Previous studies have shown that risks of collection-related pain and symptoms are associated with sex, body mass index (BMI), and age in unrelated donors undergoing collection at National Marrow ...Donor Program (NMDP) centers. We hypothesized that other important factors (race, socioeconomic status (SES), and number of procedures at the collection center) might affect symptoms in donors. We assessed outcomes in 2,726 bone marrow (BM) and 6,768 peripheral blood stem cell (PBSC) donors collected between 2004 and 2009. Pain/symptoms are reported as maximum levels over mobilization and collection (PBSC) or within 2 days of collection (BM) and at 1 week after collection. For PBSC donors, race and center volumes were not associated with differences in pain/symptoms at any time. PBSC donors with high SES levels reported higher maximum symptom levels 1 week post donation (p=0.017). For BM donors, black males reported significantly higher levels of pain (OR=1.90, CI=1.14-3.19, p=0.015). No differences were noted by SES groups. BM donors from low volume centers reported more toxicity (OR=2.09, CI=1.26-3.46, p=0.006). In conclusion, race and SES have a minimal effect on donation associated symptoms. However, donors from centers performing ≤1 BM collection every 2 months have more symptoms following BM donation. Approaches should be developed by registries and low volume centers to address this issue.
Political data yearbook 2004 Mackerras, M; Fallend, F; Rihoux, B ...
European journal of political research,
12/2005, Letnik:
44, Številka:
7-8
Journal Article
Political data yearbook 2002 Vowles, J; Aalberg, T; Jasiewicz, K ...
European journal of political research,
12/2003, Letnik:
42, Številka:
7-8
Journal Article
Through the Comprehensive Nutrition Action Program for Arizona (funded by the Nutrition Program, Center for Disease Control, Atlanta), a nutrition care delivery system was developed. Four ...sub-systems-screening, referral, monitoring, and the development of community nutrition workers--allowed for the identification of problems, intervention, utilization of other agencies, and expansion of manpower with community nutrition/health workers. Improvement in nutritional status was demonstrated by this program. As a result, it has been expanded.
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