Hematopoietic stem cell transplantation for autoimmune diseases in the time of COVID-19: EBMT guidelines and recommendations - Summary - MDSpire

Hematopoietic stem cell transplantation for autoimmune diseases in the time of COVID-19: EBMT guidelines and recommendations

  • By

  • Raffaella Greco

  • Tobias Alexander

  • Joachim Burman

  • Nicoletta Del Papa

  • Jeska de Vries-Bouwstra

  • Dominique Farge

  • Jörg Henes

  • Majid Kazmi

  • Kirill Kirgizov

  • Paolo A. Muraro

  • Elena Ricart

  • Montserrat Rovira

  • Riccardo Saccardi

  • Basil Sharrack

  • Emilian Snarski

  • Barbara Withers

  • Helen Jessop

  • Claudia Boglione

  • Ellen Kramer

  • Manuela Badoglio

  • Myriam Labopin

  • Kim Orchard

  • Selim Corbacioglu

  • Per Ljungman

  • Malgorzata Mikulska

  • Rafael De la Camara

  • John A. Snowden

  • May 24, 2021

  • 0 min

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Objective:

To provide guidelines and recommendations for hematopoietic stem cell transplantation (HSCT) in patients with autoimmune diseases (ADs) during the COVID-19 pandemic, emphasizing the need to adapt to ongoing challenges.

Key Findings:
  • HSCT activity for ADs decreased by 52% during the pandemic compared to 2019, highlighting the need for careful patient management.
  • Multiple sclerosis (MS) and systemic sclerosis (SSc) accounted for 80% of HSCTs in ADs in 2020, indicating a focus on these conditions.
  • Guidelines emphasize careful discussion of HSCT cases in multidisciplinary teams (MDTs) and adherence to established protocols to ensure patient safety.
Interpretation:

The guidelines aim to balance the risks and benefits of HSCT in the context of ongoing COVID-19 challenges, ensuring patient safety and treatment efficacy while addressing specific risks associated with immunocompromised patients.

Limitations:
  • The guidelines are subject to change as new evidence emerges and the COVID-19 situation evolves, with variability in COVID-19 impact across different regions potentially affecting the applicability of guidelines.
Conclusion:

HSCT programs must adapt to the changing COVID-19 landscape, prioritizing patient safety while ensuring access to necessary treatments for ADs, with ongoing evaluation of guidelines as the situation evolves.

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