TY - JOUR
T1 - Current Knowledge and Practice of Pediatric Providers in Umbilical Cord Blood Banking
AU - Armstrong, Amy E.
AU - Fonstad, Rachel
AU - Spellman, Stephen
AU - Tullius, Zoe
AU - Chaudhury, Sonali
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Compensation for survey participation was provided by the Stem Cell Transplant Department of Ann and Robert H. Lurie Children’s Hospital of Chicago. Use of the electronic survey system was partially funded by the Stanley Manne Children’s Research Institute. The Center for International Blood and Marrow Transplant Research is supported by Public Health Service Grant/Cooperative Agreement 5U24-CA076518 from the National Cancer Institute (NCI), the National Heart, Lung and Blood Institute (NHLBI), and the National Institute of Allergy and Infectious Diseases (NIAID); a Grant/ Cooperative Agreement 5U10HL069294 from NHLBI and NCI; a contract HHSH250201200016C with Health Resources and Services Administration (HRSA/DHHS); 2 grants N00014-14-1-0028 and N00014-15-1-0848 from the Office of Naval Research. The views expressed in this article do not reflect the official policy or position of the National Institutes of Health, the Department of the Navy, the Department of Defense, Health Resources and Services Administration (HRSA), or any other agency of the US Government.
Publisher Copyright:
© 2017, © The Author(s) 2017.
PY - 2018/2/1
Y1 - 2018/2/1
N2 - More than 35 000 umbilical cord blood (UCB) transplants have been performed worldwide, prompting the development of private and public banks to collect and store UCB cells. We hypothesized that pediatricians, who are uniquely poised to discuss UCB banking (UCBB) during prenatal or sibling visits, rarely do so. Through distribution of a 26-question electronic survey to general and subspecialty pediatric providers, we assessed baseline knowledge and conversations about UCBB. A total of 473 providers completed the survey; only 22% of physicians ever discussed UCBB with expectant parents. The majority responded that autologous UCB transplants were indicated in malignant (73%) and nonmalignant (61%) conditions; however, these are rare indications. Providers practicing >10 years were more likely to address UCBB (P ≤.001), whereas younger and female general pediatric providers were significantly less likely (P <.001). Overall, pediatric providers rarely speak to families about UCBB, and we believe that they can be better informed to its current clinical utility.
AB - More than 35 000 umbilical cord blood (UCB) transplants have been performed worldwide, prompting the development of private and public banks to collect and store UCB cells. We hypothesized that pediatricians, who are uniquely poised to discuss UCB banking (UCBB) during prenatal or sibling visits, rarely do so. Through distribution of a 26-question electronic survey to general and subspecialty pediatric providers, we assessed baseline knowledge and conversations about UCBB. A total of 473 providers completed the survey; only 22% of physicians ever discussed UCBB with expectant parents. The majority responded that autologous UCB transplants were indicated in malignant (73%) and nonmalignant (61%) conditions; however, these are rare indications. Providers practicing >10 years were more likely to address UCBB (P ≤.001), whereas younger and female general pediatric providers were significantly less likely (P <.001). Overall, pediatric providers rarely speak to families about UCBB, and we believe that they can be better informed to its current clinical utility.
KW - autologous stem cell transplantation
KW - private umbilical cord blood banking
KW - public umbilical cord blood banking
KW - umbilical cord blood
KW - umbilical cord blood transplantation
UR - http://www.scopus.com/inward/record.url?scp=85039842602&partnerID=8YFLogxK
U2 - 10.1177/0009922817692316
DO - 10.1177/0009922817692316
M3 - Article
C2 - 28952356
AN - SCOPUS:85039842602
SN - 0009-9228
VL - 57
SP - 161
EP - 167
JO - Clinical Pediatrics
JF - Clinical Pediatrics
IS - 2
ER -