Worldwide Network for Blood and Marrow Transplantation Recommendations for Establishing a Hematopoietic Stem Cell Transplantation Program in Countries with Limited Resources, Part II: Clinical, Technical, and Socioeconomic Considerations

Mahmoud Aljurf, Daniel J Weisdorf, Shahrukh Hashmi, Amr Nassar, Eliane Gluckman, Mohamad Mohty, Doug Rizzo, Marcelo Pasquini, Mehdi Hamadani, Wael Saber, Parameswaran Hari, Mohamed Kharfan-Dabaja, Navneet Majhail, Usama Gerges, Amir Ali Hamidieh, Fazal Hussain, Alaa Elhaddad, Hossam K. Mahmoud, Abdelghani Tbakhi, Tarek Ben OthmanRose Marie Hamladji, Mohamed Amine Bekadja, Parvez Ahmed, Ali Bazarbachi, Salman Adil, Salman Alkindi, Saleh Ladeb, David Dennison, Moosa Patel, Peihua Lu, Asma El Quessar, Shinichiro Okamoto, Yoshiko Atsuta, Ayman Alhejazi, Mouhab F. Ayas, Syed O. Ahmed, Nickolas Novitzky, Alok Srivastava, Adriana Seber, Hassan El Solh, Ardeshir Ghavamzadeh, Dennis Confer, Yoshihisa Kodera, Greinix Hildegard, Jeff Szer, Mary M. Horowitz, Dietger Niederwieser

Research output: Contribution to journalReview article

Abstract

The development of hematopoietic stem cell transplantation (HSCT) programs can face significant challenges in most developing countries because such endeavors must compete with other government health care priorities, including the delivery of basic services. Although this is may be a limiting factor, these countries should prioritize development of the needed expertise to offer state-of-the-art treatments, including transplantation, by providing financial, technological, legal, ethical, and other needed support. This would prove beneficial in providing successful programs customized to the needs of their population and potentially provide long-term cost savings by circumventing the need for their citizens to seek care abroad. The costs of establishing an HSCT program and the costs of the HSCT procedure itself can be substantial barriers in developing countries. In addition, socioeconomic factors intrinsic to specific countries can influence access to HSCT, patient eligibility for HSCT, and timely utilization of HSCT center capabilities. This report describes recommendations from the Worldwide Network for Blood and Marrow Transplantation for establishing HSCT programs, with a specific focus on developing countries, and identifies challenges and opportunities for providing this specialized procedure in resource-constrained settings.

Original languageEnglish (US)
JournalBiology of Blood and Marrow Transplantation
DOIs
StatePublished - Jan 1 2019

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Hematopoietic Stem Cell Transplantation
Transplantation
Bone Marrow
Developing Countries
Costs and Cost Analysis
Health Priorities
Cost Savings
Delivery of Health Care
Population

Keywords

  • Bone marrow transplantation
  • Developing countries
  • Low-income countries

PubMed: MeSH publication types

  • Journal Article
  • Review

Cite this

Worldwide Network for Blood and Marrow Transplantation Recommendations for Establishing a Hematopoietic Stem Cell Transplantation Program in Countries with Limited Resources, Part II : Clinical, Technical, and Socioeconomic Considerations. / Aljurf, Mahmoud; Weisdorf, Daniel J; Hashmi, Shahrukh; Nassar, Amr; Gluckman, Eliane; Mohty, Mohamad; Rizzo, Doug; Pasquini, Marcelo; Hamadani, Mehdi; Saber, Wael; Hari, Parameswaran; Kharfan-Dabaja, Mohamed; Majhail, Navneet; Gerges, Usama; Hamidieh, Amir Ali; Hussain, Fazal; Elhaddad, Alaa; Mahmoud, Hossam K.; Tbakhi, Abdelghani; Othman, Tarek Ben; Hamladji, Rose Marie; Bekadja, Mohamed Amine; Ahmed, Parvez; Bazarbachi, Ali; Adil, Salman; Alkindi, Salman; Ladeb, Saleh; Dennison, David; Patel, Moosa; Lu, Peihua; Quessar, Asma El; Okamoto, Shinichiro; Atsuta, Yoshiko; Alhejazi, Ayman; Ayas, Mouhab F.; Ahmed, Syed O.; Novitzky, Nickolas; Srivastava, Alok; Seber, Adriana; Solh, Hassan El; Ghavamzadeh, Ardeshir; Confer, Dennis; Kodera, Yoshihisa; Hildegard, Greinix; Szer, Jeff; Horowitz, Mary M.; Niederwieser, Dietger.

