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  1. Article ; Online: Selected Topics From the State of the Science in Transfusion Medicine: Key Insights on Current Progress and Future Directions.

    Roubinian, Nareg H / Custer, Brian

    Transfusion medicine reviews

    2023  Volume 37, Issue 4, Page(s) 150781

    MeSH term(s) Humans ; Transfusion Medicine
    Language English
    Publishing date 2023-11-01
    Publishing country United States
    Document type Editorial ; Introductory Journal Article
    ZDB-ID 639107-2
    ISSN 1532-9496 ; 0887-7963
    ISSN (online) 1532-9496
    ISSN 0887-7963
    DOI 10.1016/j.tmrv.2023.150781
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Risk of HLA antibody generation after receipt of Mirasol versus standard platelets in the MIPLATE randomized trial.

    Kaidarova, Zhanna / Di Germanio, Clara / Custer, Brian / Norris, Philip J

    Transfusion

    2023  Volume 63, Issue 4, Page(s) 791–797

    Abstract: Background: Human leukocyte antigen (HLA) alloimmunization can occur after platelet transfusion. These antibodies can complicate future platelet transfusions or organ transplantation. Animal data suggest that Mirasol pathogen reduction treatment (PRT) ... ...

    Abstract Background: Human leukocyte antigen (HLA) alloimmunization can occur after platelet transfusion. These antibodies can complicate future platelet transfusions or organ transplantation. Animal data suggest that Mirasol pathogen reduction treatment (PRT) can prevent alloimmunization after transfusion.
    Study design and methods: The MIPLATE trial enrolled 330 of a planned 660 participants with hematological malignancies at risk for grade 2 or greater bleeding. The study was halted early for futility after a planned interim analysis. Participants were randomized to receive PRT versus standard control platelets. Serum samples were collected from participants at baseline (pretransfusion), weekly for the first 4 weeks, then at days 42 and 56. HLA antibody levels were determined using a commercial multianalyte bead-based assay. HLA antibody levels were analyzed using low, medium, and high cutoffs based on prior studies.
    Results: The rate of alloimmunization was low in both arms of the study, particularly at the high HLA antibody cutoff (total of 6 of 277 subjects at risk, or 2.2%). The risk of alloimmunization did not differ between study arms, nor did the risk of immune refractoriness to platelet transfusion.
    Conclusions: The data do not support the conclusion that Mirasol exerted a protective effect against alloimmunization after platelet transfusion in the MIPLATE trial.
    MeSH term(s) Animals ; Humans ; Isoantibodies ; Blood Platelets ; Platelet Transfusion/adverse effects ; HLA Antigens ; Histocompatibility Antigens Class I
    Chemical Substances Isoantibodies ; HLA Antigens ; Histocompatibility Antigens Class I
    Language English
    Publishing date 2023-02-25
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 208417-x
    ISSN 1537-2995 ; 0041-1132
    ISSN (online) 1537-2995
    ISSN 0041-1132
    DOI 10.1111/trf.17286
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Donor compliance research: what are you thinking?

    Custer, Brian / Hughes, Shana D

    Transfusion

    2020  Volume 60, Issue 1, Page(s) 1–3

    MeSH term(s) Blood Donors ; Donor Selection ; Humans
    Language English
    Publishing date 2020-01-02
    Publishing country United States
    Document type Editorial
    ZDB-ID 208417-x
    ISSN 1537-2995 ; 0041-1132
    ISSN (online) 1537-2995
    ISSN 0041-1132
    DOI 10.1111/trf.15646
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Factors driving availability of COVID-19 convalescent plasma: Insights from a demand, production, and supply model.

    Russell, W Alton / Grebe, Eduard / Custer, Brian

    Transfusion

    2021  Volume 61, Issue 5, Page(s) 1370–1376

    Abstract: Background: COVID-19 Convalescent Plasma (CCP) is a promising treatment for COVID-19. Blood collectors have rapidly scaled up collection and distribution programs.: Methods: We developed a detailed simulation model of CCP donor recruitment, ... ...

