blk centre for bone marrow transplant€¦ · blk centre for bone marrow transplant was started as...
TRANSCRIPT
Pusa Road, New Delhi - 110005 (India). www.blkhospital.com
BLK Super Speciality Hospital
24-Hour Helpline: 011-30403040
BLK Centre forBone Marrow Transplant
The Centre is equipped with ultra-modern infrastruc-
ture and internationally trained, widely experienced
faculty. It is supported by state-of-the-art laboratory & transfusion services,
along with a fully equipped Radiation Oncology unit, with facility for total
body irradiation.
The Centre is the ‘first’ in New Delhi to establish and successfully perform
‘Unrelated Donor Stem Cell Transplant’ for Thalassemia Major using donor
from Indian registry. The Centre is also an authorised stem cell collection
centre for DATRI Blood Stem Cell Donor’s Registry.
Our Centre
3
BLK Centre for Bone Marrow Transplant provides
high-quality specialised patient care in a setting of
education and research. Our dedicated team embraces
the values of initiative, innovation, collaboration,
confidentiality, empathy, integrity and are focussed on
providing non-intrusive, patient-centric quality care.
Our aim is to provide safe and effective technologies
to all the patients; to continually monitor our
methods to ensure clinical excellence at all times; to
assess all patient concerns including clinical,
psychological and financial ones; and to perform
constant audits on all aspects of care that influence
patient outcomes and satisfaction.
The BLK Centre for Bone Marrow Transplant is part
of BLK Super Speciality Hospital − one of India’s
largest, private sector, tertiary care hospitals. Established in early 2010, the
Centre’s aim is to provide patients with incurable blood disorders the option
of transplant as a possible cure. BLK’s team has a combined experience of
1300 transplants. More than 1100 transplants have been performed within a
short span of 8 years, with a success rate at par with the world’s best.
The Centre receives transplant patients not only from India, but also from
countries like Iraq, Pakistan, Bangladesh, Afghanistan, Nigeria, Kenya,
Sudan, United Arab Emirates, Uzbekistan and Nepal. Today, more than 50%
of the patients arrive from different parts of the world.
Introduction
54
More than 125 specialists, nurses and technicians work together to plan and
implement treatment designed to meet the individual needs of each patient.
The best in high-quality treatment, access to the latest technology and
research, and our all-encompassing “Patients First” philosophy make us the
leading centre in Asia.
24 bedded state-of-the-art unit, one of the biggest centres of its kind
across Asia and one of the largest in the world
The centre has performed the maximum number of transplants in
North India
Large spacious transplant suite room with HEPA filter and positive
pressure ventilation
Medical and Paediatric intensive care unit with isolation beds
Day care facility for outpatient Chemotherapy / Immunotherapy /
Blood Transfusion
Available Facilities
BLK Centre for Bone Marrow Transplant provides comprehensive
interdisciplinary care to its patients through its world-class facilities and
internationally trained experts. Key features of the Centre include:
Department of Transfusion Medicine
Round-the-clock service for blood components including platelet apheresis
NAT tested blood components
Stem cell unit for peripheral stem cell harvesting and bone marrow processing
Gamma Irradiator
Laboratory Services
Haematology and Flow Cytometry
HLA and Molecular Laboratory
Microbiology
Therapeutic Drug Assays
Histopathology
BLK Centre for Bone Marrow
Transplant was started as a 2-bed unit
and is today, a full- fledged 24-bedded facility. The Centre is reckoned as one of the
largest units in the world and the biggest in Asia. Credited with the maximum
number of Bone Marrow Transplants in India, the Centre diagnoses and treats a
A Full Service Offering
Endoscopy / Bronchoscopy / Dialysis unit
Transplants for all age groups – Infants, Child, Adult and Elderly
76
Stem Cell Collection:
Peripheral blood stem cells are
collected in a process called
Apheresis. This is performed
in the therapeutic Apheresis
out patient unit in Transfusion Medicine department. The specially trained nurses
supervised by Transfusion Medicine physician in this unit perform more than 125
Apheresis procedures a year.
Bone Marrow Harvest: The Centre has performed these procedures since its
inception. A Bone Marrow Harvest is done as an in-patient surgical procedure,
with the patient under general anaesthesia. A small portion of bone marrow - the
soft, spongy substance that fills the inner cavities of bones and produces blood is
collected for transplantation, using a needle that passes through the skin and into
the marrow cavity of the hip bone.
