Abstract
Haematopoietic cell transplant activity in the 28 countries comprising Latin America is poorly defined. We conducted a voluntary survey of members of the Latin American Bone Marrow Transplantation Group regarding transplant activity 2009–2012. Collated responses were compared with data of transplant rates from the Worldwide Network for Blood and Marrow Transplantation for other geographic regions. Several socio-economic variables were analysed to determine correlations with transplant rates. In total, 94 teams from 12 countries reported 11 519 transplants including 7033 autotransplants and 4486 allotransplants. Annual activity increased from 2517 transplants in 2009 to 3263 in 2012, a 30% increase. Median transplants rate (transplant per million inhabitants) in 2012 was 64 (autotransplants, median 40; allotransplants, median 24). This rate is substantially lower than that in North America and European regions (482 and 378) but higher than that in the Eastern Mediterranean and Asia Pacific regions (30 and 45). However, the Latin America transplant rate is 5–8-fold lower than that in America and Europe, suggesting a need to increase transplant availability. Transplant team density in Latin America (teams per million population; 1.8) is 3–4-fold lower than that in North America (6.2) or Europe (7.6). Within Latin America, there is substantial diversity in transplant rates by country partially explained by diverse socio-economic variables including per capita gross national income, health expenditure and physician density. These data should help inform future health-care policy in Latin America.
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Change history
03 May 2017
This article has been corrected since Advance Online Publication and a corrigendum is also printed in this issue.
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Acknowledgements
Supported by the Latin American Bone Marrow Transplant Group, The Worldwide Network for Blood and Marrow Transplantation and the Carreras Foundation Germany.
List of participating centers
Sanatorio Anchorena, Buenos Aires, CABA, Argentina; Sor Maria Ludovica, La Plata, BA, Argentina; FUNDALEU, Buenos Aires, CABA, Argentina; Hospital Austral, Pilar, BA, Argentina; Hospital Rossi, La Plata, BA, Argentina; Instituto Alexander Fleming, Buenos Aires, CABA, Argentina; CEMIC, Buenos Aires, CABA, Argentina; Hospital Italiano, Buenos Aires, CABA, Argentina; Hospital Britanico, Buenos Aires, CABA, Argentina; CETRAMOR, Rosario, SFE, Argentina; Hospital Italiano, La Plata, BA, Argentina; Sanatorio Allende, Cordoba, CBA, Argentina; Hospital de Clinicas, Buenos Aires, CABA, Argentina; Hospital Universitario Fundacion Favaloro, Buenos Aires, CABA, Argentina; Hospital Aleman, Buenos Aires, CABA, Argentina; Hospital Privado, Cordoba, CBA, Argentina; Hospital San Martin, La Plata, BA, Argentina; Hospital Metropolitano, Quito, Ecuador; SOLCA, Guayaquil, Ecuador; Omni Hospital, Guayaquil, Ecuador; Hospital das Clinicas Uni Fed. de Minas Gerais UFMG, Belo Horizonte, MG, Brazil; Santa Casa de Misericordia de Belo Horizonte, Belo Horizonte, MG, Brazil; Cent. Inv. Hem. Dr. Domingos A. Boldrini, Campinas, SP, Brazil; Hospital das Clinicas UNICAMP, Campinas, SP, Brazil; Hospital Vera Cruz, Campinas, SP, Brazil; Real Soc. Portuguesa de Beneficencia, Campinas, SP, Brazil; Hospital das Clinicas Uni Fed. Do Parana, Curitiba, PR, Brazil; Fund. De Apoio HEMOSC-CEPON, Florianopolis, SC, Brazil; Hospital Uni Walter Cantideo UFC, Fortaleza, CE, Brazil; Hospital Amaral Carvalho, Jau, SP, Brazil; Hospital Uni Fed. de Juiz de Fora UFJF, Juiz de Fora, MG, Brazil; Natal Hosp. Center RN, Natal, RN, Brazil; Hospital Das Clinicas de Niteroi, Niteroi, RJ, Brazil; Hospital das Clinicas de Porto Algra UFRG, Porto Alegre, RS, Brazil; Hospital das Clinicas de Porto Algra UFRG PEDS, Porto Alegre, RS, Brazil; Real Hospital Portugues de Recife REAL TMO, Recife, PE, Brazil; Hospital Uni Pedro Ernesto HUPE UERJ, Rio de Janiero, RJ, Brazil; Hospital Uni Clementino Fraga Fihlo UFRJ, Rio de Janiero, RJ, Brazil; Cent.de