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Mapping anticipated advantages and disadvantages of implementation of extensive donor genotyping: A focus group approach

Authors :
Jessie S. Luken
Sebastien P. Ritsema
Merel M. Van der Wal
C. Ellen van der Schoot
Etiënne A. J. A. Rouwette
Masja de Haas
Mart P. Janssen
Graduate School
Clinical Haematology
Source :
Transfusion Medicine, 32, 366-374, Transfusion Medicine, 32(5), 366-374. WILEY, Transfusion medicine (Oxford, England), 32(5), 366-374. Wiley-Blackwell, Transfusion Medicine, 32, 5, pp. 366-374
Publication Year :
2022
Publisher :
Wiley, 2022.

Abstract

Background and objectives: Current genotyping techniques allow typing of all relevant red cell, human leukocyte and platelet antigens in a single analysis. Even genetic markers related to donor health can be added. Implementation of this technology will affect various stakeholders within the transfusion chain. This study aims to systematically map the anticipated advantages and disadvantages of a national rollout of blood group genotyping of donors, which will affect the availability of rare donors and the implementation of an extensively typed blood transfusion policy. Materials and methods: Two focus-group sessions were held with a wide representation of stakeholders, including representatives of donor and patient organisations. A dedicated software tool was used to collect the reflections of participants on genotyping for blood group antigens and extensive matching. Additionally, stakeholders and experts discussed various prepared propositions. All information collected was categorised. Results: From 162 statements collected, 59 statements (36%) were labelled as 'hopes' and 77 (48%) as 'fears'. Twenty-six (16%) statements remained unlabelled. The statements were divided in 18 categories under seven main themes: patient health, genotyping, privacy issues and ethical aspects, donor management, inventory management and logistics, hospital and transfusion laboratory and general aspects. The discussion on the propositions was analysed and summarised. Conclusion: Stakeholders believe that a genotyped donor pool can result in a reduction of alloimmunization and higher availability of typed blood products. There are concerns regarding logistics, costs, consent for extended typing, data sharing, privacy issues and donor management. These concerns need to be carefully addressed before further implementation.

Details

ISSN :
13653148 and 09587578
Volume :
32
Database :
OpenAIRE
Journal :
Transfusion Medicine
Accession number :
edsair.doi.dedup.....d6de8184e2270fc0f3163f88627d54f0
Full Text :
https://doi.org/10.1111/tme.12887