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从 HLA 分型的无关骨髓捐献者登记库中招募血小板单采捐献者的策略。

Strategies to recruit plateletpheresis donors from a registry of HLA-typed, unrelated, bone marrow donors.

作者信息

Bolgiano D C, Smith S, Slichter S J

机构信息

Puget Sound Blood Center, Seattle, Washington.

出版信息

Transfusion. 1993 Aug;33(8):675-8. doi: 10.1046/j.1537-2995.1993.33893342751.x.

Abstract

Rising demand for single-donor platelet components--from random donors, to maintain platelet inventories, or from HLA-compatible donors, to support alloimmune platelet-refractory patients--necessitated increasing the size of a community plateletpheresis donor registry. This study compares two strategies for recruiting whole-blood donors into a plateletpheresis program. The whole-blood donors who were asked to participate in this study had recently joined an unrelated bone marrow donor registry and had been HLA-typed as part of that process. An in-person recruitment strategy, which was time-intensive for the apheresis donor coordinator, served as the standard. A by-mail strategy involved the mailing of recruitment materials to marrow-donor registry participants. Marrow-donor registry participants were approached about apheresis participation after they had indicated an interest in the plateletpheresis program by returning a tear-off section of an informational brochure that was sent to them along with their marrow-donor registry materials. A total of 852 marrow-donor registry participants were randomly assigned to one of two recruitment strategies, and the recruitment rates were the same (46%) for both methods. In addition, levels of apheresis participation and attrition rates of donors recruited by either strategy were comparable. Thus, the simple strategy of mailing information about a plateletpheresis program is a very cost-effective method of recruiting donors.

摘要

对单采血小板成分的需求不断增加——从随机供者获取以维持血小板库存,或从人类白细胞抗原(HLA)相合供者获取以支持同种免疫性血小板输注无效患者——这使得社区血小板单采供者登记库的规模需要扩大。本研究比较了将全血供者招募到血小板单采项目中的两种策略。被邀请参与本研究的全血供者最近加入了一个无关骨髓供者登记库,并且在该过程中已进行了HLA分型。一种对单采供者协调员来说耗时的面对面招募策略作为标准方法。一种邮寄策略是将招募材料邮寄给骨髓供者登记库的参与者。在骨髓供者登记库的参与者通过返还随骨髓供者登记材料一同寄给他们的信息手册的可撕下部分表明对血小板单采项目感兴趣之后,向他们询问是否参与单采。总共852名骨髓供者登记库参与者被随机分配到两种招募策略之一,两种方法的招募率相同(46%)。此外,通过任何一种策略招募的供者的单采参与水平和损耗率相当。因此,邮寄血小板单采项目信息这种简单策略是一种非常具有成本效益的供者招募方法。

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