Supply of human allograft tissue in Canada
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Supply of human allograft tissue in Canada Jonathan R. T. Lakey Æ Mohammadreza Mirbolooki Æ Christina Rogers Æ Jim Mohr
Received: 3 November 2005 / Accepted: 23 March 2006 / Published online: 28 June 2006 Springer Science+Business Media B.V. 2006
Abstract There is relatively little known about the supply for allograft tissues in Canada. The major aim of this study is to quantify the current or ‘‘Known Supply’’ of human allograft tissue (bone, tendons, soft tissue, cardiovascular, ocular and skin) from known tissue banks in Canada, to estimate the ‘‘Unknown Supply’’ of human allograft tissue available to Canadian users from other sources, and to investigate the nature and source of these tissue products. Two surveys were developed; one for tissue banks processing one or more tissue types and the other specific to eye banks. Thirty nine sites were initially identified as potential tissue bank respondent sites. Of the 39 sites, 29 sites indicated that they were interested in participating or would consider completing the survey. A survey package and a self-addressed courier envelope were couriered to each of 29 sites. A three week response time was indicated. The project consultants conducted telephone and email follow-up for incomplete data. Unknown
J. R. T. Lakey (&) Æ M. Mirbolooki Clinical Islet Transplant Program, Department of Surgery, University of Alberta, 8215 112 street, Suite 210, College Plaza, T6G 2C8 Edmonton, Alberta, Canada e-mail: [email protected] C. Rogers Æ J. Mohr Canadian Council for Donation and Transplantation, Edmonton, Alberta, Canada
supply was estimated by 5 methods. Twenty-eight of 29 sites (97%) completed and returned surveys. Over the past year, respondents reported a total of 5,691 donors (1,550 living and 4,141 cadaveric donors). Including cancellous ground bone, there were 10,729 tissue products produced by the respondent banks. Of these, 71% were produced by accredited banks and 32% were ocular tissues. Total predicted shortfall of allograft tissues was 31,860–66,481 grafts. Through estimating Current supply, and compiling additional qualitative information, this study has provided a snapshot of the current Canadian supply and shortfall of allograft tissue grafts. Keywords Allograft Æ Supply Æ Donation Æ Transplantation Æ Tissue Abbreviations AATB American Association of Tissue Banks ABA American Burn Association ABAA The Eye Bank Association of America CCDT Council for Donation and Transplantation CIHI Canadian Institute for Health Information CJRR Canadian Joint Replacement Register CSA Canadian Standards Association CTB Comprehensive Tissue Banks DMB Demineralized bone EB Eye Banks
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EBAA FTEs HMDB ISO MSB SBB TSB
Cell Tissue Banking (2007) 8:135–150
Eye Bank Association of America Full time equivalents Hospital Morbidity Data Base The International Organization for Standardization Musculoskeletal Surgical Banks Surgical Bone Banks Tissue Specific Banks
Introduction The demand for human allograft tissue is growing both in Canada and around the world. It h
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