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Transplant Activity Survey

Background
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Background

In 1990, the EBMT introduced an annual survey to prospectively collect numbers of patients treated with a haematopoetic stem cell transplant according to indication, donor type and stem cell source. Its importance was immediately realised and since then, the survey has become an instrumental tool for assessing the real picture of HSCT in Europe, recognising trends, illustrating the current status and providing essential data for counselling and planning. This survey is relevant to health care agencies, industries as well as patients. In addition, it serves as a quality control instrument for comparison with national agencies or for the EBMT auditing process.

All transplant teams are invited to join the survey: for EBMT members it is a mandatory
process, for non-members it is voluntary.

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Participate in the Activity Survey 2009

Participate in the 2009 Activity Survey. Note that the Med A data reported to the EBMT Med AB database -Promise- is not automatically included in the Activity Survey. Even if you report your transplant data to the EBMT, by paper Med A form, electronically with the ProMISe system or via a National Registry, please report to this survey too.

Instructions:

1. Click on the link 'EBMT Calendar Year Survey 2009'
2. Save the file to your Desktop or another easy to remember location.
3. Name the file "CIC (your number)". If you do not have a CIC number, call the file after your institution.
4. Complete the data fields.
5. Email the form to the survey coordinator at baldomeroh@uhbs.ch.
The 2009 calendar year survey may be accessed by clicking on the link above. We recommend that you read the guidelines carefully before filling out the survey.


Guidelines for reporting data to the EBMT Activity Survey 2009.

Table 1: Report the total number of patients receiving their 1st transplant in your centre in 2009. Report the first allogeneic transplant and/or first autologous transplant per patient according to disease indication, donor type and stem cell source as outlined in Table 1. You may include the same patient twice as long as the first occurrence of each type of transplant took place in 2009.

The following EBMT/JACIE/FACT definitions for ‘first transplants’ apply:

  • first transplant (new patient, never transplanted before)
  • first allograft (after a previous autograft) or first autograft (after a previous allograft)
  • first allograft or first autograft in your centre after a previous transplant in a different centre

The column ‘total allo after auto’ refers to patients with their disease treatment in a planned ‘allo after auto’ transplant programme. Enter these patients in both the respective allogeneic or autologous transplant section in the main table and in the column ‘total allo after auto’ on the right side.

The following definitions for donor type and stem cell source apply:

  • Non-id = any family member (matched or mismatched) other than HLA-identical sibling or twin.

 For combinations of stem cell products / donor types:

  • Bone marrow and peripheral blood = peripheral blood stem cell transplant - enter as PBSC
  • Bone marrow and cord blood = cord blood transplant - enter as Cord
  • Peripheral blood and cord blood = cord blood transplant - enter as Cord
  • Bone marrow and peripheral blood + cord blood = cord blood transplant - enter as Cord
  • Autologous stem cells given together with an allogeneic transplant within 7 days = allogeneic transplant
  • Multiple infusions, e.g. double cord, multiple cord, multiple PBSC within one week are reported as one transplant only.

 

Table 2 and Table 3: Report the total number of retransplants and additional (non-first) transplants performed with allogeneic (table 2) or autologous (table 3) BM, PBSC or Cord blood in 2009

The following definitions for table 2 and 3 apply only if the rules for 1st transplants do not apply:

  • A Retransplant is an unplanned transplant performed due to relapse, rejection of the first transplant or for any other secondary malignancy.
  • An Additional transplant (non-first transplant) is when a double, triple or more ‘multiple graft programme’ is planned from the beginning of the treatment protocol.
  • Re-infusion of allogeneic stem cells for graft failure is considered to be a retransplant. Enter in Table 2 as a retransplant.
  • Re-infusion of autologous stem cells for non-engraftment is considered to be a boost and is not a transplant.

Table 4: collects generic information (i.e. total numbers only) on additional cellular therapies or technologies.

