title: Organization and Development of Bone Marrow Donation and Transplantation in Poland.
abstract: This paper describes bone marrow donation and transplantation in Poland in terms of its history, current state, and information on the quality control system. Based on data gathered from the informatics systems of the Polish Central Unrelated Potential Bone Marrow Donor and Cord Blood Registry and the Polish transplant registries, as well as World Marrow Donor Association statistics, we performed an overview study to collect and compare numbers on hematopoietic stem cells donations and transplantations in Poland in the years 2010-2014. In the last 5 years, the number of registered potential hematopoietic stem cells donors in Poland increased by more than 4 times, from about 146,000 to over 750,000. During the same period, the number of patients qualified to hematopoietic stem cells transplantation from unrelated donor increased from 557 in 2010 to 817 in 2014. We observed a striking change in the percentage of transplantations performed in Polish centers using material collected from national donors--from 24% to 60%. This shift was also evident in the number of search procedures closed with acceptation of Polish donors--from 27% in 2010 to 58% in 2014. Another consequence of Polish registry growth is the increasing number of donations from Polish donors for international patients. Between 2010 and 2014, the percent of donation for non-national patient increased from 33% to 76%, placing Poland in 6th place in the ranking of the HSC "exporters" worldwide. Growth of transplantation rates involves standardization process, which is a natural way of development for national organizations in the field of HSCT because of its international character.
authors.affiliation: Department of Surgical and Transplant Nursing, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Jagoda
authors.initials: J
authors.lastname: Filipiak
authors.affiliation: Polish Transplant Coordinating Center POLTRANSPLANT, Warsaw, Poland.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Dudkiewicz
authors.affiliation: Department of Surgical and Transplant Nursing, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Jarosław
authors.initials: J
authors.lastname: Czerwiński
authors.affiliation: Polish Transplant Coordinating Center POLTRANSPLANT, Warsaw, Poland.
authors.forename: Karolina
authors.initials: K
authors.lastname: Kosmala
authors.affiliation: Polish Transplant Coordinating Center POLTRANSPLANT, Warsaw, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Łęczycka
authors.affiliation: Polish Transplant Coordinating Center POLTRANSPLANT, Warsaw, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Malanowski
authors.affiliation: Polish Transplant Coordinating Center POLTRANSPLANT, Warsaw, Poland.
authors.forename: Jolanta
authors.initials: J
authors.lastname: Żalikowska-Hołoweńko
authors.affiliation: Department of Surgical and Transplant Nursing, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Małkowski
authors.affiliation: Department of Surgical and Transplant Nursing, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Roman
authors.initials: R
authors.lastname: Danielewicz
mesh_terms: D016026:Bone Marrow Transplantation / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D018380:Hematopoietic Stem Cell Transplantation / Q000379:methods / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D008297:Male; D009936:Organizational Innovation; D011044:Poland; D012042:Registries; D014019:Tissue Donors / Q000706:statistics & numerical data*; D009927:Tissue and Organ Procurement / Q000458:organization & administration*