Hematopoietic stem-cell transplantation in the resource-limited setting: Establishing the first bone marrow transplantation unit in Bangladesh

Albert C. Yeh, Mohiuddin A. Khan, Jason Harlow, Martin Caron, Tasneem Ara, Jenna Moran, Manirul Islam, Mark Brezina, Mafruha Akter, Akhil R. Biswas, Jannatul Ferdous, Anne Marie Barron, Humayra Nazneen, Md Kamruzzaman, Anup Saha, Ariela Marshall, Salma Afrose, Christopher Stowell, Frederic Preffer, David BangsbergAnnekathryn Goodman, Eyal Attar, Steven McAfee, Thomas R. Spitzer, Bimalangshu R. Dey

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose Treatment of malignant and nonmalignant hematologic diseases with hematopoietic stem-cell transplantation (HSCT) was first described almost 60 years ago, and its use has expanded significantly over the last 20 years. Whereas HSCT has become the standard of care for many patients in developed countries, the significant economic investment, infrastructure, and health care provider training that are required to provide such a service have prohibited it from being widely adopted, particularly in developing countries. Methods Over the past two decades, however, efforts to bring HSCT to the developing world have increased, and several institutions have described their efforts to establish such a program. We aim to provide an overview of the current challenges and applications of HSCT in developing countries as well as to describe our experience in developing an HSCT program at Dhaka Medical College and Hospital in Bangladesh via a partnership with health care providers at Massachusetts General Hospital. Results and Conclusion We discuss key steps of the program, including the formation of a collaborative partnership, infrastructure development, human resource capacity building, and financial considerations.

Original languageEnglish (US)
JournalJournal of global oncology
Volume2018
Issue number4
DOIs
StatePublished - Mar 1 2018
Externally publishedYes

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Bangladesh
Hematopoietic Stem Cell Transplantation
Bone Marrow Transplantation
Health Personnel
Developing Countries
Staff Development
Capacity Building
Hematologic Diseases
Standard of Care
Developed Countries
General Hospitals
Economics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Hematopoietic stem-cell transplantation in the resource-limited setting : Establishing the first bone marrow transplantation unit in Bangladesh. / Yeh, Albert C.; Khan, Mohiuddin A.; Harlow, Jason; Caron, Martin; Ara, Tasneem; Moran, Jenna; Islam, Manirul; Brezina, Mark; Akter, Mafruha; Biswas, Akhil R.; Ferdous, Jannatul; Barron, Anne Marie; Nazneen, Humayra; Kamruzzaman, Md; Saha, Anup; Marshall, Ariela; Afrose, Salma; Stowell, Christopher; Preffer, Frederic; Bangsberg, David; Goodman, Annekathryn; Attar, Eyal; McAfee, Steven; Spitzer, Thomas R.; Dey, Bimalangshu R.

In: Journal of global oncology, Vol. 2018, No. 4, 01.03.2018.

Research output: Contribution to journalArticle

Yeh, AC, Khan, MA, Harlow, J, Caron, M, Ara, T, Moran, J, Islam, M, Brezina, M, Akter, M, Biswas, AR, Ferdous, J, Barron, AM, Nazneen, H, Kamruzzaman, M, Saha, A, Marshall, A, Afrose, S, Stowell, C, Preffer, F, Bangsberg, D, Goodman, A, Attar, E, McAfee, S, Spitzer, TR & Dey, BR 2018, 'Hematopoietic stem-cell transplantation in the resource-limited setting: Establishing the first bone marrow transplantation unit in Bangladesh', Journal of global oncology, vol. 2018, no. 4. https://doi.org/10.1200/JGO.2016.006460
Yeh, Albert C. ; Khan, Mohiuddin A. ; Harlow, Jason ; Caron, Martin ; Ara, Tasneem ; Moran, Jenna ; Islam, Manirul ; Brezina, Mark ; Akter, Mafruha ; Biswas, Akhil R. ; Ferdous, Jannatul ; Barron, Anne Marie ; Nazneen, Humayra ; Kamruzzaman, Md ; Saha, Anup ; Marshall, Ariela ; Afrose, Salma ; Stowell, Christopher ; Preffer, Frederic ; Bangsberg, David ; Goodman, Annekathryn ; Attar, Eyal ; McAfee, Steven ; Spitzer, Thomas R. ; Dey, Bimalangshu R. / Hematopoietic stem-cell transplantation in the resource-limited setting : Establishing the first bone marrow transplantation unit in Bangladesh. In: Journal of global oncology. 2018 ; Vol. 2018, No. 4.
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AU - Caron, Martin

AU - Ara, Tasneem

AU - Moran, Jenna

AU - Islam, Manirul

AU - Brezina, Mark

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AU - Biswas, Akhil R.

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AU - Marshall, Ariela

AU - Afrose, Salma

AU - Stowell, Christopher

AU - Preffer, Frederic

AU - Bangsberg, David

AU - Goodman, Annekathryn

AU - Attar, Eyal

AU - McAfee, Steven

AU - Spitzer, Thomas R.

AU - Dey, Bimalangshu R.

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N2 - Purpose Treatment of malignant and nonmalignant hematologic diseases with hematopoietic stem-cell transplantation (HSCT) was first described almost 60 years ago, and its use has expanded significantly over the last 20 years. Whereas HSCT has become the standard of care for many patients in developed countries, the significant economic investment, infrastructure, and health care provider training that are required to provide such a service have prohibited it from being widely adopted, particularly in developing countries. Methods Over the past two decades, however, efforts to bring HSCT to the developing world have increased, and several institutions have described their efforts to establish such a program. We aim to provide an overview of the current challenges and applications of HSCT in developing countries as well as to describe our experience in developing an HSCT program at Dhaka Medical College and Hospital in Bangladesh via a partnership with health care providers at Massachusetts General Hospital. Results and Conclusion We discuss key steps of the program, including the formation of a collaborative partnership, infrastructure development, human resource capacity building, and financial considerations.

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