Lower risk for serious adverse events and no increased risk for cancer after PBSC vs BM donation. Blood 2014 Jun 05;123(23):3655-63
Date
04/17/2014Pubmed ID
24735965Pubmed Central ID
PMC4047500DOI
10.1182/blood-2013-12-542464Scopus ID
2-s2.0-84902150458 (requires institutional sign-in at Scopus site) 94 CitationsAbstract
We compared serious early and late events experienced by 2726 bone marrow (BM) and 6768 peripheral blood stem cell (PBSC) donors who underwent collection of PBSC or BM between 2004 and 2009 as part of a prospective study through the National Marrow Donor Program. Standardized FDA definitions for serious adverse events (SAEs) were used, and all events were reviewed by an independent physician panel. BM donors had an increased risk for SAEs (2.38% for BM vs 0.56% for PBSC; odds ratio [OR], 4.13; P < .001), and women were twice as likely to experience an SAE (OR for men, 0.50; P = .005). Restricting the analysis to life-threatening, unexpected, or chronic/disabling events, BM donors maintained an increased risk for SAEs (0.99% for BM vs 0.31% for PBSC; OR, 3.20; P < .001). Notably, the incidence of cancer, autoimmune illness, and thrombosis after donation was similar in BM vs PBSC donors. In addition, cancer incidence in PBSC donors was less than that reported in the general population (Surveillance, Epidemiology, and End Results Program database). In conclusion, SAEs after donation are rare but more often occurred in BM donors and women. In addition, there was no evidence of increased risk for cancer, autoimmune illness, and stroke in donors receiving granulocyte colony-stimulating factor during this period of observation.
Author List
Pulsipher MA, Chitphakdithai P, Logan BR, Navarro WH, Levine JE, Miller JP, Shaw BE, O'Donnell PV, Majhail NS, Confer DLAuthors
Brent R. Logan PhD Director, Professor in the Institute for Health and Equity department at Medical College of WisconsinBronwen 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
Bone Marrow
Bone Marrow Transplantation
Female
Granulocyte Colony-Stimulating Factor
Hematopoietic Stem Cell Mobilization
Hematopoietic Stem Cells
Humans
Male
Middle Aged
Neoplasms
Peripheral Blood Stem Cell Transplantation
Postoperative Complications
Risk Factors
Severity of Illness Index
Tissue Donors
Tissue and Organ Harvesting
Young Adult
