Ressources

This section contains the required documentation and forms for collection and transplantation centres, along with additional information.

Please fax completed formsto 514-832-0266 or write tohq-cases.managers@hema-quebec.qc.ca.

For more information, call 514-832-1031 or write to hq-cases.managers@hema-quebec.qc.ca.

In case of emergency, call 514-248-7908.

Transplant centres

Forms

Guide

  • Coming soon...

Unrelated donor collection centres

Forms

  • Workup Request
  • Confirmation of collection
  • Collection centre donor medical review
  • Collection centre donor medical examination
  • Application for additional donation
  • Health Screening Questionnaire
  • Révision et confirmation de l’autorisation au don après délais (available in French only)
  • Adverse Reaction Report
  • Discussion du processus de prélèvement de moelle osseuse avec un donneur potentiel non apparenté (available in French only)
  • HPC Marrow prescription Verification
  • Formulaire de collecte de moelle osseuse (available in French only)
  • Collection Centre HPC Marrow product report
  • Discussion du processus de prélèvement de cellules souches périphériques stimulées par G-CSF avec un donneur non apparenté (available in French only)
  • HPC Apheresis prescription Verification
  • Formulaire de collecte de cellules souches périphériques stimulées avec G-CSF (available in French only)
  • Collection Centre HPC, Apheresis product report
  • Discussion du processus de prélèvement par aphérèse de leucocytes DLI (available in French only)
  • MNC Apheresis prescription Verification
  • Formulaire de collecte de leucocytes DLI (available in French only)
  • Collection Centre MNC, Apheresis product report

Eapen M, Klein JP, Ruggeri A, Spellman S, Lee SJ, Anasetti C, Arcese W, Barker JN, Baxter‑Lowe LA, Brown M, Fernandez‑Vina MA, Freeman J, He W, Iori AP, Horowitz MM, Locatelli F, Marino S, Maiers M, Michel G, Sanz GF, Gluckman E, Rocha V; Center for International Blood and Marrow Transplant Research, Netcord, Eurocord, and the European Group for Blood and Marrow Transplantation. (2013) Impact of allele-level HLA matching on outcomes after myeloablative single unit umbilical cord blood transplantation for hematologic malignancy. Blood (Prepublished online October 18, 2013; doi:10.1182/blood-2013-05-506253).

Fernández‑Viña MA, Klein JP, Haagenson M, Spellman SR, Anasetti C, Noreen H, Baxter‑Lowe LA, Cano P, Flomenberg N, Confer DL, Horowitz MM, Oudshoorn M, Petersdorf EW, Setterholm M, Champlin R, Lee SJ, de Lima M. (2013) Multiple mismatches at the low expression HLA loci DP, DQ, and DRB3/4/5 associate with adverse outcomes in hematopoietic stem cell transplantation. Blood (Prepublished online April 17, 2013; doi:10.1182/blood-2013-02-481945).

Hurley CK, Woolfrey A, Wang T, Haagenson M, Umejiego J, Aljurf M, Askar M, Battiwalla M, Dehn J, Horan J, Oudshoorn M, Pidala J, Saber W, Turner V, Lee SJ, Spellman SR. (2013) The impact of HLA unidirectional mismatches on the outcome of myeloablative hematopoietic stem cell transplantation with unrelated donors. Blood, 121: 4800-4806 (Prepublished online May 1, 2013; doi:10.1182/blood-2013-01-480343).

Spellman SR, Eapen M, Logan BR, Mueller C, Rubinstein P, Setterholm MI, Woolfrey AE, Horowitz MM, Confer DL, Hurley CK; National Marrow Donor Program; Center for International Blood and Marrow Transplant Research. (2012) A perspective on the selection of unrelated donors and cord blood units for transplantation. Blood (Prepublished online May 17, 2012; doi:10.1182/blood-2012-03-379032).

M. E. Riccio, S. Buhler, J. M. Nunes, C. Vangenot, M. Cuenod, M. Currat, D. Di, M. Andreani, M. Boldyreva, G. Chambers, M. Chernova, J. Chiaroni, C. Darke, J. Di Cristofaro, V. Dubois, P. Dunn, H. A. Edinur, N. Elamin, J.‑F. Eliaou, Z. Grubic, T. Jaatinen, U. Kanga, B. Kervaire, L. Kolesar, W. Kunachiwa, M. L. Lokki, N. Mehra, G. Nicoloso, R. Paakkanen, D. Papaioannou Voniatis, C. Papasteriades, F. Poli, L. Richard, I.  Romón Alonso, A. Slavčev, G. Sulcebe, T. Suslova, M. Testi, J.‑M. Tiercy, A. Varnavidou, B. Vidan‑Jeras, A. Wennerström & A. Sanchez‑Mazas. (2013) 16th IHIW: Analysis of HLA Population Data, with updated results for 1996 to 2012 workshop data (AHPD project report). International Journal of Immunogenetics (2013, 40: 21-30)