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Challenges and opportunities for HSCT outcome registries: perspective from international HSCT registries experts

Abstract

Patient registries, frequently referred to as outcome registries, are 'organized systems' that use observational study methods to collect uniform data. Registries are used to evaluate specified outcomes for a population defined by a particular disease, condition or exposure that serves one or more predetermined scientific, clinical or policy purposes. Outcome registries were established very early in the development of hematopoietic SCT (HSCT). Currently, myriads of national and international HSCT registries collect information about HSCT activities and outcomes. These registries have contributed significantly to determining trends, patterns, treatment practices and outcomes. There are many different HSCT registries, each with different aims and goals; some are led by professional organizations, others by government authorities, health care providers or third parties. Some registries simply assess activity and others study outcomes. These registries are complementary and are gradually developing interoperability with each other to expand future collaborative research activities. A key development in the last few years was the incorporation of recommendations into the World Health Organization guiding principles on cell, tissue and organ transplantation. The data collection and analysis should be an integral part of therapy and an obligation rather than a choice for transplant programs. This article examines challenges in ensuring data quality and functions of outcome registries, using HSCT registries as an example. It applies to all HSCT-related data, but is predominantly focused on HSCT registries of professional organizations.

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References

  1. Gliklich RE Dreyer NA (eds). Registries for Evaluating Patient Outcomes: A User’s Guide. 2nd edn Agency for Healthcare Research and Quality: Rockville, MD, USA, 2010. (Prepared by Outcome DEcIDE Center [Outcome Sciences, Inc. d/b/a Outcome] under Contract No. HHSA290200500351 TO3.) AHRQ Publication No. 10-EHC049.

    Google Scholar 

  2. Horowitz MM The role of registries in facilitating clinical research in bmt: examples from the center for international blood and marrow transplant research. Bone Marrow Transplantation 2008; 42: S1–S2.

    Article  Google Scholar 

  3. Horowitz MM, Przepiorka D, Bartels P, Buell DN, Zhang MJ, Fitzsimmons WE et al. Tacrolimus vs cyclosporine immunosuppression: results in advanced-stage disease compared with historical controls treated exclusively with cyclosporine. Biol Blood Marrow Transplant 1999; 5: 180–186.

    Article  CAS  Google Scholar 

  4. Russell NH, Szydlo R, McCann S, Potter MN, Craddock C, Towlson K et al. British Society for Blood and Marrow Transplantation. The use of a national transplant registry to benchmark transplant outcome for patients undergoing autologous and allogeneic stem cell transplantation in the United Kingdom and Ireland. Br J Haematol 2004; 124: 499–503.

    Article  CAS  Google Scholar 

  5. For-Patients and Families/Getting a transplant/Choosing a transplant center/US transplant centers. http://www.bethematch.org (accessed 29 December, 2013).

  6. CIBMTR Center-Specific Outcomes Analysis. http://www.cibmtr.org/Meetings/Materials/CSOAForum/Pages/index.aspx (accessed 10 December, 2013).

  7. Kodera Y The Japan Marrow Donor Program, the Japan Cord Blood Bank Network and the Asia Blood and Marrow Transplant Registry. Bone Marrow Transplant 2008; 42: S6.

    Article  Google Scholar 

  8. Atsuta Y, Suzuki R, Yoshimi A, Gondo H, Tanaka J, Hiraoka A . Unification of hematopoietic stem cell transplantation registries in Japan and establishment of the TRUMP System. Int J Hematol 2007; 86: 269–274.

    Article  Google Scholar 

  9. Silberman G, Crosse MG, Peterson EA, Weston RC, Horowitz MM, Appelbaum FR et al. Availability and appropriateness of allogeneic bone marrow transplantation for chronic myeloid leukemia in 10 countries. New Engl J Med 1994; 331: 1063–1067.

    Article  CAS  Google Scholar 

  10. Gratwohl A, Baldomero H, Aljurf M, Pasquini MC, Fernando- Bouzas L, Yoshimi A et al. Worldwide Network of Blood and Marrow Transplantation. Hematopoietic stem cell transplantation: a global perspective. JAMA 2010; 303: 1617–1624.

    Article  CAS  Google Scholar 

  11. Health Information Privacy and Public Health, US Department of Health and Human Services. http://www.hhs.gov/ocr/privacy/hipaa/understanding/special/publichealth/ (accessed 29 December, 2013).

  12. FACT-JACIE International Standards for Cellular Therapy Product Collection, Processing, and Administration, Fourth Edition. http://www.factwebsite.org/uploadedFiles/FACT_News/Final%20Draft%205th%20Edition%20Accreditation%20Manual.04.18.11.pdf (accessed 29 December, 2013).