transplante de Medula Ossea INCA, Rio de Janiero, RJ, Brazil; IEHE HEMORIO, Rio de Janiero, RJ, Brazil; Hospital de Base Sao Jose do Rio Preto, Rio Preto, RJ, Brazil; A.C. Camargo, Sao Paulo, SP, Brazil; Hospital das Clinicas (old Inst.do Coracao Incor) HCFMUSP, Sao Paulo, SP, Brazil; Hospital Sao Camilo Unidade Pompeia, Sao Paulo, SP, Brazil; Hospital 9 de Julho, Sao Paulo, SP, Brazil; Hospital Sirio Libanes, Sao Paulo, SP, Brazil; Hospital Bandeirantes, Sao Paulo, SP, Brazil; Hospital Samaritano, Sao Paulo, SP, Brazil; HTEJZ - Hospital de Teansplantes Zerbini - (old - Hospital Brigadeiro), Sao Paulo, SP, Brazil; Hospital Alemao Oswaldo Cruz, Sao Paulo, SP, Brazil; Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil; Hospital Santa Helena, Sao Paulo, SP, Brazil; Hospital Santa Paula, Sao Paulo, SP, Brazil; Inst. de Oncologia Pediatrica GRAACC, Sao Paulo, SP, Brazil; FCM Santa Casa de Misericordia, Sao Paulo, SP, Brazil; Inst. Brasileiro de Controle do Cancer IBCC, Sao Paulo, SP, Brazil; Real Soc.Portuguesa de Beneficencia, Sao Paulo, SP, Brazil; Instituto da Crianca ICR HCFFMUSP peds, Sao Paulo, SP, Brazil; Santa Maria MEC/MPAS UFSM, Santa Maria, RS, Brazil; Hospital PIO XII de Sao José dos Campos, Sao José dos Campos, SP, Brazil; Hospital Unimed Sorocaba, Sorocaba, SP, Brazil; Hospital Dr. Luis Calvo, Santiago, Chile; Hospital Del Salvador, Santiago, Chile; Catholic University of Chile Adults, Santiago, Chile; Catholic University of Chile Pediatrics, Santiago, Chile; Clinica Santa Maria, Santiago, Chile; Clinica de Marly, Bogota, Colombia; Cent. Medico Imbanaco, Cali, Colombia; Fundacion Valle del Lili pediatrics, Cali, Colombia; UNAB FOSCAL, Floridablanca Santander, Colombia; Clinicas las Americas IDC, Medellin, Colombia; Pablo Tobin Uribe, Medellin, Colombia; Hospital Mexico CCSS, San Jose, Costa Rica; Hospital San Juan de Dios Adults, San Jose, Costa Rica; National Childrens Hospital San Juan de Dios, Dr. Carlos S. Herrera, San Jose, Costa Rica; Hospital Civil de Pediatria Guadalajara, Juan I Menchaca, Guadalajara, Jalisco, Mexico; HHospital Civil de Guadalajra Frai Antonio Alcalde (adultos), Guadalajara, Jalisco, Mexico; Hospital Puerta de Hierro Sur, Guadalajara, Jalisco, Mexico; Inst. Nat. de Cancerologia, Mexico City, MX, Mexico; Inst. National de Pediatria, Mexico City, Mx, Mexico; Hospital Angeles Lomas Huixiquilucan Edo ads, peds, Mexico City, Mexico, Mexico; Hospital Infantil de Mexico Federico Gomez HIMFG, Mexico City, Mexico, Mexico; Hospital Especialidades Centro Medico Nacional Siglo XXI, Mexico City, Mexico, Mexico; Hospital Uni Antonoma de Nuevo Leon UANL, Monterrey, Nuevo Leon, Mexico; Cent. de Hematologia y Medicina Interna (Clinica Ruiz), Puebla, Puebla, Mexico; Hospital de Especialidades IMSS, Puebla, Puebla, Mexico; Centro Estatal de Onco (CECAN) Dr. Miguel Dorantes Mesa, Xalapa, Veracruz, Mexico; Inst. Oncologico Nacional, Panama City, Panama; Hospital del Nino, Panama City, Panama; CHAAM Complejo Hospitalario Metropolitano Dr. Arnulfo Arias Madrid, Panama City, Panama; Inst. de Prevision Social IPS, Asuncion, Paraguay; Hospital Rebagliati, Lima, Peru; Hospital Almenara, Nacional de Salud del Ninos, Lima, Peru; Nacional Almanzor Aguinaga Asenjo, Chiclayo, Peru; Clinica San Borja SANNA, Lima, Peru; British Hospital, Montevideo, Uruguay; Asociacion Espanola lo de Socorros Mutuos (adults), Montevideo, Uruguay; Asociacion Espanola lo de Socorros Mutuos (peds), Montevideo, Uruguay; Centro de Trasplante del Servicio Medico Integral (SMI), Montevideo, Uruguay; Hospital Maciel, Montevideo, Uruguay; Hospital de Clínicas de Caracas, Caracas, Venezuela; Cuidad Hospital Dr. Enrique Tejera CHET, Valencia, Venezuela.
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Jaimovich, G., Martinez Rolon, J., Baldomero, H. et al. Latin America: the next region for haematopoietic transplant progress. Bone Marrow Transplant 52, 671–677 (2017). https://doi.org/10.1038/bmt.2016.361
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DOI: https://doi.org/10.1038/bmt.2016.361
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