Impact of a WEB notifying system on the coordination process length in the Japan Marrow Donor Program

Abstract

 In cooperation with the Kinki branch office of the Japan Marrow Donor Program, we verified the problems in current coordination and constructed a WEB system to provide a notification of the harvest schedule at each hospital. After introducing this system, the median time between donor selection and collection and actual transplant were 70-78 days in 2013-2016 and 57-63 days in 2017-2020 without refusal. The collection rate in the first-choice week of patients increased 29-38% in 2013-2016, to 32% in 2017, and 63-73% in 2018-2020. Additionally, the role of the hematopoietic cell transplant coordinator was important for improving the efficiency of collection and reducing the workload of hematologists. This system helped improve the efficiency of harvesting. In contrast, there was disparity in the harvest experience of various hospitals. In the future, the development of teaching harvest techniques and skills to improve donor safety will be an important problem.