PMID- 30577170 OWN - NLM STAT- MEDLINE DCOM- 20190213 LR - 20190215 IS - 1873-2623 (Electronic) IS - 0041-1345 (Linking) VI - 50 IP - 10 DP - 2018 Dec TI - Optimal Donor Selection During Verification Process: Which Factors Are Worth Knowing? PG - 3082-3087 LID - S0041-1345(18)31186-2 [pii] LID - 10.1016/j.transproceed.2018.08.043 [doi] AB - BACKGROUND: The selection of optimal donor is crucial for successful hematopoietic stem cell transplantation (HSCT). Thereby, it is appropriate to know, in addition to basic human leukocyte antigen (HLA) gene matches, other immunogenic or nonimmunogenic parameters predicting the outcome of transplant. OBJECTIVE: A unified approach is necessary to provide a comprehensive view of the patient-donor compatibility characterization outside of standard HLA genes. The approach should be applicable as a tool for optimizing procedures for extended donor typing and/or verification typing of a donor. METHODS: The study used the summary, unification, and innovation of existing practical knowledge and experience of the Czech National Marrow Donor Registry of various factors beyond HLA matching with impact on transplant outcome. RESULTS: An information technology system-implemented procedure (a verification algorithm) is presented as the decision support approach for prematurely discarding less suitable donors from the transplantation process. It is intended primarily for the transplant specialist to help establish optimal procedures for verifying and determining donor critical factors. CONCLUSIONS: A process defining HLAs, killer cell immunoglobulin-like receptors, and cytokine typing strategies was proposed to provide support to a transplant specialist in refining the choice of a suitable donor. CI - Copyright (c) 2018 Elsevier Inc. All rights reserved. FAU - Houdova, L AU - Houdova L AD - New Technologies for the Information Society, University of West Bohemia, Plzen, Czech Republic. Electronic address: houdina@ntis.zcu.cz. FAU - Fetter, M AU - Fetter M AD - New Technologies for the Information Society, University of West Bohemia, Plzen, Czech Republic. FAU - Jindra, P AU - Jindra P AD - Biomedical Center, Faculty of Medicine in Pilsen, Charles University in Prague, Plzen, Czech Republic; Charles University Hospital Pilsen, Plzen, Czech Republic. FAU - Georgiev, D AU - Georgiev D AD - New Technologies for the Information Society, University of West Bohemia, Plzen, Czech Republic. LA - eng PT - Journal Article DEP - 20180907 PL - United States TA - Transplant Proc JT - Transplantation proceedings JID - 0243532 RN - 0 (HLA Antigens) RN - 0 (Receptors, KIR) SB - IM MH - *Algorithms MH - Czechoslovakia MH - *Decision Support Systems, Clinical MH - Donor Selection/*methods MH - HLA Antigens/immunology MH - Hematopoietic Stem Cell Transplantation/*methods MH - Histocompatibility Testing/methods MH - Humans MH - Receptors, KIR/immunology MH - Registries EDAT- 2018/12/24 06:00 MHDA- 2019/02/14 06:00 CRDT- 2018/12/23 06:00 PHST- 2017/12/20 00:00 [received] PHST- 2018/07/31 00:00 [revised] PHST- 2018/08/16 00:00 [accepted] PHST- 2018/12/23 06:00 [entrez] PHST- 2018/12/24 06:00 [pubmed] PHST- 2019/02/14 06:00 [medline] AID - S0041-1345(18)31186-2 [pii] AID - 10.1016/j.transproceed.2018.08.043 [doi] PST - ppublish SO - Transplant Proc. 2018 Dec;50(10):3082-3087. doi: 10.1016/j.transproceed.2018.08.043. Epub 2018 Sep 7.