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Hematopoietic cell transplant nurse coordinators’ perceptions of related donor care: a European survey from the EBMT Nurses Group

Bone Marrow Transplantation volume 55, pages 623–632 (2020)Cite this article

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Abstract

Allogeneic haematopoietic cell transplantation (HCT) is a curative procedure for patients with haematological malignancies and immune deficiencies. A human leukocyte antigen (HLA) identical sibling is only available for 25–35% of patients in need. The improvement in haplo-identical transplantation has led to a marked increase in cell donation from relatives. Despite international recommendations, discrepancies in related-donors (RD) care exist between centres, particularly regarding medical suitability criteria, consenting procedures and donor follow-up. This European survey aimed to explore hematopoietic cell transplantation coordinators nurses’ (HCT-CNs) perceptions of RD care, in particular the association with the presence or not of an independent unit (IU). Ninety-three HCT-CNs from seventy-six EBMT centres responded, representing 19 countries (response rate: 27%). Our results did not show a significant association between IU and HCT-CNs perceptions of related-donors care. The practices for RD care vary among centres regarding presence or not of an IU (48%), person caring for RD (haematologist in 54%, HCT physician in 17%, HCT-CNs in 20%), person to whom the results of HLA typing are communicated, use of a booklet for RD, follow-up or not and periodicity of follow-up. Qualitative data highlight the related-donation ethical issues and the need for improvement in RD care. HCT-CNs’ main concerns were: the necessary confidentiality to insure the voluntary status of RD, the perceived conflict of interest felt by professionals when managing both patients and RD, plus the psychosocial aspects of related-donation. Even if there is a variety of a practice among centres, the presence of an IU is not significantly associated with an improvement in RD care.

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Author notes

  1. These authors contributed equally: A. Polomeni, M. Labopin, M. Badoglio

Authors and Affiliations

  1. Department of Hematology and Cell Therapy, Saint-Antoine Hospital, Paris, France

    A. Polomeni & G. Battipaglia

  2. EBMT Nurses Group, Department of Hematology and Cell therapy, Saint Eloi Hospital, Montpellier, France

    C. Bompoint

  3. EBMT Paris Study Office/CEREST-TC, Department of Hematology and Cell Therapy, Saint-Antoine Hospital, INSERM UMR 938, Université Pierre et Marie Curie, Paris, France

    M. Labopin & M. Badoglio

  4. EBMT Nurses Group, Amsterdam UMC, VU University Medical Center Department of Hematology, Amsterdam, The Netherlands

    C. Eeltink

  5. EBMT Nurses Group, IEO, European Institute of Oncology IRCCS, Milan, Italy

    S. J. Liptrott

  6. EBMT Nurses Group, JACIE QM Inspector, IOSI-Istituto Oncologico della Svizzera Italiana, Bellinzona, Switzerland

    A. Babik

  7. EBMT Nurses Group, Haematology and Transplant Unit, Christie Hospital NHS Foundation Trust Manchester, Manchester, UK

    J. Murray

  8. EBMT Nurses Group, The Christie NHS Tust, The University of Manchester, Manchester, UK

    J. Stringer

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  1. A. Polomeni
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Correspondence to A. Polomeni.

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Polomeni, A., Bompoint, C., Labopin, M. et al. Hematopoietic cell transplant nurse coordinators’ perceptions of related donor care: a European survey from the EBMT Nurses Group. Bone Marrow Transplant 55, 623–632 (2020). https://doi.org/10.1038/s41409-019-0686-y

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