2019冠状病毒病疫情对亚太地区造血细胞移植领域的影响:APBMT活动调查2020/2021

Minako Iida, Aloysius Ho, Xiao Jun Huang, Kaiyan Liu, Meng Lv, He Huang, Yachiyo Kuwatsuka, Joon Ho Moon, Yoon Seok Choi, Jong Wook Lee, Navin Khattry, Kavitha M Lakshmi, Leonie Wilcox, Amir Ali Hamidieh, Maryam Behfar, Bor-Sheng Ko, Kim Wah Ho, Gin Gin Gan, Udomsak Bunworasate, Suradej Hongeng, Usanarat Anurathapan, Tasneem Farzana, Joycelyn Sim, Vincent Lee, Man Kit Garret Leung, Phu Chi Dung, Van Man Huynh, Wasantha Rathnayake, Prasad Abeysinghe, Marjorie Rose Bravo, Teresita Dumagay, Aye Aye Gyi, Damai Santosa, Desta Ardini, Bishesh Sharma Poudyal, Mafruha Akter, Khishigjargal Batshkh, Mikhail Drokov, Chi-Cheng Li, Shinichiro Okamoto, Alok Srivastava, Anthony Dodds, Yoshiko Atsuta
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引用次数: 0

摘要

2019冠状病毒病(COVID-19)在2020年成为全球大流行,严重影响了全球造血细胞移植(HCT)的活动。尽管存在这些挑战,2020年亚太地区的719家机构共进行了28,793例移植,其中包括18,518例同种异体移植和10,275例自体移植。这意味着同种异体移植增加了5.1%,自体移植增加了3.1%,与2019年相比,总体增长了4.4%。在供体来源方面,单倍体移植增加了18.6%,相关移植增加了8.8%,脐带血移植(CBT)增加了9.2%。然而,不包括CBT在内的非相关移植数量首次下降了8.2%。因此,由于跨境限制,COVID-19促进了单倍体移植的发展。从2020年各国家/地区移植总量的变化来看,中国增加了2048例,其次是日本(210例)和韩国(230例);然而,与前一年相比,2020年22个国家和地区中有14个国家和地区的移植数量有所减少。2020年器官移植数量的增减与各国/地区2020年人均国民总收入(GNI)以及国内一般政府卫生支出占一般政府支出的百分比(GGHE-D/GGE)无相关性。2021年,该地区移植总数为34754例。除了少数国家/地区在2020年出现移植数量下降外,大多数国家/地区在2021年开始出现复苏。COVID-19大流行严重影响了HCT所涉及的供应链和物流,而不是其数量;然而,我们已经找到了克服后勤挑战的方法,即使在这种情况下也能毫不拖延地开展移植医学。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Impact of the COVID-19 outbreak on the field of hematopoietic cell transplantation in the Asia-Pacific region: APBMT Activity Survey 2020/2021.

Impact of the COVID-19 outbreak on the field of hematopoietic cell transplantation in the Asia-Pacific region: APBMT Activity Survey 2020/2021.

Impact of the COVID-19 outbreak on the field of hematopoietic cell transplantation in the Asia-Pacific region: APBMT Activity Survey 2020/2021.

Impact of the COVID-19 outbreak on the field of hematopoietic cell transplantation in the Asia-Pacific region: APBMT Activity Survey 2020/2021.

COVID-19 became a global pandemic in 2020 and significantly affected the activity of hematopoietic cell transplants (HCT) worldwide. Despite these challenges, a total of 28,793 transplants, including 18,518 allogeneic and 10,275 autologous transplants, were performed in 719 facilities in 2020 in the Asia-Pacific (AP) region. This represented a 5.1% increase in allogeneic transplants and a 3.1% increase in autologous transplants, an overall increase of 4.4% compared to the numbers in 2019. With respect to the donor source, haploidentical transplants increased significantly by 18.6%, related transplants by 8.8%, and cord blood transplants (CBT) by 9.2%. However, the number of unrelated transplants, excluding CBT, decreased for the first time by 8.2%. As a result, COVID-19 facilitated the growth of haploidentical transplants due to cross-border restrictions. Regarding the changes in the total number of transplants by country/region in 2020, it increased by 2,048 transplants in China, followed by Japan (210 transplants) and Korea (230 transplants); however, 14 of the 22 countries and regions decreased their number of transplants in 2020 compared to the previous year. There was no correlation between the increase or decrease in the number of transplants in 2020 and the Gross National Income (GNI) per capita of each country/region in 2020, as well as Domestic General Government Health Expenditure as a percentage of General Government Expenditure (GGHE-D/GGE). In 2021, the total number of transplants in this region was 34,754. With the exception of a few countries/regions that decreased the number of transplants in 2020, most countries/regions have started to see a recovery in 2021. The COVID-19 pandemic significantly affected the supply chain and logistics involved in HCT rather than its numbers; however, we have found ways to overcome logistical challenges to carry out transplant medicine without delay, even under these circumstances.

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