Narrowing the gap for hematopoietic stem cell transplantation in the East-Mediterranean/African region: comparison with global HSCT indications and trends

On behalf of the East-Mediterranean (EMBMT) and African (AfBMT) Blood and Marrow Transplantation Groups and the Worldwide Network for Blood and Marrow Transplantation (WBMT)

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9 Scopus citations

Abstract

Hematopoietic Stem Cell Transplantation (HSCT) activity was evaluated in the African (AFR)/EMRO region and compared to the global activity for the years 2006–2013. Data were obtained from 1570 teams in the 6 WHO continental regions. Of these, 29 (1.85%) of all teams were active in 12 of the 68 AFR/EMRO countries. They reported 2.331 (3.3%) of the worldwide 71.036 HSCT, and a transplant rate of 32.8 (TR; HSCT/10 million inhabitants; worldwide 128.5). This reflects still the lowest regional TR despite an increase of 90% since 2006. HSCT activity in AFR/EMRO countries was characterized by a higher use of allogeneic compared to autologous HSCT, an almost exclusive use of family donors, including haploidentical family donors. These findings contrast with the prevalence of autologous over allogeneic HSCT, and a higher frequency of unrelated HSCT in other parts of the world. Of note, the increase by 200% in HSCT for hemoglobinopathies from 2006 to 2013 (72 per year) in the AFR/EMRO region. This reflects the specific role of HSCT for these disease categories with high prevalence and incidence in the AFR/EMRO region. This report provides information for the competent authorities to foster adequate infrastructure. It urges transplant organization to optimize their cooperation.

Original languageEnglish (US)
Pages (from-to)402-417
Number of pages16
JournalBone marrow transplantation
Volume54
Issue number3
DOIs
StatePublished - Mar 1 2019

Bibliographical note

Funding Information:
Acknowledgements Supported by the Australasian Bone Marrow Transplant Recipient Registry ABMTRR, Asia-Pacific Blood and Marrow Transplantation Group (APBMT), the African Blood and Marrow Transplantation Group (AfBMT), the Canadian Blood and Marrow Transplant Group (CBMTG), the Center for International Blood and Marrow Transplantation (CIBMTR), the European Blood and Marrow Transplantation Group (EBMT), the East-Mediterranean Latin American Bone Marrow Transplant Group (EMBMT), the Latin American Blood and Marrow Transplantation Group (LABMT), and the Carreras Foundation Germany.

Publisher Copyright:
© 2018, Macmillan Publishers Limited, part of Springer Nature.

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