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Autografts of peripheral blood stem cells
EDITOR, - Autografts of peripheral blood stem cells offer additional advantages to those outlined by Tessa L Holyoake and Ian M Franklin.1 At the moment, peripheral blood stem cells need to be harvested in a large oncology centre with the proper equipment and skill. However, the mobilisation before the harvesting, the intensive chemotherapy followed by reinfusion, and the supportive care may be provided locally in a district general hospital. Most such hospitals have consultant haematologists and nurses with considerable skill in looking after patients with severe pancytopenia for short periods; this experience comes from their management of patients with acute leukaemia.
The patient may need to visit the main oncology centre only as a day case or for an overnight stay. This type of shared care between a major centre and the local hospital offers several advantages. Patients should have most of their treatment locally, and this should be attractive
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- Bone marrow transplants from peripheral blood
- T L Holyoake and I M Franklin
BMJ 1994 309: 4-5.[Extract] [Full Text]
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