Vitalant Research Institute, San Francisco, California, USA.
University of California, San Francisco, San Francisco, California, USA.
Transfusion. 2023 May;63(5):1074-1091. doi: 10.1111/trf.17296. Epub 2023 Apr 2.
State of the Science (SoS) meetings are used to define and highlight important unanswered scientific questions. The National Heart, Lung, and Blood Institute (NHLBI), National Institutes of Health, and the Office of the Assistant Secretary for Health (OASH), Department of Health and Human Services held a virtual SoS in transfusion medicine (TM) symposium.
In advance of the symposium, six multidisciplinary working groups (WG) convened to define research priorities in the areas of: blood donors and the supply, optimizing transfusion outcomes for recipients, emerging infections, mechanistic aspects of components and transfusion, new computational methods in transfusion science, and impact of health disparities on donors and recipients. The overall objective was to identify key basic, translational, and clinical research questions that will help to increase and diversify the volunteer donor pool, ensure safe and effective transfusion strategies for recipients, and identify which blood products from which donors best meet the clinical needs of specific recipient populations.
On August 29-30, 2022, over 400 researchers, clinicians, industry experts, government officials, community members, and patient advocates discussed the research priorities presented by each WG. Dialogue focused on the five highest priority research areas identified by each WG and included the rationale, proposed methodological approaches, feasibility, and barriers for success.
This report summarizes the key ideas and research priorities identified during the NHLBI/OASH SoS in TM symposium. The report highlights major gaps in our current knowledge and provides a road map for TM research.
科学现状 (SoS) 会议用于定义和强调重要的未解决科学问题。美国国立心肺血液研究所 (NHLBI)、美国国立卫生研究院 (NIH) 和美国卫生与公众服务部助理部长办公室 (OASH) 举行了一次虚拟输血医学 (TM) 研讨会。
在研讨会之前,六个多学科工作组 (WG) 召开会议,确定以下领域的研究重点:献血者和供应、优化受血者的输血效果、新出现的感染、成分和输血的机制方面、输血科学中的新计算方法以及健康差异对献血者和受血者的影响。总体目标是确定有助于增加和使志愿者献血者群体多样化的关键基础、转化和临床研究问题,确保受血者安全有效的输血策略,并确定哪些来自哪些献血者的血液制品最能满足特定受血者群体的临床需求。
2022 年 8 月 29 日至 30 日,超过 400 名研究人员、临床医生、行业专家、政府官员、社区成员和患者权益倡导者讨论了每个 WG 提出的研究重点。对话集中在每个 WG 确定的五个最高优先研究领域,包括理由、拟议的方法方法、可行性和成功的障碍。
本报告总结了 NHLBI/OASH 在 TM 研讨会上的 SoS 会议期间确定的关键思路和研究重点。该报告突出了我们当前知识中的主要差距,并为 TM 研究提供了路线图。