Abstract
According to the Standards of the World Marrow Donor Association (WMDA), unrelated stem cell donor registries and donor centers are responsible for compliance of their collection and apheresis centers with these Standards. To ensure high stem cell product quality and high standards for safety and satisfaction of voluntary unrelated stem cell donors, we here present guidelines for audits of collection and apheresis centers that can be used by new and established donor registries, as well as by collection centers in preparation of audits. We define the general requirements and recommendations for collaboration with the collection and apheresis centers and define critical procedures for the collection of the stem cell product, such as information session, medical assessment, product collection, quality controls, product handover for transportation, and donor follow-up. The specific guidelines are accompanied by detailed checklists and forms that can be found in Supplementary Information and may be used during an initial or follow-up on-site or paper-based audit.
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References
Shaw BE, Ball L, Beksac M, Bengtsson M, Confer D, Diler S, et al. Donor safety: the role of the WMDA in ensuring the safety of volunteer unrelated donors: clinical and ethical considerations. Bone Marrow Transplant. 2010;45:832–8.
Foundation for the Accreditation of Cellular Therapy and the Joint Accreditation Committee – ISCT and EBMT. International Standards for Hematopoietic Cellular Therapy Product Collection, Processing, and Administration, 7th ed. FACT-JACIE, 2017. http://www.ebmt.org/sites/default/files/2018-06/FACT-JACIE%207th%20Edition%20Standards.pdf
World Marrow Donor Association. International Standards for Unrelated Haematopoietic Stem Cell Donor Registries. WMDA website, 2017. https://www.wmda.info/wp-content/uploads/2018/02/20170101-STDC-WMDA-standards-cleared-version.pdf
Pingel J, Case C Jr., Amer B, Hornung RA 3rd, Schmidt AH, Quality Assurance Working Group of the World Marrow Donor A. World marrow donor association crisis response, business continuity, and disaster recovery guidelines. Biol Blood Marrow Transplant. 2012;18:1785–9.
Bakken R, van Walraven AM, Egeland T, Ethics Working Group of the World Marrow Donor A. Donor commitment and patient needs. Bone Marrow Transplant. 2004;33:225–30.
Rosenmayr A, Hartwell L, Egeland T, on behalf of the Ethics Working Group of the World Marrow Donor Association. Informed Consent – suggested procedures for informed consent for unrelated haematopoietic stem cell donors at various stages of recruitment, donor evaluation, and donor workup. Bone Marrow Transplant. 2003;31:539–45.
King RJ, Confer DL, Greinix HT, Halter J, Horowitz M, Schmidt AH, et al. Unrelated hematopoietic stem cell donors as research subjects. Bone Marrow Transplant. 2011;46:10–13.
Lown RN, Philippe J, Navarro W, van Walraven SM, Philips-Johnson L, Fechter M, et al. Unrelated adult stem cell donor medical suitability: recommendations from the World Marrow Donor Association Clinical Working Group Committee. Bone Marrow Transplant. 2014;49:880–6.
Pulsipher MA, Chitphakdithai P, Logan BR, Leitman SF, Anderlini P, Klein JP, et al. Donor, recipient, and transplant characteristics as risk factors after unrelated donor PBSC transplantation: beneficial effects of higher CD34+cell dose. Blood. 2009;114:2606–16.
Wang T-F, Wen S-H, Chen R-L, Lu C-J, Ya-Jun Z, Yang S-H, et al. Factors associated with peripheral blood stem cell yield in volunteer donors mobilized with granulocyte colony-stimulating factors: the impact of donor characteristics and procedural settings. Biol Blood Marrow Transplant. 2008;14:1305–11.
European Directorate for the Quality of Medicines & HealthCare. Guide to the quality and safety of tissues and cells for human application. In: Council of Europe S, ISSN/ISBN: 978-92-871-8415-3 editors. 3rd ed, 2015.
Sancho JM, Duarte R, Medina L, Querol S, Marin P, Sureda A, et al. Mobilization of peripheral blood stem cells with plerixafor in poor mobilizer patients. Med Clin. 2016;147:223.e1–e7.
Heimfeld S. Bone marrow transplantation: how important is CD34 cell dose in HLA-identical stem cell transplantation? Leukemia. 2003;17:856–8.
Hutchins C, Fisher R, Gordon S. World Marrow Donor Association (WMDA) Guidelines for couriers and the transportation of haematopoietic progenitor cells (HPC-BM, apheresis and therapeutic- T Cells). WMDA Website, 2011. https://share.wmda.info/x/FwA0Ew
Acknowledgements
We thank Sabine Grünig previously at DKMS and Katrin Gnant from DKMS for their support for the Working Group in editing the document. We further thank all members of the WGQR, especially the current chair Salmah Ahmed from the Anthony Nolan (UK) and the members of the WMDA Accreditation Committee and the WMDA Board in 2016/2017 for their critical review of this document.
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Lara-Weisshaupt, E., Tistl, I., Hale, K. et al. Audits of collection and apheresis centers: guidelines by the World Marrow Donor Association Working Group Quality and Regulation. Bone Marrow Transplant 54, 244–257 (2019). https://doi.org/10.1038/s41409-018-0252-z
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DOI: https://doi.org/10.1038/s41409-018-0252-z
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