Difference between revisions of "Back Conditions"
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===Defer in the following cases=== | ===Defer in the following cases=== | ||
| − | + | Donors with non-mechanical inflammatory back conditions (eg associated with autoimmune disease) | |
| − | Any donor receiving regular steroid injections | + | 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 | 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 | ||
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'''Recruitment''' - Accept | '''Recruitment''' - Accept | ||
| − | '''VT''' - Accept for PBSC only. Can consider BMH on case-by-case basis. | + | '''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== | ==Severe chronic back pain. Impacts on activities of daily living== | ||
| Line 36: | Line 36: | ||
'''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 42: | Line 42: | ||
'''VT''' - Accept for PBSC only | '''VT''' - Accept for PBSC only | ||
| − | + | ==History of back surgery== | |
| − | Defer if less than | + | Defer if less than 4 months from date of surgery. |
| − | + | ||
| + | Donor must be fully recovered from [[surgery]] | ||
'''Recruitment''' - Accept for PBSC only | '''Recruitment''' - Accept for PBSC only | ||
| + | |||
'''VT''' - Accept for PBSC Only | '''VT''' - Accept for PBSC Only | ||
| − | + | ==Scoliosis== | |
| + | Discuss case-by-case with MO. | ||
| − | '''Recruitment''' - | + | '''Recruitment''' - If previous surgery and now asymptomatic allow donation for PBSC only. |
| − | |||
| + | '''VT''' - If previous surgery and now asymptomatic allow donation for PBSC only. | ||
| − | + | ==History of fracture, dislocation or instability== | |
'''Recruitment''' - Accept for PBSC only provided does not meet criteria for severe chronic back pain | '''Recruitment''' - 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 | '''VT''' - Accept for PBSC only provided does not meet criteria for severe chronic back pain | ||
| − | |||
| − | |||
==Version== | ==Version== | ||
Version 2, Edition 1 | Version 2, Edition 1 | ||
Latest revision as of 13:49, 4 July 2022
Contents
- 1 Acceptability at Recruitment
- 2 Acceptability at CT / 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 CT / 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 - Defer
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 - If previous surgery and now asymptomatic allow donation for PBSC only.
VT - If previous surgery and now asymptomatic allow donation for PBSC only.
History of fracture, dislocation or instability
Recruitment - 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 2, Edition 1
Date of Last Update
9 June 2016