  • Cord Blood: enter the total number of all cord blood transplants performed in 2009.
  • RIC (Reduced Intensity Conditioning transplants): enter the total number of all RIC transplants performed in 2009 (this includes first HSCT from Table 1 and/or re- or additional HSCT from Table 2). The RIC definitions document can be viewed on the EBMT website under the ‘Registry - Transplant Activity survey’ link.
  • DLI (Donor Lymphocyte Infusions): enter the total number of patients receiving DLI in 2009. The year of transplant does not effect the DLI reporting.
  • MSC (Mesenchymal stromal cells): enter the total numbers on MSC stromal cell transplants performed in 2009. Include MSC therapy given for transplant related reasons (GvHD, prevention of rejection, graft enhancement or bone marrow failure).
  • Cell transplants for non-hematopoietic use: enter the number of patients receiving cell transplants for NON-hematopoietic use in 2009.

Please note that in 2008 the EBMT started a second survey for the collection of information on cell transplants with non-hematopoietic cells and /or hematopoietic cells for non-hematopoietic use.

The separate Cellular Therapy activity survey is enclosed. If you have performed such transplants, report them on this survey sheet, if not please return the survey with ‘Zero’ written across it. If you know of departments within your centre performing such transplants, please contact your colleagues and coordinate the Cellular Therapy survey with them.

Table 5: To calculate the total number of transplants in 2009: add together the total number of allogeneic transplants from Table 1 + Table 2 = Total allo HSCT and the total number of autologous transplants from Table 1 + Table 3 = Total auto HSCT to provide the total number of ALL TRANPLANTS performed in 2009.

Disease classification dictionary: the classification of diseases for the survey follows the EBMT disease classification dictionary, which can be found at: www.ebmt.org - Registry - Transplant Activity survey – Alphabetical list of Disease Classifications.

Please note that reporting to the activity survey does not substitute for sending the MED-A data to the EBMT registry.

Please send back both the EBMT activity survey and the Cellular Therapy activity survey to:

Helen Baldomero,
Hematology,
University Hospital Basel,
Petersgraben 4, CH 4031,
Basel, Switzerland
E mail: baldomeroh@uhbs.ch
tel: 00 41 61 265 3203, FAX: 00 41 61 265 2735.       

Do not hesitate to contact me if you have any questions.

Summary Slides

Data from the most recent survey year are available only to EBMT members using their username and password. Please contact the EBMT secretariat with any password queries or difficulties.

Transplant Activity Survey 2008

Overview of HSCT in Europe 2008

Transplant Activity Survey 2007

Overview of HSCT in Europe 2007

Transplant Activity Survey 2006

Overview of HSCT in Europe 2006


Transplant Activity Survey 2005

Overview of HSCT in Europe 2005


Transplant Activity Survey 2004

Overview of HSCT in Europe 2004

Please note that this data has not yet been published and should be treated as confidential. It is for internal use only and may not be used for publication without obtaining prior consent from Prof. Alois Gratwohl, Head of the survey.

Please contact Helen Baldomero should you have any questions regarding the Activity survey. Tel: +41 61 2653203 baldomeroh@uhbs.ch.

Previous years

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Publication

Please contact Helen Baldomero for PDF versions of the following manuscripts based on the activity survey: hbaldomero@uhbs.ch

36: Gratwohl A, Baldomero H. European survey on clinical use of cord blood for hematopoietic and non-hematopoietic indications. Transfus Apher Sci. 2010 Jun;42(3):265-75. Epub 2010 Apr 27. PubMed PMID: 20427240.

35 Gratwohl A, Schwendener A, Baldomero H, Gratwohl M, Apperley J, Niederwieser D, Frauendorfer K. Changes in the use of hematopoietic stem cell transplantation: a model for diffusion of medical technology. Haematologica. 2010 Apr;95(4):637-43. PubMed PMID: 20378578; PubMed Central PMCID: PMC2857194.

