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Allogeneic transplant physician and center capacity in the United States. Biol Blood Marrow Transplant 2011 Jul;17(7):956-61

Date

05/05/2011

Pubmed ID

21540121

Pubmed Central ID

PMC3114271

DOI

10.1016/j.bbmt.2011.03.008

Scopus ID

2-s2.0-79958750601 (requires institutional sign-in at Scopus site)   43 Citations

Abstract

Shortage of manpower and center capacity is expected to be a major challenge to the anticipated future growth in the utilization of allogeneic hematopoietic cell transplantation (HCT) in the United States. Using data from the National Marrow Donor Program's Transplant Center Network Renewal Survey, we describe transplant center and transplant physician capacity in the United States from 2005 to 2009. Over this 5-year period, the number of allogeneic transplants increased by 30%, bed capacity increased by 17%, and physician full-time equivalents increased by 26%. The number of related donor HCT increased by 15% and unrelated donor HCT increased by 45%. In addition to large centers, small- and medium-sized centers also made a major contribution to overall national transplant volumes for both related and unrelated donor HCT. Increase in utilization of unrelated donor HCT occurred in centers irrespective of their size. The majority of transplant centers were performing more transplantations using existing physician and bed capacity. Our study provides important descriptions of allogeneic transplant activity and capacity of U.S. centers, and our data will assist policy makers plan for the projected growth in the use of transplantation.

Author List

Majhail NS, Murphy EA, Omondi NA, Robinett P, Gajewski JL, LeMaistre CF, Confer D, Rizzo JD

Author

J. Douglas Rizzo MD, MS Director, Center Associate Director, Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Child
Forecasting
Health Services Needs and Demand
Hematopoietic Stem Cell Transplantation
Hospital Bed Capacity
Hospitals, Special
Humans
Interinstitutional Relations
Medicine
Physicians
Registries
Societies, Medical
Tissue Donors
Tissue and Organ Procurement
Transplantation, Homologous
United States