Severe short-term adverse events in related bone marrow or peripheral blood stem cell donors

Yanagisawa, Ryu; Hirakawa, Tsuneaki; Doki, Noriko; Ikegame, Kazuhiro; Matsuoka, Ken‐ichi; Fukuda, Takahiro; Nakamae, Hirohisa; Ota, Shuichi; Hiramoto, Nobuhiro; Ishikawa, Jun; Ara, Takahide; Tanaka, Masatsugu; Koga, Yuhki; Kawakita, Toshiro; Maruyama, Yumiko; Kanda, Yoshinobu; Hino, Masayuki; Atsuta, Yoshiko; Yabe, Hiromasa; Tsukada, Nobuhiro

doi:10.1007/s12185-022-03489-4

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…36,37 Older donors, females and donors with preexisting medical conditions may experience symptoms for longer periods, but complications lasting more than a month are unusual for PBSC donors. 20,38 Serious side effects for PBSC donors are rare. Among the 911 PBSC donors at MGUH-BMCP during the observation period of 2018 through 2023, 36 required CVL placement.…”

Section: Pre-procedures Preparationmentioning

confidence: 99%

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Supportive Care of Hematopoietic Stem Cell Donors

Rennert,

Smith M,

Cormier

et al. 2024

Clinical Hematology International

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Supportive care needs for hematopoietic stem cell recipients have been studied. Less is known about the care needs of stem cell donors. Care challenges arise at donor selection, preparation for the donation, the donation procedure and the immediate and long-term after-care. Care needs were analyzed for 1,831 consecutive bone marrow and peripheral stem cell donors at MedStar Georgetown University Hospital between January 2018 and August 2023 in support of a review of the current literature. During the selection, related donors may experience psychological pressures affecting their motivation, while donation centers may be willing to accept co-morbidities in these donors which might preclude donation in unrelated peers. For bone marrow donations, it is important to select donors not only according to optimal genetic matching criteria but also according to suitable donor/recipient weight ratios, to facilitate sufficient stem cell yields. During the donation preparation phase, side effects and complications related to stem cell stimulation must be anticipated and managed for peripheral cell donors, while the pros and cons of autologous blood donation should be evaluated carefully for bone marrow donors. The stem cell donation procedure itself carries potential side effects and complications as well. Peripheral cell donors may require a central line and may encounter hypocalcemia, thrombocytopenia, and anemia. Bone marrow donors face risks associated with anesthesia, blood loss and pain. Post-procedure care focusses on pain management, blood cell recovery and the psychological support necessary to regain a high quality-of-life existence. Hematopoietic stem donors are giving part of themselves to save another’s life. They deserve comprehensive supportive care to accompany them throughout the donation process.

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Section: Pre-procedures Preparationmentioning

confidence: 99%

“…Symptoms beyond one month duration are rare. 20,[36][37][38] At MGUH-BMCP, 1132 bone marrow collections were performed between 2018 and August 2023. Seven donors experienced pain beyond one month duration.…”

Section: Pre-procedures Preparationmentioning

confidence: 99%