Registry Search Process | Public Cord Blood Bank
Cord blood usage as an alternative to bone marrow for hematopoietic stem cells (stem cells of our blood system) transplantion is currently an important medical tool for the treatments of patients in need for these transplantation. This fact leads to the establishment of numerous public cord blood banks worldwide. Recognition of the importance of cord blood's advantages and developing the public cord blood banks has lead to intensive activities on the part of governments and official medical organizations to expand the registries and expand the variety of cord blood donated. This gives doctors more options and allows for more transplants for needed patients.
Today, over 25% of hematopoeitic transplantations performed around the world are in fact from cord blood sources. This fact is indeed very impressive if we take in account the existence of only about 300,000 cord blood units currently banked worldwide as compared to 13 million bone marrow donors registered.
When the decision is made for a bone marrow transplant, the patient's tissue typing is analysed, along with the parents, siblings and other family members. Between 25-40% of patients find a family member to be a matching donor. When possible, this is the best option.
It is for others who have not found a match within their family, that public blood donor registries have been founded. These potential donors have their tissue type and other details saved in computerized data banks. All local registries, (such as Ezer Mizion and Hadassah) around the world are linked to the international registry in Holland, the BMDW.
Public cord blood banks, which were founded for the same purpose, are also linked in the same manner to this international registry. Details of the preserved cord blood units around the world are available for search via the BMDW or the international cord blood bank NET-CORD.
The medical team in the transplantation medical unit conduct a search in the blood donor registry or the public cord blood banks. In accordance with the results, the patient's medical situation and other parameters, a decision is made as to the best source. The searches, identification, testing and matching are carried out by a transplant 'matcher', a staff member in every hospital transplant unit.

This is a sample of cord blood search results in the BMDW registry. Tissue typing results of the patient are seen above and underneath potential blood units are grouped by their matching level and the antigens which aren't matched. The report also shows additional details such as number of cells, sex of donor, age of the unit and more, all parameters which assist in the assessment of the quality of the unit.



















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