Acute toxicities of unrelated bone marrow versus peripheral blood stem cell donation: results of a prospective trial from the National Marrow Donor Program. Blood 2013 Jan 03;121(1):197-206
Date
10/31/2012Pubmed ID
23109243Pubmed Central ID
PMC3538330DOI
10.1182/blood-2012-03-417667Scopus ID
2-s2.0-84872059501 (requires institutional sign-in at Scopus site) 101 CitationsAbstract
Although peripheral blood stem cells (PBSCs) have replaced bone marrow (BM) as the most common unrelated donor progenitor cell product collected, a direct comparison of concurrent PBSC versus BM donation experiences has not been performed. We report a prospective study of 2726 BM and 6768 PBSC donors who underwent collection from 2004 to 2009. Pain and toxicities were assessed at baseline, during G-CSF administration, on the day of collection, within 48 hours of donation, and weekly until full recovery. Peak levels of pain and toxicities did not differ between the 2 donation processes for most donors. Among obese donors, PBSC donors were at increased risk of grade 2 to 4 pain as well as grade 2 to 4 toxicities during the pericollection period. In contrast, BM donors were more likely to experience grade 2 to 4 toxicities at 1 week and pain at 1 week and 1 month after the procedure. BM donors experienced slower recovery, with 3% still not fully recovered at 24 weeks, whereas 100% of PBSC donors had recovered. Other factors associated with toxicity included obesity, increasing age, and female sex. In summary, this study provides extensive detail regarding individualized risk patterns of PBSC versus BM donation toxicity, suggesting donor profiles that can be targeted with interventions to minimize toxicity.
Author List
Pulsipher MA, Chitphakdithai P, Logan BR, Shaw BE, Wingard JR, Lazarus HM, Waller EK, Seftel M, Stroncek DF, Lopez AM, Maharaj D, Hematti P, O'Donnell PV, Loren AW, Leitman SF, Anderlini P, Goldstein SC, Levine JE, Navarro WH, Miller JP, Confer DLAuthors
Peiman Hematti MD Professor in the Medicine department at Medical College of WisconsinBrent R. Logan PhD Director, Professor in the Institute for Health and Equity department at Medical College of Wisconsin
Bronwen E. Shaw MBChB, PhD Center Director, Professor in the Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdolescentAdult
Anesthesia
Blood Cell Count
Blood Component Removal
Blood Donors
Bone Marrow Transplantation
Convalescence
Exanthema
Fatigue
Female
Fever
Filgrastim
Gastrointestinal Diseases
Granulocyte Colony-Stimulating Factor
Hematopoietic Stem Cell Mobilization
Hospitalization
Humans
Male
Middle Aged
Obesity
Pain
Peripheral Blood Stem Cell Transplantation
Prospective Studies
Recombinant Proteins
Syncope
Tissue Donors
Tissue and Organ Harvesting
United States
Young Adult
