Unrelated adult stem cell donor medical suitability: recommendations from the World Marrow Donor Association Clinical Working Group Committee.
The World Marrow Donor Association (WMDA) fosters collaboration between international registries to facilitate the exchange of hematopoietic stem cell products for unrelated stem cell donor transplantation. As indications for hematopoietic SCT grow, the movement of products across the world will increase. Although competent authorities may regulate products within their country, there is a need to protect the best interests of donors and recipients by identifying universal donor medical suitability criteria. Within this report the WMDA provides a background to unrelated adult donor and recipient safety, recommends a common framework for assessing the health of unrelated adult donors at each stage of the donation pathway and presents a novel mechanism for sharing international consensus criteria for individual medical and lifestyle conditions. Wherever possible, these criteria are evidence-based. By establishing a donor medical suitability working group, the WMDA has developed a process through which donor centers and registries may request a consensus opinion on conditions not already listed, as well as challenge existing criteria. Guidance from the WMDA is intended to complement, not supersede, guidance from national competent authorities and international regulatory bodies.
1] Anthony Nolan Research Institute, UCL Cancer Institute, London, UK [2] Royal Marsden NHS Foundation Trust, London, UK.
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RN
Lown
OneMatch Stem Cell and Marrow Network, Ottawa, Ontario, Canada.
J
J
Philippe
The National Marrow Donor Program, Minneapolis, MN, USA.
W
W
Navarro
Europdonor Foundation, Leiden, The Netherlands.
S M
SM
van Walraven
The National Marrow Donor Program, Minneapolis, MN, USA.
L
L
Philips-Johnson
Europdonor Foundation, Leiden, The Netherlands.
M
M
Fechter
British Bone Marrow Registry, NHS Blood and Transplant, Watford, UK.
R
R
Pawson
Tobias Registry, Stockholm, Sweden.
M
M
Bengtsson
University of Ankara, Ankara, Turkey.
M
M
Beksac
Welsh Blood Services, Cardiff, UK.
S
S
Field
Australian Bone Marrow Donor Registry, Sydney, New South Wales, Australia.
H
H
Yang
1] Royal Marsden NHS Foundation Trust, London, UK [2] OneMatch Stem Cell and Marrow Network, Ottawa, Ontario, Canada.
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BE
Shaw
D018380:Hematopoietic Stem Cell Transplantation / Q000379:methods / Q000592:standards*; D006801:Humans; D019172:Transplantation Conditioning / Q000379:methods / Q000592:standards*; D014184:Transplantation, Homologous; D061349:Unrelated Donors