    Abstract Background: COVID-19 Convalescent Plasma (CCP) is a promising treatment for COVID-19. Blood collectors have rapidly scaled up collection and distribution programs.
    Methods: We developed a detailed simulation model of CCP donor recruitment, collection, production, and distribution processes. We ran our model using varying epidemic trajectories from 11 U.S. states and with key input parameters drawn from wide ranges of plausible values to identify key drivers of ability to scale collections capacity and meet demand for CCP.
    Results: Utilization of available CCP collections capacity followed increases in COVID-19 hospital discharges with a lag. Utilization never exceeded 75% of available capacity in most simulations. Demand was met for most of the simulation period in most simulations, but a substantial portion of demand went unmet during early, sharp increases in hospitalizations. For epidemic trajectories that included multiple epidemic peaks, second wave demand could generally be met due to stockpiles established during the decline from an earlier peak. Apheresis machine capacity (number of machines) and probability that COVID-19 recovered individuals are willing to donate were the most important supply-side drivers of ability to meet demand. Recruitment capacity was important in states with early peaks.
    Conclusions: Epidemic trajectory was the most important determinant of ability to meet demand for CCP, although our simulations revealed several contributing operational drivers of CCP program success.
    MeSH term(s) Antibodies, Viral/blood ; Antibodies, Viral/therapeutic use ; Blood Donors ; COVID-19/blood ; COVID-19/therapy ; Convalescence ; Humans ; Immunization, Passive ; Models, Biological ; SARS-CoV-2/metabolism
    Chemical Substances Antibodies, Viral
    Language English
    Publishing date 2021-02-16
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 208417-x
    ISSN 1537-2995 ; 0041-1132
    ISSN (online) 1537-2995
    ISSN 0041-1132
    DOI 10.1111/trf.16317
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Optimal portfolios of blood safety interventions: test, defer or modify?

    Russell, W Alton / Custer, Brian / Brandeau, Margaret L

    Health care management science

    2021  Volume 24, Issue 3, Page(s) 551–568

    Abstract: A safe supply of blood for transfusion is a critical component of the healthcare system in all countries. Most health systems manage the risk of transfusion-transmissible infections (TTIs) through a portfolio of blood safety interventions. These ... ...

    Abstract A safe supply of blood for transfusion is a critical component of the healthcare system in all countries. Most health systems manage the risk of transfusion-transmissible infections (TTIs) through a portfolio of blood safety interventions. These portfolios must be updated periodically to reflect shifting epidemiological conditions, emerging infectious diseases, and new technologies. However, the number of available blood safety portfolios grows exponentially with the number of available interventions, making it impossible for policymakers to evaluate all feasible portfolios without the assistance of a computer model. We develop a novel optimization model for evaluating blood safety portfolios that enables systematic comparison of all feasible portfolios of deferral, testing, and modification interventions to identify the portfolio that is preferred from a cost-utility perspective. We present structural properties that reduce the state space and required computation time in certain cases, and we develop a linear approximation of the model. We apply the model to retrospectively evaluate U.S. blood safety policies for Zika and West Nile virus for the years 2017, 2018, and 2019, defining donor groups based on season and geography. We leverage structural properties to efficiently find an optimal solution. We find that the optimal portfolio varies geographically, seasonally, and over time. Additionally, we show that for this problem the approximated model yields the same optimal solution as the exact model. Our method enables systematic identification of the optimal blood safety portfolio in any setting and any time period, thereby supporting decision makers in efforts to ensure the safety of the blood supply.
    MeSH term(s) Blood Safety ; Computer Simulation ; Humans ; Retrospective Studies ; Zika Virus ; Zika Virus Infection
    Language English
    Publishing date 2021-03-05
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1469148-6
    ISSN 1572-9389 ; 1386-9620
    ISSN (online) 1572-9389
    ISSN 1386-9620
    DOI 10.1007/s10729-021-09557-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Individualized risk trajectories for iron-related adverse outcomes in repeat blood donors.

    Russell, W Alton / Scheinker, David / Custer, Brian

    Transfusion

    2021  Volume 62, Issue 1, Page(s) 116–124

    Abstract: Background: Despite a fingerstick hemoglobin requirement and 56-day minimum donation interval, repeat blood donation continues to cause and exacerbate iron deficiency.: Study design and methods: Using data from the REDS-II Donor Iron Status ... ...