Autologous Transplantation: An Autologous Transplant involves high-dose
Chemotherapy followed by infusion of the patient’s own previously collected
peripheral blood stem cells or bone marrow. The Chemotherapy treatments are
given to eliminate cancer cells in the body. Infusion of new marrow or peripheral
blood stem cells replaces the marrow destroyed by Chemotherapy and/or
Radiation Therapy.
Allogeneic Transplantation: An Allogeneic Transplant involves high-dose
76
Autologous (self-donated) transplants
Allogeneic (donor) transplants using matched sibling donors
Allogeneic transplants using unrelated donors
Allogeneic transplants using Haploidentical (half-matched) donors
Allogeneic transplants using umbilical cord blood
Myeloablative conditioning Allogeneic transplants
Reduced-intensity conditioning Allogeneic transplants
Understanding the Technical Aspects of Blood and Bone Marrow Transplantation
wide variety of blood disorders and blood cancers, such as all kinds of Anaemia,
Marrow Failure Syndromes, Coagulation Disorders, Acute and Chronic Leukaemia,
Myelomas, Lymphomas and Myeloproliferative & Lymphoproliferative Disorders,
Hodgkin’s and Non-Hodgkin’s Lymphoma, Multiple Myeloma including
Amyloidosis, Myelodysplastic and Myeloproliferative Syndromes (including
Myelofibrosis), Aplastic Anaemia, Sickle Cell disease, Germ Cell Tumours, other
Solid Tumours such as Paediatric, Sarcomas and Paediatric Central Nervous System
Tumours, Paediatric diseases such as inherited metabolic and genetic diseases.
The Centre offers a range of facilities and services which include both
Allogeneic and Autologous transplant using bone marrow, peripheral blood stem
cells and cord blood stem cells for various benign and malignant disorders. The
following types of transplants are performed at the Centre:
Our patient outcomes are consistently as
good as or better than national benchmarks.
In the last 5 years the day+100 survival after Autologous Stem Cell Transplant was
97% for multiple Myeloma and 90% for Lymphoma. In the case for Allogeneic Stem
Cell Transplant it was 90% for Thalassemia Major (Thalassemia Free Survival-82%),
78% for Aplastic Anaemia and 70% for Leukaemia.
98
Program Outcomes
BLK Centre for Bone Marrow
Transplant regularly conducts
innovative, ground-breaking research in the field of blood and marrow
transplantation. The Centre has published numerous scientific papers in various
index national and international journals and has also presented them in many
international conferences. Our goal is to provide research trials for most clinical
situations as per the needs of our patients.
Our record shows our commitment to reduce transplant toxicities and improve
patient outcomes. We perform sponsored research protocols, as well as our own
authored protocols. We investigate new mobilizing agents for the collection of
peripheral stem cells and perform numerous research activities intended to
improve the management of acute and chronic graft versus-host disease and other
toxicities associated with transplantation. The Centre also collaborates nationally
on clinical trials to advance the science of transplantation.
Chemotherapy and / or Radiation Therapy, followed by infusion of donor bone
marrow or peripheral blood stem cells. The marrow or stem cells come from an
appropriately HLA (immune)-matched related or unrelated donor.
Umbilical Cord Blood Transplantation: For patients without a related or
unrelated donor, publicly banked umbilical cord blood can be used to perform
Allogeneic Transplantation. One or two umbilical cord blood units are used to
provide blood stem cells for bone marrow recovery after Chemotherapy and/ or
Radiation Therapy.
Haploidentical Donor Transplantation: This procedure uses HLA
half-matched (haplotype) donors such as biological parents, children or
half-matched siblings for Allogeneic Transplantation. The ability to use
haploidentical donors is of special relevance to patients who do not have
HLA-matched sibling or unrelated donor options.
Reduced Intensity Transplantation: These Allogeneic Transplants uses
smaller doses of Chemotherapy and / or Radiation Therapy. This treatment option
is for patients who may not be able to tolerate a full-intensity or Myeloablative
Allogeneic Transplant (for example, older patients or those with multiple medical
issues).
Commitment to Research
Where passion meets healing
18