BACKGROUND
Cord blood has moved rapidly from an experimental stem cell source to an accepted and important source of hematopoietic stem cells. There has been no comprehensive assessment of US public cord blood banking practices since the Institute of Medicine study in 2005.
STUDY DESIGN AND METHODS
Of 34 US public cord blood banks identified, 16 participated in our qualitative survey of public cord blood banking practices. Participants took part in in-depth telephone interviews in which they were asked structured and open-ended questions regarding recruitment, donation, and the informed consent process at these banks.
RESULTS
13 of 16 participants reported a variably high percentage of women who consented to public cord blood donation. 15 banks offered donor registration at the time of hospital admission for labor and delivery. 7 obtained full informed consent and medical history during early labor and 8 conducted some form of phased consent and/or phased medical screening and history. 9 participants identified initial selection of the collection site location as the chief mode by which they recruited minority donors.
CONCLUSION
Since 2005, more public banks offer cord blood donor registration at the time of admission for labor and delivery. That, and the targeted location of cord blood collection sites, are the main methods used to increase access to donation and HLA diversity of banked units. Currently, the ability to collect and process donations, rather than donor willingness, is the major barrier to public cord blood banking.
This appendix contains a sample PHS 398 application. The sample application is followed by the corresponding X12 194 transaction set.The sample PHS 398 application contains ficticious information. Although the application data is realistic in format, it should not be used as guidance for completing a 398 application. The purpose of the sample application is to illustrate the relationship between 398 form data elements and X12 194 data elements.Also, note that within the transaction set certain data elements are italic and bold. These data elements are mapped directly to fields in an NIH database.
BBNumber pages consecutively at the bottom throughout the application. Do not use suffixes such as 3a, 3b.
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