In: Biology of Blood and Marrow Transplantation, 01.01.2019.

Research output: Contribution to journalReview article

Aljurf, M, Weisdorf, DJ, Hashmi, S, Nassar, A, Gluckman, E, Mohty, M, Rizzo, D, Pasquini, M, Hamadani, M, Saber, W, Hari, P, Kharfan-Dabaja, M, Majhail, N, Gerges, U, Hamidieh, AA, Hussain, F, Elhaddad, A, Mahmoud, HK, Tbakhi, A, Othman, TB, Hamladji, RM, Bekadja, MA, Ahmed, P, Bazarbachi, A, Adil, S, Alkindi, S, Ladeb, S, Dennison, D, Patel, M, Lu, P, Quessar, AE, Okamoto, S, Atsuta, Y, Alhejazi, A, Ayas, MF, Ahmed, SO, Novitzky, N, Srivastava, A, Seber, A, Solh, HE, Ghavamzadeh, A, Confer, D, Kodera, Y, Hildegard, G, Szer, J, Horowitz, MM & Niederwieser, D 2019, 'Worldwide Network for Blood and Marrow Transplantation Recommendations for Establishing a Hematopoietic Stem Cell Transplantation Program in Countries with Limited Resources, Part II: Clinical, Technical, and Socioeconomic Considerations', Biology of Blood and Marrow Transplantation. https://doi.org/10.1016/j.bbmt.2019.04.012
Aljurf, Mahmoud ; Weisdorf, Daniel J ; Hashmi, Shahrukh ; Nassar, Amr ; Gluckman, Eliane ; Mohty, Mohamad ; Rizzo, Doug ; Pasquini, Marcelo ; Hamadani, Mehdi ; Saber, Wael ; Hari, Parameswaran ; Kharfan-Dabaja, Mohamed ; Majhail, Navneet ; Gerges, Usama ; Hamidieh, Amir Ali ; Hussain, Fazal ; Elhaddad, Alaa ; Mahmoud, Hossam K. ; Tbakhi, Abdelghani ; Othman, Tarek Ben ; Hamladji, Rose Marie ; Bekadja, Mohamed Amine ; Ahmed, Parvez ; Bazarbachi, Ali ; Adil, Salman ; Alkindi, Salman ; Ladeb, Saleh ; Dennison, David ; Patel, Moosa ; Lu, Peihua ; Quessar, Asma El ; Okamoto, Shinichiro ; Atsuta, Yoshiko ; Alhejazi, Ayman ; Ayas, Mouhab F. ; Ahmed, Syed O. ; Novitzky, Nickolas ; Srivastava, Alok ; Seber, Adriana ; Solh, Hassan El ; Ghavamzadeh, Ardeshir ; Confer, Dennis ; Kodera, Yoshihisa ; Hildegard, Greinix ; Szer, Jeff ; Horowitz, Mary M. ; Niederwieser, Dietger. / Worldwide Network for Blood and Marrow Transplantation Recommendations for Establishing a Hematopoietic Stem Cell Transplantation Program in Countries with Limited Resources, Part II : Clinical, Technical, and Socioeconomic Considerations. In: Biology of Blood and Marrow Transplantation. 2019.
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abstract = "The development of hematopoietic stem cell transplantation (HSCT) programs can face significant challenges in most developing countries because such endeavors must compete with other government health care priorities, including the delivery of basic services. Although this is may be a limiting factor, these countries should prioritize development of the needed expertise to offer state-of-the-art treatments, including transplantation, by providing financial, technological, legal, ethical, and other needed support. This would prove beneficial in providing successful programs customized to the needs of their population and potentially provide long-term cost savings by circumventing the need for their citizens to seek care abroad. The costs of establishing an HSCT program and the costs of the HSCT procedure itself can be substantial barriers in developing countries. In addition, socioeconomic factors intrinsic to specific countries can influence access to HSCT, patient eligibility for HSCT, and timely utilization of HSCT center capabilities. This report describes recommendations from the Worldwide Network for Blood and Marrow Transplantation for establishing HSCT programs, with a specific focus on developing countries, and identifies challenges and opportunities for providing this specialized procedure in resource-constrained settings.",
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T2 - Clinical, Technical, and Socioeconomic Considerations