34 Gratwohl A, Baldomero H, Schwendener A, Gratwohl M, Apperley J, Frauendorfer K, Niederwieser D. The EBMT activity survey 2008 impact of team size, team density and new trends. Bone Marrow Transplant. 2010 Mar 29. [Epub ahead of print] PubMed PMID: 20348970.

33 Gratwohl A, Baldomero H. Trends of hematopoietic stem cell transplantation in the third millennium. Curr Opin Hematol. 2009 Nov;16(6):420-6. PubMed PMID: 19680124.

32 Gratwohl A, Baldomero H, Schwendener A, Rocha V, Apperley J, Frauendorfer K, Niederwieser D; Joint Accreditation Committee of the International Society for Cellular Therapy; European Group for Blood and Marrow Transplantation. The EBMT activity survey 2007 with focus on allogeneic HSCT for AML and novel cellular therapies. Bone Marrow Transplant. 2009 Feb;43(4):275-91. Epub 2009 Jan 26. PubMed PMID: 19169283.

31 Gratwohl A, Baldomero H, Frauendorfer K, Niederwieser D; Joint Accreditation Committee of the International Society for Cellular Therapy ISCT; European Group for Blood and Marrow Transplantation EMBT (JACIE). Why are there regional differences in stem cell transplantation activity? An EBMT analysis. Bone Marrow Transplant. 2008 Aug;42 Suppl 1:S7-S10. PubMed PMID: 18724308.

30 Gratwohl A, Baldomero H, Frauendorfer K, Rocha V, Apperley J, Niederwieser D; Joint Accreditation Committee of the International Society for Cellular Therapy (ISCT); European Group for Blood and Marrow Transplantation EBMT (JACIE). The EBMT activity survey 2006 on hematopoietic stem cell transplantation: focus on the use of cord blood products. Bone Marrow Transplant. 2008 Apr;41(8):687-705. Epub 2007 Dec 17. PubMed PMID: 18084334.

29 Gratwohl A, Baldomero H, Schwendener A, Gratwohl M, Apperley J, Niederwieser D, Frauendorfer K; Joint Accreditation Committee of the International Society for Cellular Therapy; European Group for Blood and Marrow Transplantation; European Leukemia Net. Predictability of hematopoietic stem cell transplantation rates. Haematologica. 2007 Dec;92(12):1679-86. PubMed PMID: 18055992.

28 Gratwohl A, Baldomero H, Schwendener A, Gratwohl M, Urbano-Ispizua A, Frauendorfer K. Hematopoietic stem cell transplants for chronic myeloid leukemia in Europe--impact of cost considerations. Leukemia. 2007 Mar;21(3):383-6. PubMed PMID: 17311065.

27 Gratwohl A, Baldomero H, Frauendorfer K, Urbano-Ispizua A, Niederwieser D; Joint Accreditation Committee of the International Society for Cellular Therapy ISCT; European Group for Blood and Marrow Transplantation EBMT. Results of the EBMT activity survey 2005 on haematopoietic stem cell transplantation: focus on increasing use of unrelated donors. Bone Marrow Transplant. 2007 Jan;39(2):71-87. PubMed PMID: 17213849.

26 Gratwohl A, Baldomero H, Frauendorfer K, Urbano-Ispizua A; Joint Accreditation Committee, International Society for Cellular Therapy; European Group for Blood and Marrow Transplantation. EBMT activity survey 2004 and changes in disease indication over the past 15 years. Bone Marrow Transplant. 2006 Jun;37(12):1069-85. PubMed PMID: 16757972.

25 Passweg J, Baldomero H, Chapuis B, Leibundgut K, Schanz U, Gratwohl A; Swiss Transplant Working Group Blood and Marrow Transplantation Board. Haematopoietic stem cell transplantation in Switzerland. Report from the Swiss Transplant Working Group Blood and Marrow Transplantation (STABMT) Registry 1997-2003. Swiss Med Wkly. 2006 Jan 21;136(3-4):50-8. PubMed PMID: 16633946.

