Difference between revisions of "Back Conditions"
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QUALIFIED | QUALIFIED | ||
| − | ==Acceptability at | + | ==Acceptability at VT / Work-Up== |
QUALIFIED | QUALIFIED | ||
| Line 32: | Line 32: | ||
==Severe chronic back pain. Impacts on activities of daily living== | ==Severe chronic back pain. Impacts on activities of daily living== | ||
| − | '''Recruitment''' - | + | '''Recruitment''' - Accept as PBSC only (the donor's condition may change in the time between registration and being called to donate) |
'''VT''' - Defer | '''VT''' - Defer | ||
| − | ==History of current or past herniated intevertebral disc== | + | ==History of current or past herniated (bulging) intevertebral disc== |
'''Recruitment''' - Accept for PBSC only | '''Recruitment''' - Accept for PBSC only | ||
| Line 53: | Line 53: | ||
==Scoliosis== | ==Scoliosis== | ||
| − | Discuss | + | Discuss case-by-case with MO. |
| − | '''Recruitment''' - Accept | + | '''Recruitment''' - Accept for PBSC only. |
| − | '''VT''' - | + | '''VT''' - If mild scoliosis not requiring surgery, or previous surgery and now asymptomatic allow donation for PBSC only. |
==History of fracture, dislocation or instability== | ==History of fracture, dislocation or instability== | ||
| − | '''Recruitment''' - Accept for PBSC only | + | '''Recruitment''' - Accept for PBSC only. |
| − | '''VT''' - Accept for PBSC only provided does not meet criteria for severe chronic back pain | + | '''VT''' - Accept for PBSC only provided does not meet criteria for severe chronic back pain. |
==Version== | ==Version== | ||
| Line 69: | Line 69: | ||
====Date of Last Update==== | ====Date of Last Update==== | ||
| − | + | 24th July 2025 | |
Latest revision as of 16:08, 24 July 2025
Contents
- 1 Acceptability at Recruitment
- 2 Acceptability at VT / Work-Up
- 3 Individual at Risk
- 4 General Guidance
- 5 Individual Guidance
- 6 Mild, occasional episodes related to exertion (incl sciatica). Minimal impact on activities of daily living and occasional use of medication
- 7 Severe chronic back pain. Impacts on activities of daily living
- 8 History of current or past herniated (bulging) intevertebral disc
- 9 History of back surgery
- 10 Scoliosis
- 11 History of fracture, dislocation or instability
- 12 Version
Acceptability at Recruitment
QUALIFIED
Acceptability at VT / Work-Up
QUALIFIED
Individual at Risk
Donor
General Guidance
In general, donors undergoing a bone marrow collection run the risk of exacerbating pre-existing mechanical back conditions due to the shearing forces applied to the lower back and pelvis during the procedure. However, many such donors may donate by PBSC.
Defer in the following cases
Donors with non-mechanical inflammatory back conditions (eg associated with autoimmune disease)
Any donor receiving regular steroid injections to the spine
Any donor with a back condition which may physically prohibit the donor transferring to an apheresis couch, or lying in an apheresis couch for at least four hours (venous access is not permitted in a wheelchair), or a back condition which might compromise the safety of the donor or staff during collection
Individual Guidance
Back complaints should be considered in the subgroups below
Recruitment - Accept
VT - Accept for PBSC only. Can consider BMH on case-by-case basis following discussion with MO.
Severe chronic back pain. Impacts on activities of daily living
Recruitment - Accept as PBSC only (the donor's condition may change in the time between registration and being called to donate)
VT - Defer
History of current or past herniated (bulging) intevertebral disc
Recruitment - Accept for PBSC only
VT - Accept for PBSC only
History of back surgery
Defer if less than 4 months from date of surgery.
Donor must be fully recovered from surgery
Recruitment - Accept for PBSC only
VT - Accept for PBSC Only
Scoliosis
Discuss case-by-case with MO.
Recruitment - Accept for PBSC only.
VT - If mild scoliosis not requiring surgery, or previous surgery and now asymptomatic allow donation for PBSC only.
History of fracture, dislocation or instability
Recruitment - Accept for PBSC only.
VT - Accept for PBSC only provided does not meet criteria for severe chronic back pain.
Version
Version 2, Edition 1
Date of Last Update
24th July 2025