    Abstract Background: Despite a fingerstick hemoglobin requirement and 56-day minimum donation interval, repeat blood donation continues to cause and exacerbate iron deficiency.
    Study design and methods: Using data from the REDS-II Donor Iron Status Evaluation study, we developed multiclass prediction models to estimate the competing risk of hemoglobin deferral and collecting blood from a donor with sufficient hemoglobin but low or absent underlying iron stores. We compared models developed with and without two biomarkers not routinely measured in most blood centers: ferritin and soluble transferrin receptor. We generated and analyzed "individual risk trajectories": estimates of how each donors' risk developed as a function of the time interval until their next donation attempt.
    Results: With standard biomarkers, the top model had a multiclass area under the receiver operator characteristic curve (AUC) of 77.6% (95% CI [77.3%-77.8%]). With extra biomarkers, multiclass AUC increased to 82.8% (95% CI [82.5%-83.1%]). In the extra biomarkers model, ferritin was the single most important variable, followed by the donation interval. We identified three risk archetypes: "fast recoverers" (<10% risk of any adverse outcome on post-donation day 56), "slow recoverers" (>60% adverse outcome risk on day 56 that declines to <35% by day 250), and "chronic high-risk" (>85% risk of the adverse outcome on day 250).
    Discussion: A longer donation interval reduced the estimated risk of iron-related adverse outcomesfor most donors, but risk remained high for some. Tailoring safeguards to individual risk estimates could reduce blood collections from donors with low or absent iron stores.
    MeSH term(s) Blood Donors ; Ferritins ; Hemoglobins ; Humans ; Iron ; Receptors, Transferrin
    Chemical Substances Hemoglobins ; Receptors, Transferrin ; Ferritins (9007-73-2) ; Iron (E1UOL152H7)
    Language English
    Publishing date 2021-11-16
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 208417-x
    ISSN 1537-2995 ; 0041-1132
    ISSN (online) 1537-2995
    ISSN 0041-1132
    DOI 10.1111/trf.16740
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Cost-effectiveness of pathogen reduction technology for plasma and platelets in Québec: A focus on potential emerging pathogens.

    Grégoire, Yves / Delage, Gilles / Custer, Brian / Rochette, Samuel / Renaud, Christian / Lewin, Antoine / Germain, Marc

    Transfusion

    2022  Volume 62, Issue 6, Page(s) 1208–1217

    Abstract: Background: The last economic evaluation of pathogen reduction technology (PRT) in Canada was conducted in 2007. We reassessed the cost-effectiveness of PRT in the province of Québec (which has its own blood supplier) and included an evaluation of the ... ...

    Abstract Background: The last economic evaluation of pathogen reduction technology (PRT) in Canada was conducted in 2007. We reassessed the cost-effectiveness of PRT in the province of Québec (which has its own blood supplier) and included an evaluation of the potential impact of emerging pathogens on cost-effectiveness.
    Study design and methods: Decision analytic Markov models were developed to simulate the costs and quality-adjusted life-years (QALY) associated with PRT as an addition to existing safety measures for plasma and platelet products (except for bacterial culture). Models accounted for several infectious and noninfectious transfusion reactions, recipients' productivity losses ensuing from these reactions, and the impact of PRT on platelet function. Scenario analyses were conducted to evaluate the impact of a new highly contagious human immunodeficiency virus (HIV)-like or West Nile virus (WNV)-like pathogen, assuming various epidemiological scenarios.
    Results: In the base case, the incremental cost-effectiveness ratio (ICER) of PRT was estimated at $8,088,974/QALY gained. Assuming the presence of an HIV-like pathogen, the ICER was $265,209/QALY gained in the "average transmission" scenario, $1,274,445/QALY gained in the "rapid testing scenario," and $123,063/QALY gained in the "highly contagious" scenario. Assuming the presence of a WNV-like pathogen, the ICER was $7,469,167/QALY gained in the "average transmission" scenario and $6,652,769/QALY gained in the "highly contagious" scenario.
    Conclusion: The cost-effectiveness of PRT may substantially improve in the event of a new, blood-borne pathogen. Given their significant impact on cost-effectiveness, the emergence of new pathogens should be considered when deciding whether to adopt PRT.
    MeSH term(s) Blood Platelets ; Cost-Benefit Analysis ; Humans ; Quality-Adjusted Life Years ; Quebec ; Technology ; West Nile virus
    Language English
    Publishing date 2022-05-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 208417-x
    ISSN 1537-2995 ; 0041-1132
    ISSN (online) 1537-2995
    ISSN 0041-1132
    DOI 10.1111/trf.16926
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Economic implications of FDA platelet bacterial guidance compliance options: Comparison of single-step strategies.

