Blood and marrow transplantation during the emerging COVID-19 pandemic: the Seattle approach.
Bone Marrow Transplant
; 56(2): 305-313, 2021 02.
Article
in English
| MEDLINE | ID: covidwho-803158
ABSTRACT
On January 20, 2020, the first patient with coronavirus disease 2019 (COVID-19) in the United States of America was diagnosed in Washington state, which subsequently experienced rapidly increasing numbers of COVID-19 cases, hospitalizations, and deaths. This placed the Seattle Blood and Marrow Transplant Program at Fred Hutchinson Cancer Research Center (Fred Hutch) in the national epicenter of this pandemic. Here, we summarize the experience gained during our rapid response to the COVID-19 pandemic. Our efforts were aimed at safely performing urgent and potentially life-saving stem cell transplants in the setting of pandemic-related stresses on healthcare resources and shelter-in-place public health measures. We describe the unique circumstances and challenges encountered, the current state of the program amidst evolving COVID-19 cases in our community, and the guiding principles for recovery. We also estimate the collateral impact of directing clinical resources toward COVID-19-related care on cancer patients in need of stem cell transplantation. Although our experience was influenced by specific regional and institutional factors, it may help inform how transplant programs respond to COVID-19 and future pandemics.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Blood Transfusion
/
Bone Marrow Transplantation
/
Transplantation Conditioning
/
COVID-19
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Country/Region as subject:
North America
Language:
English
Journal:
Bone Marrow Transplant
Journal subject:
Transplantation
Year:
2021
Document Type:
Article
Affiliation country:
S41409-020-01068-x
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