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Indications for haematopoietic stem cell transplantation for haematological diseases, solid tumours and immune disorders: current practice in Europe, 2019

Abstract

This is the seventh special EBMT report on the indications for haematopoietic stem cell transplantation for haematological diseases, solid tumours and immune disorders. Our aim is to provide general guidance on transplant indications according to prevailing clinical practice in EBMT countries and centres. In order to inform patient decisions, these recommendations must be considered together with the risk of the disease, the risk of the transplant procedure and the results of non-transplant strategies. In over two decades since the first report, the EBMT indications manuscripts have incorporated changes in transplant practice coming from scientific and technical developments in the field. In this same period, the establishment of JACIE accreditation has promoted high quality and led to improved outcomes of patient and donor care and laboratory performance in transplantation and cellular therapy. An updated report with operating definitions, revised indications and an additional set of data with overall survival at 1 year and non-relapse mortality at day 100 after transplant in the commonest standard-of-care indications is presented. Additional efforts are currently underway to enable EBMT member centres to benchmark their risk-adapted outcomes as part of the Registry upgrade Project 2020 against national and/or international outcome data.

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Acknowledgements

The authors are grateful for the advice and helpful comments received from a number of EBMT fellow specialists in HSCT including Michael Albert, Tobias Alexander, Dina Averbuch, Frederic Baron, Eli Bazarbachi, Meral Beksac, Eolia Brissot, Gesine Bug, Simone Cesaro, Yves Chalandon, Fabo Ciceri, Tomasz Czerw, Francesco Dazzi, Jordi Esteve, Katarina Fleischhauer, Laurent Garderet, Sebastian Giebel, Lidia Gil, Maria Gilleece, Norbert-Claude Gorin, Patrick Hayden, Jorg Hälter, Juan C. Hernández Boluda, Michael Hudecek, Katharina Kleinschmidt, Michelle Kenyon, Christian Koenecke, Franco Locatelli, Florent Malard, Donal McLornan, Malgorzata Mikulska, John Murray, Francesco Onida, Paolo Pedrazzoli, Olaf Penack, Zinaida Perić, Antonio Risitano, Marie Robin, Steve Robinson, Annalisa Ruggeri, Jaime Sanz, Bipin Savani, Johannes Schetelig, Christof Schied, Christoph Schmid, Hélène Schoemans, Stefan Schönland, Basil Sharrack, Roni Shouval, Alexandros Spyridonidis, Antoine Toubert, Olivier Tourniac, Alvaro Urbano-Ispizua, Luca Vago, Michel van Gelder, Bregje Verhoeven, Jurjen Versluis, Lotte Wietten and André Willasch.

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Duarte, R.F., Labopin, M., Bader, P. et al. Indications for haematopoietic stem cell transplantation for haematological diseases, solid tumours and immune disorders: current practice in Europe, 2019. Bone Marrow Transplant 54, 1525–1552 (2019). https://doi.org/10.1038/s41409-019-0516-2

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  • DOI: https://doi.org/10.1038/s41409-019-0516-2

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