1. Using the World Apheresis Association Registry Helps to Improve the Treatment Quality of Therapeutic Apheresis
- Author
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Bernd Stegmayr, Ines Bojanic, Volker Witt, Radomira Hrdlickova, Dries Deeren, Aleksandar Sikole, Zdenka Bhuiyan-Ludvikova, Gunilla Welander, Astrid Aandahl, Torsten Eich, Elizabeth Newman, Mirka Lanska, Thomas Nilsson, Sunny Eloot, Elena Mori, H. Vrielink, Giancarlo M. Liumbruno, Henrik Hadimeri, Katarina Lalic, Jan T Kielstein, V. Strineholm, W Ramlow, Gerda Leitner, J. Audzijoniene, Josefina Dykes, Annemieke Dhondt, A. Griskevicius, Gösta Berlin, Colwyn Poole, Zdenka Gasova, Kurt Derfler, H Prophet, Sandra Ortega Sanchez, J Ptak, Jorge Tomaz, Osman Ilhan, Bo Brink, Milan Bláha, and Eva Rombout-Sestrienkova
- Subjects
medicine.medical_specialty ,Hematology ,Allogeneic transplantation ,business.industry ,Review Article ,030204 cardiovascular system & hematology ,medicine.disease ,03 medical and health sciences ,0302 clinical medicine ,Treatment quality ,Apheresis ,Internal medicine ,medicine ,Extracorporeal photochemotherapy ,Immunology and Allergy ,Adverse effect ,business ,Progressive disease ,030215 immunology ,Therapeutic apheresis - Abstract
Therapeutic apheresis (TA) is prescribed to patients that suffer from a severe progressive disease that is not sufficiently treated by conventional medications. A way to gain more knowledge about this treatment is usually by the local analysis of data. However, the use of large quality assessment registries enables analyses of even rare findings. Here, we report some of the recent data from the World Apheresis Association (WAA) registry. Data from >104,000 procedures were documented, and TA was performed on >15,000 patients. The main indication for TA was the collection of autologous stem cells (45% of patients) as part of therapy for therapy. Collection of stem cells from donors for allogeneic transplantation was performed in 11% of patients. Patients with indications such as neurological diseases underwent plasma exchange (28%). Extracorporeal photochemotherapy, lipid apheresis, and antibody removal were other indications. Side effects recorded in the registry have decreased significantly over the years, with approximately only 10/10,000 procedures being interrupted for medical reasons. Conclusion: Collection of data from TA procedures within a multinational and multicenter concept facilitates the improvement of treatment by enabling the analysis of and feedback on indications, procedures, effects, and side effects.
- Published
- 2019