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Peripheral Blood Stem Cells

Donating stimulated peripheral blood stem cells vs bone marrow: do donors experience the procedures differently?

Abstract

As the demand for undifferentiated stem cells for the treatment of leukemia and other cancers has increased, new methods for their collection have been developed. One of these new methods, allogeneic peripheral blood stem cell (PBSC) donation, involves the administration of a granulocyte colony-stimulating factor (G-CSF, filgrastim), and a 1–2 day apheresis collection procedure. Our goal in the current study was to examine donors' psychosocial and physical experiences of PBSC vs marrow donation. Potential participants included 80 donors from the National Marrow Donor Program (NMDP) who donated a second time between 1991 and 1997. All of these donors had previously donated marrow. A final cohort of 70 donors (25 PBSC and 45 marrow) participated in a retrospective questionnaire study of their donation experiences. In general, all second-time donors reported low levels of concern about the physical consequences of donation. However, PBSC donors were more likely to have postponed the decision to donate a second time. Despite their reservations, PBSC donors reported fewer donation-related side-effects than did marrow donors. Finally, PBSC donors reported that marrow donation was more physically difficult, time-consuming, and inconvenient, and that they preferred PBSC to marrow donation. Bone Marrow Transplantation (2001) 27, 917–923.

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References

  1. Bortin MM, Rimm AA . Increasing utilization of bone marrow transplantation. II. Results of the 1985–1987 survey Transplantation 1989 48: 453–458

    Article  CAS  PubMed  Google Scholar 

  2. Kolb HJ, Holler E . Hematopoietic transplantation: state of the art Stem Cells 1997 15 (Suppl. 1): 151–157

    Article  Google Scholar 

  3. Bortin MM, Buckner CD . Major complications of marrow harvesting for transplantation Exp Hematol 1983 11: 916–921

    CAS  PubMed  Google Scholar 

  4. Hirsh RA . An approach to assessing perioperative risk. In: Goldmann DR, Brown FH, Levy WK et al (eds) Medical Care of the Surgical Patient: A Problem Oriented Approach to Management JB Lippincott: Philadelphia 1982 pp 31–39

    Google Scholar 

  5. Switzer GE, Simmons RG, Dew MA . Helping unrelated strangers: physical and psychological reactions to the bone marrow donation process among anonymous donors J Appl Soc Psychol 1996 26: 469–490

    Article  Google Scholar 

  6. Comenzo RL, Malachowski ME, Miller KB et al. Engraftment with peripheral blood stem cells collected by large-volume leukapheresis for patients with lymphoma Transfusion 1992 32: 729–731

    Article  CAS  PubMed  Google Scholar 

  7. Gianni AM, Siena S, Bregni M et al. Granulocyte–macrophage colony-stimulating factor to harvest circulating haematopoietic stem cells for autotransplantation Lancet 1989 2: 580–584

    Article  CAS  PubMed  Google Scholar 

  8. Dini G, Arcese W, Barbanti M et al. Peripheral blood stem cell collection from G-CSF-stimulated unrelated donors for second transplant Bone Marrow Transplant 1998 22 (Suppl. 5): S41-S45

    Google Scholar 

  9. Anderlini P, Donato M, Chan KW et al. Allogeneic blood progenitor cell collection in normal donors after mobilization with filgrastim: the MD Anderson Cancer Center experience Transfusion 1999 39: 555–560

    Article  CAS  PubMed  Google Scholar 

  10. Stroncek DF, Clay ME, Petzoldt ML et al. Treatment of normal individuals with granulocyte-colony-stimulating factor: donor experiences and the effects on peripheral blood CD34+ cell counts and on the collection of peripheral blood stem cells Transfusion 1996 36: 601–610

    Article  CAS  PubMed  Google Scholar 

  11. Bensinger WI, Price TH, Dale D et al. The effects of daily recombinant human granulocyte colony-stimulating factor administration on normal granulocyte donors undergoing leukapheresis Blood 1993 81: 1883–1888

    CAS  PubMed  Google Scholar 

  12. Caspar CB, Seger RA, Burger J, Gmur J . Effective stimulation of donors for granulocyte transfusions with recombinant methionyl granulocyte colony-stimulating factor Blood 1993 81: 2866–2871

    CAS  PubMed  Google Scholar 

  13. Dallorso S, Dini G, Miano M et al. G-CSF primed peripheral blood progenitor cells (PBPC) autotransplantation in stage IV neuroblastoma and poor risk solid tumors Bone Marrow Transplant 1996 18: (Suppl. 2) 182–184

    PubMed  Google Scholar 

  14. Lee SM, Radford JA, Dobson L et al. Recombinant human granulocyte colony-stimulating factor (filgrastim) following high-dose chemotherapy and peripheral blood progenitor cell rescue in high-grade non-Hodgkin's lymphoma: clinical benefits at no extra cost Br J Cancer 1998 77: 1294–1299

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  15. Andrykowski MA . Psychosocial factors in bone marrow transplantation: a review and recommendations for research Bone Marrow Transplant 1994 13: 357–375

    CAS  PubMed  Google Scholar 

  16. Andrykowski MA . Psychiatric and psychosocial aspects of bone marrow transplantation Psychosomatics 1994 35: 13–24

    Article  CAS  PubMed  Google Scholar 

  17. Butterworth VA, Simmons RG, Bartsch G et al. Psychosocial effects of unrelated bone marrow donation: experiences of the National Marrow Donor Program Blood 1993; 81 1947–1959

  18. Butterworth VA, Simmons RG, Schimmel M . When altruism fails: reactions of unrelated bone marrow donors when the recipient dies Omega 1992–93 26: 161–173

    Article  PubMed  Google Scholar 

  19. Simmons RG, Schimmel M, Butterworth VA . The self-image of unrelated bone marrow donors Am J Health Soc Behav, 1993 34: 285–301

    Article  CAS  Google Scholar 

  20. Stukas AA, Dew MA, Switzer GE, Simmons RG . Potential bone marrow donors and their spouses: the effects of volunteerism on distress levels J Appl Soc Psychol 1999 29: 1–22

    Article  Google Scholar 

  21. Switzer GE, Dew MA, Butterworth VA et al. Understanding donors’ motivations: a study of unrelated bone marrow donors Soc Sci Med 1997 45: 137–147

    Article  CAS  PubMed  Google Scholar 

  22. Switzer GE, Dew MA, Magistro CA et al. The effects of bereavement on sibling bone marrow donors’ psychological well-being and reactions to donation Bone Marrow Transplant 1998 21: 181–188

    Article  CAS  PubMed  Google Scholar 

  23. Switzer GE, Dew MA, Twillman RK . Psychosocial issues in living organ and bone marrow donation. In: Trzepacz PT, DiMartini A (eds) Advances in Psychiatric Aspects of Organ Transplantation Cambridge University Press: New York 2000 pp 42–66

    Google Scholar 

  24. Switzer GE, Dew MA, Stukas AA et al. Factors associated with attrition from a national bone marrow registry Bone Marrow Transplant 1999 24: 313–319

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This work was supported in part by a contract with the National Marrow Donor Program, Minneapolis, MN.

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Switzer, G., Goycoolea, J., Dew, M. et al. Donating stimulated peripheral blood stem cells vs bone marrow: do donors experience the procedures differently?. Bone Marrow Transplant 27, 917–923 (2001). https://doi.org/10.1038/sj.bmt.1703011

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