24 Gratwohl A, Baldomero H, Schmid O, Horisberger B, Bargetzi M, Urbano-Ispizua A. Change in stem cell source for hematopoietic stem cell transplantation (HSCT) in Europe: a report of the EBMT activity survey 2003. Bone Marrow Transplant. 2005 Oct;36(7):575-90. PubMed PMID: 16086045.

23 Gratwohl A, Baldomero H, Labar B, Apperley J, Urbano-Ispizua A; Accreditation Committee of the European Group for Blood and Marrow Transplantation (EBMT). Evolution of hematopoietic stem cell transplantation in Eastern and Western Europe from 1990 to 2003. A report from the EBMT activity survey. Croat Med J. 2004 Dec;45(6):689-94. PubMed PMID: 15578801.

22 Gratwohl A, Schmid O, Baldomero H, Horisberger B, Urbano-Ispizua A; Accreditation Committee of the European Group for Blood and Marrow Transplantation. Haematopoietic stem cell transplantation (HSCT) in Europe 2002. Changes in indication and impact of team density. A report of the EBMT activity survey. Bone Marrow Transplant. 2004 Nov;34(10):855-75. PubMed PMID: 15517006.

21 Gratwohl A, Baldomero H, Demirer T, Rosti G, Dini G, Ladenstein R, Urbano-Ispizua A; Accreditation Committee, European Group for Blood and Marrow Transplantation; Working Party on Pediatric Diseases; Working Party on Solid Tumors. Hematopoetic stem cell transplantation for solid tumors in Europe. Ann Oncol. 2004 Apr;15(4):653-60. PubMed PMID: 15033675.

20 Gratwohl A, Baldomero H, Passweg J, Frassoni F, Niederwieser D, Schmitz N, Urbano-Ispizua A; Accreditation Committee of the European Group for Blood and Marrow Transplantation (EBMT); Working Parties Acute (ALWP) Chronic Leukemias (CLWP); Lymphoma Working Party. Hematopoietic stem cell transplantation for hematological malignancies in Europe. Leukemia. 2003 May;17(5):941-59. PubMed PMID: 12750709.

19 Gratwohl A, Baldomero H, Passweg J, Urbano-Ispizua A; European Group for Blood and Marrow Transplantation (EBMT). Accreditation Committee. Increasing use of reduced intensity conditioning transplants: report of the 2001 EBMT activity survey. Bone Marrow Transplant. 2002 Dec;30(12):813-31. PubMed PMID: 12476273.

18 Gratwohl A, Baldomero H, Horisberger B, Schmid C, Passweg J, Urbano-Ispizua A; Accreditation Committee of the European Group for Blood and Marrow Transplantation (EBMT). Current trends in hematopoietic stem cell transplantation in Europe. Blood. 2002 Oct 1;100(7):2374-86. PubMed PMID: 12239145.

17 Gratwohl A, Passweg J, Baldomero H, Horisberger B, Urbano-Ispizua A; Accreditation Committee of the European Group for Blood and Marrow Transplantation (EBMT). Economics, health care systems and utilization of haematopoietic stem cell transplants in Europe. Br J Haematol. 2002 May;117(2):451-68. PubMed PMID: 11972533.

16 Gratwohl A, Passweg J, Baldomero H, Hermans J, Urbano-Ispizua A; European Group for Blood and Marrow Transplantation. Hematopoietic stem cell transplantation in Europe 1998. Hematol J. 2000;1(5):333-50. PubMed PMID: 11920211.

15 Gratwohl A, Baldomero H, Urbano-Ispizua A. Transplantation in chronic myeloid leukaemia. Lancet. 2002 Feb 23;359(9307):712-3. PubMed PMID: 11879900.