AU - Aljurf, Mahmoud

AU - Weisdorf, Daniel J

AU - Hashmi, Shahrukh

AU - Nassar, Amr

AU - Gluckman, Eliane

AU - Mohty, Mohamad

AU - Rizzo, Doug

AU - Pasquini, Marcelo

AU - Hamadani, Mehdi

AU - Saber, Wael

AU - Hari, Parameswaran

AU - Kharfan-Dabaja, Mohamed

AU - Majhail, Navneet

AU - Gerges, Usama

AU - Hamidieh, Amir Ali

AU - Hussain, Fazal

AU - Elhaddad, Alaa

AU - Mahmoud, Hossam K.

AU - Tbakhi, Abdelghani

AU - Othman, Tarek Ben

AU - Hamladji, Rose Marie

AU - Bekadja, Mohamed Amine

AU - Ahmed, Parvez

AU - Bazarbachi, Ali

AU - Adil, Salman

AU - Alkindi, Salman

AU - Ladeb, Saleh

AU - Dennison, David

AU - Patel, Moosa

AU - Lu, Peihua

AU - Quessar, Asma El

AU - Okamoto, Shinichiro

AU - Atsuta, Yoshiko

AU - Alhejazi, Ayman

AU - Ayas, Mouhab F.

AU - Ahmed, Syed O.

AU - Novitzky, Nickolas

AU - Srivastava, Alok

AU - Seber, Adriana

AU - Solh, Hassan El

AU - Ghavamzadeh, Ardeshir

AU - Confer, Dennis

AU - Kodera, Yoshihisa

AU - Hildegard, Greinix

AU - Szer, Jeff

AU - Horowitz, Mary M.

AU - Niederwieser, Dietger

PY - 2019/1/1

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N2 - The development of hematopoietic stem cell transplantation (HSCT) programs can face significant challenges in most developing countries because such endeavors must compete with other government health care priorities, including the delivery of basic services. Although this is may be a limiting factor, these countries should prioritize development of the needed expertise to offer state-of-the-art treatments, including transplantation, by providing financial, technological, legal, ethical, and other needed support. This would prove beneficial in providing successful programs customized to the needs of their population and potentially provide long-term cost savings by circumventing the need for their citizens to seek care abroad. The costs of establishing an HSCT program and the costs of the HSCT procedure itself can be substantial barriers in developing countries. In addition, socioeconomic factors intrinsic to specific countries can influence access to HSCT, patient eligibility for HSCT, and timely utilization of HSCT center capabilities. This report describes recommendations from the Worldwide Network for Blood and Marrow Transplantation for establishing HSCT programs, with a specific focus on developing countries, and identifies challenges and opportunities for providing this specialized procedure in resource-constrained settings.

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KW - Bone marrow transplantation

KW - Developing countries

KW - Low-income countries

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