  13. Bearman SI, Appelbaum FR, Buckner CD, Petersen FB, Fisher LD, Clift RA et al. Regimen-related toxicity in patients undergoing bone marrow transplantation. J Clin Oncol 1988; 6: 1562–1568.

    Article  CAS  Google Scholar 

  14. Filipovich AH, Weisdorf D, Pavletic S, Socie G, Wingard JR, Lee SJ et al. National Institutes of Health Consensus Development Project on Criteria for Clinical Trials in Chronic Graft-versus-Host Disease: I. Diagnosis and Staging Working Group Report. Biol Blood Marrow Transplant 2005; 11: 945–956.

    Article  Google Scholar 

  15. Pasquini MC, Griffith LM, Arnold DL, Atkins HL, Bowen JD, Chen JT et al. Hematopoietic stem cell transplantation for multiple sclerosis: collaboration of the CIBMTR and EBMT to facilitate international clinical studies. Biol Blood Marrow Transplant 2010; 16: 1076–1083.

    Article  Google Scholar 

  16. Locatelli F, Crotta A, Ruggeri A, Eapen M, Wagner JE, Macmillan ML et al. Analysis of risk factors influencing outcomes after cord blood transplantation in children with juvenile myelomonocytic leukemia: a EUROCORD, EBMT, EWOG-MDS, CIBMTR study. Blood 2013; 122: 2135–2141.

    Article  CAS  Google Scholar 

  17. Eapen M, Rocha V, Sanz G, Scaradavou A, Zhang MJ, Arcese W et al. Effect of graft source on unrelated donor haemopoietic stem-cell transplantation in adults with acute leukaemia: a retrospective analysis. Lancet Oncol 2010; 11: 653–660.

    Article  Google Scholar 

  18. Ruggeri A, Eapen M, Scaravadou A, Cairo MS, Bhatia M, Kurtzberg J et al. Umbilical cord blood transplantation for children with thalassemia and sickle cell disease. Biol Blood Marrow Transplant 2011; 17: 1375–1382.

    Article  Google Scholar 

  19. Rizzo JD, Curtis RE, Socié G, Sobocinski KA, Gilbert E, Landgren O et al. Solid cancers after allogeneic hematopoietic cell transplantation. Blood 2009; 113: 1175–1183.

    Article  CAS  Google Scholar 

  20. Bortin MM, Horowitz MM, Gale RP, Barrett AJ, Champlin RE, Dicke KA et al. Changing trends in allogeneic bone marrow transplantation for leukemia in the 1980s. JAMA 1992; 268: 607–612.

    Article  CAS  Google Scholar 

  21. Anderlini P, Rizzo JD, Nugent ML, Schmitz N, Champlin RE, Horowitz MM . Peripheral blood stem cell donation: an analysis from the International Bone Marrow Transplant Registry (IBMTR) and European Group for Blood and Marrow Transplant (EBMT) databases. Bone Marrow Transplant 2001; 27: 689–692.

    Article  CAS  Google Scholar 

  22. Lee SJ, Storer B, Wang H, Lazarus HM, Waller EK, Isola LM et al. Providing personalized prognostic information for adult leukemia survivors. Biol Blood Marrow Transplant 2013; 19: 1600–1607.

    Article  Google Scholar 

  23. Eapen M, Klein JP, Ruggeri A, Spellman S, Lee SJ, Anasetti C et al. Impact of allele-level HLA matching on outcomes after myeloablative single unit umbilical cord blood transplantation for hematologic malignancy. Blood 2014; 123: 133–140.

    Article  CAS  Google Scholar 

  24. Jacobsohn DA, Arora M, Klein JP, Hassebroek A, Flowers ME, Cutler CS et al. Risk factors associated with increased nonrelapse mortality and with poor overall survival in children with chronic graft-versus-host disease. Blood 2011; 118: 4472–4479.

    Article  CAS  Google Scholar 

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Acknowledgements

The article was finalized at a time, where the hematopoietic stem cell transplantation community came to know about the unfortunate loss of a world leader and pioneer in hematopoietic stem cell transplantation, Professor John Goldman of Hammersmith Hospital London. We would like to dedicate this perspective as a tribute for Dr John Goldman’s contribution in this field and contribution for registries, as he was major contributor and leader in the CIBMTR, EBMT and other international Hematology and HSCT organizations.

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Correspondence to M Aljurf.

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Aljurf, M., Rizzo, J., Mohty, M. et al. Challenges and opportunities for HSCT outcome registries: perspective from international HSCT registries experts. Bone Marrow Transplant 49, 1016–1021 (2014). https://doi.org/10.1038/bmt.2014.78

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