PMID- 21655150 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20121010 LR - 20211020 IS - 1718-7729 (Electronic) IS - 1198-0052 (Print) IS - 1198-0052 (Linking) VI - 18 IP - 3 DP - 2011 Jun TI - Cord stem-cell transplantation in Ontario: do we need a public bank? PG - e121-5 AB - It has been 21 years since the first successful use of umbilical cord blood as a source of donor cells for hematopoietic stem cell transplantation (HSCT). Over those years, cord blood transplantation (CBT) has shown marked success as an effective modality in the treatment of children and adults with hematologic malignancies, marrow failure, immunodeficiency, hemoglobinopathy, and inherited metabolic diseases. Furthermore, transplantation without full human leukocyte antigen (HLA) matching is possible and, despite a lower incidence of graft-versus-host disease, graft-versus-leukemia effect is preserved. More than 20,000 cbts have been performed worldwide. Ontario is the most populated province in Canada, and its cbt numbers have increased dramatically in recent years, but most of the umbilical cord blood units are purchased from unrelated international registries. There is no public cord bank in Ontario, but there is a private cord banking option, and notably, Ontario has the largest number of live births in Canada [approximately 40% of all Canadian live births per year occur in Ontario (Statistics Canada, 2007)]. In this brief review, the pros and cons of private and public cord banking and the feasibility of starting an Ontario public cord bank are discussed. FAU - Gassas, A AU - Gassas A AD - Division of Hematology/Oncology/Blood and Marrow Transplantation, Hospital for Sick Children, University of Toronto, Toronto, ON. adam.gassas@sickkids.ca LA - eng PT - Journal Article PL - Switzerland TA - Curr Oncol JT - Current oncology (Toronto, Ont.) JID - 9502503 PMC - PMC3108872 OTO - NOTNLM OT - Cord stem-cell transplantation OT - Ontario OT - children OT - private cord banking OT - public cord banking EDAT- 2011/06/10 06:00 MHDA- 2011/06/10 06:01 PMCR- 2011/06/01 CRDT- 2011/06/10 06:00 PHST- 2011/06/10 06:00 [entrez] PHST- 2011/06/10 06:00 [pubmed] PHST- 2011/06/10 06:01 [medline] PHST- 2011/06/01 00:00 [pmc-release] AID - conc-18-e121 [pii] AID - 10.3747/co.v18i3.742 [doi] PST - ppublish SO - Curr Oncol. 2011 Jun;18(3):e121-5. doi: 10.3747/co.v18i3.742.