PMID- 23892330 OWN - NLM STAT- MEDLINE DCOM- 20140812 LR - 20131204 IS - 1476-5365 (Electronic) IS - 0268-3369 (Linking) VI - 48 IP - 12 DP - 2013 Nov TI - Towards a global system of vigilance and surveillance in unrelated donors of haematopoietic progenitor cells for transplantation. PG - 1506-9 LID - 10.1038/bmt.2013.104 [doi] AB - Safety of living donors is critical to the success of blood, tissue and organ transplantation. Structured and robust vigilance and surveillance systems exist as part of some national entities, but historically no global systems are in place to ensure conformity, harmonisation and the recognition of rare adverse events (AEs). The World Health Assembly has recently resolved to require AE/reaction (AE/R) reporting both nationally and globally. The World Marrow Donor Association (WMDA) is an international organisation promoting the safety of unrelated donors and progenitor cell products for use in haematopoietic progenitor cell (HPC) transplantation. To address this issue, we established a system for collecting, collating, analysing, distributing and reacting to serious adverse events and reactions (SAE/R) in unrelated HPC donors. The WMDA successfully instituted this reporting system with 203 SAE/R reported in 2011. The committee generated two rapid reports, reacting to specific SAE/R, resulting in practice changing policies. The system has a robust governance structure, formal feedback to the WMDA membership and transparent information flows to other agencies, specialist physicians and transplant programs and the general public. FAU - Shaw, B E AU - Shaw BE AD - 1] Anthony Nolan Research Institute, Royal Free Hospital, UCL Cancer Centre, London, UK [2] Royal Marsden NHS Foundation Trust, London, UK. FAU - Chapman, J AU - Chapman J FAU - Fechter, M AU - Fechter M FAU - Foeken, L AU - Foeken L FAU - Greinix, H AU - Greinix H FAU - Hwang, W AU - Hwang W FAU - Phillips-Johnson, L AU - Phillips-Johnson L FAU - Korhonen, M AU - Korhonen M FAU - Lindberg, B AU - Lindberg B FAU - Navarro, W H AU - Navarro WH FAU - Szer, J AU - Szer J LA - eng PT - Journal Article DEP - 20130729 PL - England TA - Bone Marrow Transplant JT - Bone marrow transplantation JID - 8702459 SB - IM MH - Hematopoietic Stem Cell Transplantation/*methods MH - Hematopoietic Stem Cells/*cytology MH - Humans MH - Registries MH - Tissue and Organ Procurement/*methods/*standards MH - Transplantation Conditioning/methods MH - *Unrelated Donors EDAT- 2013/07/31 06:00 MHDA- 2014/08/13 06:00 CRDT- 2013/07/30 06:00 PHST- 2013/03/14 00:00 [received] PHST- 2013/06/14 00:00 [revised] PHST- 2013/06/17 00:00 [accepted] PHST- 2013/07/30 06:00 [entrez] PHST- 2013/07/31 06:00 [pubmed] PHST- 2014/08/13 06:00 [medline] AID - bmt2013104 [pii] AID - 10.1038/bmt.2013.104 [doi] PST - ppublish SO - Bone Marrow Transplant. 2013 Nov;48(12):1506-9. doi: 10.1038/bmt.2013.104. Epub 2013 Jul 29.