplay between haemoglobin levels and BMH and BMH impact on haemoglobin levels in a cohort of 149 unrelated BM donors, including 13 subjects with mild anaemia.ResultsThe BMH led to significantly lower decrease in haemoglobin levels in donors with anaemia than in control group (1·79 g/dl vs. 2·56 g/dl, P < 0·0001). The following parameters: BMH volume (ml), BMH volume/donor body weight (ml/kg), total nucleated cells (TNC) in product (×108) and TNC/kg recipient body weight in product (×108/kg) did not differ significantly between those two analysed groups (P > 0·05). Median BM volume harvested from anaemic donors was 16·34 ml/kg; none of them required blood transfusion after BMH.ConclusionMild anaemia prior to BMH does not significantly impact the collection results. The BMH is safe and feasible in donors with mild anaemia. Bone marrow harvest (BMH) for haematopoietic stem cell transplantation is a well-established procedure. The guidelines of World Marrow Donor Association provide information on donor selection. However, some of the guidelines regarding donors with anaemia prior to harvest lack in supporting data from clinical studies. With this study, we aimed to provide such data. In this retrospective, single-centre study, we analysed the interplay between haemoglobin levels and BMH and BMH impact on haemoglobin levels in a cohort of 149 unrelated BM donors, including 13 subjects with mild anaemia. The BMH led to significantly lower decrease in haemoglobin levels in donors with anaemia than in control group (1·79 g/dl vs. 2·56 g/dl, P < 0·0001). The following parameters: BMH volume (ml), BMH volume/donor body weight (ml/kg), total nucleated cells (TNC) in product (×10 ) and TNC/kg recipient body weight in product (×10 /kg) did not differ significantly between those two analysed groups (P > 0·05). Median BM volume harvested from anaemic donors was 16·34 ml/kg; none of them required blood transfusion after BMH. Mild anaemia prior to BMH does not significantly impact the collection results. The BMH is safe and feasible in donors with mild anaemia. Bone marrow harvest (BMH) for haematopoietic stem cell transplantation is a well-established procedure. The guidelines of World Marrow Donor Association provide information on donor selection. However, some of the guidelines regarding donors with anaemia prior to harvest lack in supporting data from clinical studies. With this study, we aimed to provide such data.BACKGROUNDBone marrow harvest (BMH) for haematopoietic stem cell transplantation is a well-established procedure. The guidelines of World Marrow Donor Association provide information on donor selection. However, some of the guidelines regarding donors with anaemia prior to harvest lack in supporting data from clinical studies. With this study, we aimed to provide such data.In this retrospective, single-centre study, we analysed the interplay between haemoglobin levels and BMH and BMH impact on haemoglobin levels in a cohort of 149 unrelated BM donors, including 13 subjects with mild anaemia.MATERIAL AND METHODSIn this retrospective, single-centre study, we analysed the interplay between haemoglobin levels and BMH and BMH impact on haemoglobin levels in a cohort of 149 unrelated BM donors, including 13 subjects with mild anaemia.The BMH led to significantly lower decrease in haemoglobin levels in donors with anaemia than in control group (1·79 g/dl vs. 2·56 g/dl, P < 0·0001). The following parameters: BMH volume (ml), BMH volume/donor body weight (ml/kg), total nucleated cells (TNC) in product (×108 ) and TNC/kg recipient body weight in product (×108 /kg) did not differ significantly between those two analysed groups (P > 0·05). Median BM volume harvested from anaemic donors was 16·34 ml/kg; none of them required blood transfusion after BMH.RESULTSThe BMH led to significantly lower decrease in haemoglobin levels in donors with anaemia than in control group (1·79 g/dl vs. 2·56 g/dl, P < 0·0001). The following parameters: BMH volume (ml), BMH volume/donor body weight (ml/kg), total nucleated cells (TNC) in product (×108 ) and TNC/kg recipient body weight in product (×108 /kg) did not differ significantly between those two analysed groups (P > 0·05). Median BM volume harvested from anaemic donors was 16·34 ml/kg; none of them required blood transfusion after BMH.Mild anaemia prior to BMH does not significantly impact the collection results. The BMH is safe and feasible in donors with mild anaemia.CONCLUSIONMild anaemia prior to BMH does not significantly impact the collection results. The BMH is safe and feasible in donors with mild anaemia.
Author	Zakrzewski, Tomasz Król, Małgorzata Płachta, Milena Pruszczyk, Katarzyna Moskowicz, Albert Jędrzejczak, Wiesław Wiktor Skwierawska, Kamila Snarski, Emilian Urbanowska, Elżbieta Bartnik, Krzysztof
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BackLink	https://www.ncbi.nlm.nih.gov/pubmed/30191563$$D View this record in MEDLINE/PubMed
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Copyright	2018 International Society of Blood Transfusion 2018 International Society of Blood Transfusion. Copyright © 2018 International Society of Blood Transfusion
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Snippet	Background Bone marrow harvest (BMH) for haematopoietic stem cell transplantation is a well‐established procedure. The guidelines of World Marrow Donor... Bone marrow harvest (BMH) for haematopoietic stem cell transplantation is a well-established procedure. The guidelines of World Marrow Donor Association... BackgroundBone marrow harvest (BMH) for haematopoietic stem cell transplantation is a well‐established procedure. The guidelines of World Marrow Donor...
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StartPage	795
SubjectTerms	Adult anaemia prior to procedure Anemia Anemia - blood Blood Donors Blood transfusion Body weight Bone marrow Bone Marrow Cells - chemistry Bone marrow transplantation Bone Marrow Transplantation - methods Bone Marrow Transplantation - standards Donor Selection - methods Donor Selection - standards Female Guidelines Hematopoietic stem cells Hemoglobin Hemoglobins - analysis Humans Middle Aged Stem cell transplantation Stem cells Transfusion Transplantation unrelated donors
Title	Bone marrow harvest in donors with anaemia
URI	https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fvox.12709 https://www.ncbi.nlm.nih.gov/pubmed/30191563 https://www.proquest.com/docview/2135916483 https://www.proquest.com/docview/2101273841
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