PMID- 18459926 OWN - NLM STAT- MEDLINE DCOM- 20080701 LR - 20210107 IS - 0025-729X (Print) IS - 0025-729X (Linking) VI - 188 IP - 9 DP - 2008 May 5 TI - Umbilical cord blood banking: public good or private benefit? PG - 533-5 AB - Haematopoietic stem cell transplantation (HSCT) is an accepted curative therapy for many malignant and non-malignant conditions affecting children and adults. Where possible, stem cells for HSCT are provided by human leukocyte antigen (HLA)-matched, related donors. Only 30% of patients have a suitable matched donor; for other patients, donors are sought from bone marrow registries or public umbilical cord blood (UCB) banks. While public UCB banks have been established to support transplant programs in Australia and internationally, parents also have the option of storing their child's UCB in a private commercial UCB bank for personal or family use. In contrast with public UCB banks, there is little social or medical justification for private UCB banking, as it provides no benefit to the community and little benefit to parents (other than reassurance and amelioration of regret), due to the very low likelihood of requiring autologous UCB later in life. Should UCB prove to be beneficial for tissue repair or replacement in the management of degenerative disorders, such as diabetes and Parkinson's disease, then a stronger case may be made in support of commercial banking of UCB for personal use. This may have a major impact on public UCB programs. FAU - Samuel, Gabrielle N AU - Samuel GN AD - Centre for Values, Ethics and the Law in Medicine, University of Sydney, Sydney, NSW. gsamuel@med.usyd.edu.au FAU - Kerridge, Ian H AU - Kerridge IH FAU - O'Brien, Tracey A AU - O'Brien TA LA - eng PT - Journal Article PT - Review PL - Australia TA - Med J Aust JT - The Medical journal of Australia JID - 0400714 SB - IM CIN - Med J Aust. 2008 Nov 17;189(10):599; author reply 599-600. PMID: 19012566 MH - Australia MH - Blood Banks/*statistics & numerical data MH - Cord Blood Stem Cell Transplantation/standards/*statistics & numerical data MH - *Fetal Blood MH - Humans MH - Private Practice/*statistics & numerical data MH - Public Health Practice/*standards MH - Tissue Donors/ethics/supply & distribution MH - Tissue and Organ Harvesting/*statistics & numerical data MH - Transplantation, Autologous RF - 23 EDAT- 2008/05/08 09:00 MHDA- 2008/07/02 09:00 CRDT- 2008/05/08 09:00 PHST- 2007/08/31 00:00 [received] PHST- 2008/01/11 00:00 [accepted] PHST- 2008/05/08 09:00 [pubmed] PHST- 2008/07/02 09:00 [medline] PHST- 2008/05/08 09:00 [entrez] AID - sam11001_fm [pii] AID - 10.5694/j.1326-5377.2008.tb02198.x [doi] PST - ppublish SO - Med J Aust. 2008 May 5;188(9):533-5. doi: 10.5694/j.1326-5377.2008.tb02198.x.