AI Article Synopsis

  • The research focuses on the emotional and psychological risks for pediatric siblings who donate hematopoietic stem cells (HSC), highlighting that this area is not yet fully explored.
  • A survey sent to transplant centers revealed that while many have procedures for obtaining donor assent, there is inadequate assessment of the psychological impact and limited follow-up care for these young donors.
  • The findings suggest a significant need for better policies and practices to address the psychological well-being of pediatric donors, calling for future studies to integrate comprehensive psychosocial evaluations.

Article Abstract

Understanding the potential emotional and psychological risks of pediatric sibling HSC donation is an area of research that remains in its infancy. A cross-sectional survey was distributed electronically to directors at all CIBMTR and EBMT centers to describe current transplant center practices for obtaining assent, preparation for the physical/emotional experiences of donation, and monitoring the post-donation well-being of pediatric donors (<18 years of age). Respondents were 45/91 (49%) and 66/144 (46%) of CIBMTR and EBMT centers, respectively. Although 78% of centers reported having a mechanism in place to ensure donor free assent, centers also reported only limited assessment of psychosocial suitability to manage the emotional risks of donation. More than half of centers reported no psychosocial follow-up assessment post-donation. Few centers have policies in place to address donor psychological needs. Future investigations should include medical and psychosocial outcomes following full integration of comprehensive psychosocial screening and surveillance of pediatric donors.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961459PMC
http://dx.doi.org/10.1038/s41409-019-0515-3DOI Listing

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