TY - CHAP M1 - Book, Section TI - Alternative Donor Transplants: Haploidentical Hematopoietic Stem Cell Transplantation A1 - Gaballa, Sameh A1 - Champlin, Richard E. A1 - Ciurea, Stefan O. A2 - Kantarjian, Hagop M. A2 - Wolff, Robert A. PY - 2016 T2 - The MD Anderson Manual of Medical Oncology, 3e AB - Haploidentical stem cell transplantation (haploSCT) from a first-degree-related haplotype-mismatched donor (siblings, children, parents) could expand allogeneic stem cell transplantation (SCT) to a large proportion of patients with hematologic malignancies without an HLA-matched donor (1). As the average family size continues to shrink, the likelihood of finding an HLA-matched related sibling donor continues to decrease (2). Moreover, as the population continues to age, finding a young, healthy sibling donor becomes increasingly less likely. The use of matched unrelated donors (MUDs) is limited by the long time to SCT (median 3-4 months), which makes it difficult to treat patients with more advanced disease in rapid need of SCT. The ethnicity/race of the recipient can also limit MUD transplantation as approximately 30% of Caucasians, 70% of Hispanics, and 90% of African Americans do not have a MUD in the worldwide registries (3). SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1126741316 ER -