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Bone marrow transplant: A two-decade single centre hematology experience.

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Bone Marrow Transplant (BMT) offers curative therapy for hematological disorders. Expanded donor options, including haploidentical transplants, ensure more patients receive life-saving BMT, addressing the "transplant for all" goal.

Keywords:
AllogenicBone Marrow TransplantHaploidenticalHematologyMatched Sibling Donor

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Area of Science:

  • Hematology
  • Transplant Immunology
  • Oncology

Background:

  • Bone Marrow Transplant (BMT) is a critical curative therapy for adult and pediatric hematological disorders.
  • The establishment of a BMT program over two decades has significantly improved patient outcomes.

Purpose of the Study:

  • To review the Bone Marrow Transplant (BMT) program data from its inception until February 2023.
  • To analyze the types of hematological disorders treated, transplant modalities, and patient demographics.

Main Methods:

  • Retrospective review of Bone Marrow Transplant (BMT) program data.
  • Analysis of over 700 patient cases undergoing BMT for diverse hematological conditions.

Main Results:

  • Over 700 patients with more than 23 hematological disorders underwent BMT.
  • Autologous BMT (58%) was common for Multiple Myeloma; Allogeneic BMT (42%) for Aplastic Anemia and Acute Leukemias.
  • The program expanded from Matched Sibling Donor (MSD) to include Matched Unrelated Donor (MUD) and Haploidentical Donor Transplants, with 93% of allogeneic cases being MSD.

Conclusions:

  • The BMT program's evolution has enabled a
  • transplant for all
  • approach by expanding donor options.
  • Haploidentical HSCT for nonmalignant hematological disorders remains an area for development.
  • Future priorities include integrating CAR T-cell therapy and other cellular therapies.