Demographic changes and predicting blood supply and demand in the Netherlands.
BACKGROUND
Concerns have been raised that aging of the general population will increase the demand for blood products. Modeling can be applied to assess trends in blood demand and supply and predict how these will develop over time.


METHODS
We developed mathematical models to describe and predict the national demand of red blood cell (RBC) products. The first demand model assumes that the mean numbers of transfusions per inhabitant per age and sex are constant. A second demand model incorporates observed changes in clinical blood use over time. Further, a donation model is developed to predict future RBC supply. To estimate the supply of whole blood donations, we used annual donor retention rates, donor recruitment rates, and mean numbers of donations per donor year.


RESULTS
The model based on demography only predicts an increase of 23% in RBC demand over 2008 to 2015. The second model, incorporating both demographic changes and trends in clinical RBC use, predicts a decrease of RBC demand by 8% over the same period. The predicted RBC supply closely follows the demand as predicted by the second model.


CONCLUSIONS
Despite an aging population, RBC demand may not increase as much as predicted in other studies. This depends on the extent to which other effects, like that of optimal blood use, will neutralize the effects of aging of the transfusion recipient population. Still, the observed downward trend in donor recruitment in the Netherlands must be stopped to maintain a sufficient RBC supply.
Borkent-Raven
Barbara A
BA
Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, the Netherlands.
Janssen
Mart P
MP
Van Der Poel
Cees L
CL
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D001803:Blood Transfusion / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D003710:Demography / Q000706:statistics & numerical data*; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D009426:Netherlands / Q000453:epidemiology; D011157:Population Dynamics; D011237:Predictive Value of Tests; D055815:Young Adult