Hematopoietic SCT in Europe: data and trends in 2012 with special consideration of pediatric transplantation

J. R. Passweg*, H. Baldomero, C. Peters, H. B. Gaspar, S. Cesaro, P. Dreger, R. F. Duarte, J. H. F. Falkenburg, D. Farge-Bancel, A. Gennery, J. Halter, N. Kroeger, F. Lanza, J. Marsh, M. Mohty, A. Sureda, A. Velardi, A. Madrigal, European Soc Blood Marrow Transpla

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    151 Citations (Scopus)

    Abstract

    In all, 661 of 680 centers in 48 countries reported 37 818 hematopoietic SCT ( HSCT) in 33 678 patients (14 165 allogeneic (42%), 19 513 autologous (58%)) in the 2012 survey. Main indications were leukemias, 10 641 (32%; 95% allogeneic); lymphoid neoplasias, 19 336 (57%; 11% allogeneic); solid tumors, 1630 (5%; 3% allogeneic); and nonmalignant disorders, 1953 (6%; 90% allogeneic). There were more unrelated donors than HLA-identical sibling donors (54% versus 38% (8% being mismatched related donor HSCT)). Cord blood was almost exclusive in allogeneic transplants ( 5% of total). Since 2011, the highest increases in allogeneic HSCT were for AML in CR1 (12%) and for myeloproliferative neoplasm (15%). For autologous HSCT the main increases were for plasma cell disorders (7%), non-Hodgkin lymphoma (4%) and autoimmune disease (50%). There were 4097 pediatric patients <18 years of age receiving HSCT, 2902 received an allogeneic and 1195 an autologous HSCT. Overall, 69% of allogeneic and 64% of autologous HSCT were performed in dedicated pediatric centers and the remainder in combined adult and pediatric centers. Distributions of diseases, donor types and stem cell source for all patients and pediatric patients in particular are shown. A percentage of centers fulfilling the annual required criteria for patient numbers for JACIE accreditation are provided.

    Original languageEnglish
    Pages (from-to)744-750
    Number of pages7
    JournalBone Marrow Transplantation
    Volume49
    Issue number6
    DOIs
    Publication statusPublished - Jun 2014

    Keywords

    • STEM-CELL TRANSPLANTATION

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