14 Gratwohl A, Passweg J, Baldomero H, Urbano-Ispizua A; European Group for Blood and Marrow Transplantation (EBMT). Hematopoietic stem cell transplantation activity in Europe 1999. Bone Marrow Transplant. 2001 May;27(9):899-916. PubMed PMID: 11436100.

13 Gratwohl A, Baldomero H. Re: Stem cell transplant numbers decline; research continues. J Natl Cancer Inst. 2001 Jun 20;93(12):949. PubMed PMID: 11416117.

12 Gratwohl A, Baldomero H, Rosti G. High-dose chemotherapy for breast cancer. Bone Marrow Transplant. 2000 Sep;26(6):599. PubMed PMID: 11041563.

11 Gratwohl A, Passweg J, Baldomero H, Hermans J. Blood and marrow transplantation activity in Europe 1997. European Group for Blood and Marrow Transplantation (EBMT). Bone Marrow Transplant. 1999 Aug;24(3):231-45. PubMed PMID: 10456992.

10 Gratwohl A, Passweg J, Baldomero H, Hermans J. Blood and marrow transplantation activity in Europe 1996. European Group for Blood and Marrow Transplantation (EBMT). Bone Marrow Transplant. 1998 Aug;22(3):227-40. PubMed PMID: 9720735.

9 Gratwohl A, Hermans J, Baldomero H. Blood and marrow transplantation activity in Europe 1995. European Group for Blood and Marrow Transplantation (EBMT). Bone Marrow Transplant. 1997 Mar;19(5):407-19. PubMed PMID: 9052905.

8 Gratwohl A, Hermans J, Baldomero H. Hematopoietic precursor cell transplants in Europe: activity in 1994. Report from the European Group for Blood and Marrow Transplantation (EBMT). Bone Marrow Transplant. 1996 Feb;17(2):137-48. PubMed PMID: 8640158.

7 Gratwohl A, Hermans J, Baldomero H, Tichelli A, Goldman JM, Gahrton G. Indications for haemopoietic precursor cell transplants in Europe. European Group for Blood and Marrow Transplantation (EBMT). Br J Haematol. 1996 Jan;92(1):35-43. PubMed PMID: 8562408.

6 Gratwohl A. Incidence of bone marrow transplantation in Europe. Report from the European Group for Blood and Marrow Transplantation. Arch Immunol Ther Exp (Warsz). 1995;43(2):77-81. PubMed PMID: 8744719.

5 Gratwohl A, Hermans J. Indications and donor source of hematopoietic stem cell transplants in Europe 1993: report from the European Group for Blood and Marrow Transplantation (EBMT). Clin Transplant. 1995 Oct;9(5):355-63. PubMed PMID: 8541627.

4 Gratwohl A, Hermans J. EBMT survey on bone marrow transplant activity in Europe: regional differences. Bone Marrow Transplant. 1994 Jun;13(6):683-8. PubMed PMID: 7920292.

3 Gratwohl A, Hermans J. one marrow transplantation activity in Europe 1992: report from the European Group for Bone Marrow Transplantation (EBMT). Bone Marrow Transplant. 1994 Jan;13(1):5-10. PubMed PMID: 8019452.

2 Gratwohl A, Hermans J, Goldman JM, Gahrton G. Bone marrow transplantation in Europe: major geographical differences. The European Group for Bone Marrow Transplantation [EBMT]. J Intern Med. 1993 Apr;233(4):333-41. PubMed PMID: 8463766.

1 Gratwohl A. Bone marrow transplantation activity in Europe 1990. European Group for Bone Marrow Transplantation (EBMT). Bone Marrow Transplant. 1991 Sep;8(3):197-201. PubMed PMID: 1958899.

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Contact Details

Ms. Helen Baldomero
Data Manager, Activity Survey
Division of Hematology
Klingelbergstrasse 23
Kantonsspital Basel
CH-4031 Basel
Switzerland
Phone: 41-61-265-3203
Fax: 41-61-265-2735
hbaldomero@uhbs.ch

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