    Prioli, Katherine M / Abersone, Ilze / Kopko, Patricia M / Herman, Jay H / Custer, Brian / Pizzi, Laura T

    Transfusion

    2022  Volume 62, Issue 2, Page(s) 365–373

    Abstract: Background: Bloodborne pathogens pose a major safety risk in transfusion medicine. To mitigate the risk of bacterial contamination in platelet units, FDA issues updated guidance materials on various bacterial risk control strategies (BRCS). This ... ...

    Abstract Background: Bloodborne pathogens pose a major safety risk in transfusion medicine. To mitigate the risk of bacterial contamination in platelet units, FDA issues updated guidance materials on various bacterial risk control strategies (BRCS). This analysis presents results of a budget impact model updated to include 5- and 7-day pathogen reduced (PR) and large volumed delayed sampling (LVDS) BRCS.
    Study design and methods: Model base-case parameter inputs were based on scientific literature, a survey distributed to 27 US hospitals, and transfusion experts' opinion. The outputs include hospital budget and shelf-life impacts for 5- and 7-day LVDS, and 5- and 7-day PR units under three different scenarios: (1) 100% LVDS, (2) 100% PR, and (3) mix of 50% LVDS - and 50% PR.
    Results: Total annual costs from the hospital perspective were highest for 100% LVDS platelets (US$2.325M) and lowest for 100% PR-7 units (US$2.170M). Net budget impact after offsetting annual costs by outpatient reimbursements was 5.5% lower for 5-day PR platelets as compared to 5-day LVDS (US$1.663 vs. US$1.760M). A mix of 7-day LVDS and 5-day PR platelets had net annual costs that were 1.3% lower than for 100% 7-day LVDS, but 1.3% higher than for 100% 5-day PR. 7-day PR platelets had the longest shelf life (4.63 days), while 5-day LVDS had the shortest (2.00 days).
    Discussion: The model identifies opportunities to minimize transfusion center costs for 5- and 7-day platelets. Budget impact models such as this are important for understanding the financial implications of evolving FDA guidance and new platelet technologies.
    MeSH term(s) Blood Platelets/microbiology ; Blood Transfusion ; Costs and Cost Analysis ; Humans ; Platelet Transfusion/methods ; Specimen Handling
    Language English
    Publishing date 2022-01-08
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 208417-x
    ISSN 1537-2995 ; 0041-1132
    ISSN (online) 1537-2995
    ISSN 0041-1132
    DOI 10.1111/trf.16778
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The cost of blood: did you pay too much or did you get a good deal?

    Custer, Brian

    Transfusion

    2010  Volume 50, Issue 4, Page(s) 742–744

    MeSH term(s) Austria ; Blood Transfusion/economics ; Cost of Illness ; Humans ; Surgical Procedures, Operative/economics ; United States
    Language English
    Publishing date 2010-04
    Publishing country United States
    Document type Editorial
    ZDB-ID 208417-x
    ISSN 1537-2995 ; 0041-1132
    ISSN (online) 1537-2995
    ISSN 0041-1132
    DOI 10.1111/j.1537-2995.2010.02624.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Association of ABO and RhD blood groups with the risk of HIV infection.

    Jacobs, Genevieve / Van den Berg, Karin / Vermeulen, Marion / Swanevelder, Ronel / Custer, Brian / Murphy, Edward L

    PloS one

    2023  Volume 18, Issue 4, Page(s) e0284975

    Abstract: Naturally occurring antibodies against ABO antigens present in human sera have been shown to neutralize ABO-expressing HIV in vitro. We investigated associations between ABO and RhD blood groups and HIV infection among blood donors from all blood ... ...

    Abstract Naturally occurring antibodies against ABO antigens present in human sera have been shown to neutralize ABO-expressing HIV in vitro. We investigated associations between ABO and RhD blood groups and HIV infection among blood donors from all blood collection centers in eight of South Africa's nine provinces. Whole blood donations collected from first time donors between January 2012 and September 2016 were tested for HIV RNA by nucleic acid testing and HIV antibody using third generation serology assays. ABO and RhD blood types were determined using automated technology. Odds ratios for the association between HIV positivity and ABO and RhD phenotypes were calculated using multivariable logistic regression analysis. We analyzed 515,945 first time blood donors and the overall HIV prevalence was 1.12% (n = 5790). After multivariable adjustment, HIV infection was weakly associated with RhD positive phenotype (OR = 1.15, 95% CI 1.00-1.33) but not with ABO blood group. The observed association with RhD positive phenotype was marginal and likely due to residual confounding by racial group but could serve to generate hypotheses for further studies.
    MeSH term(s) Humans ; ABO Blood-Group System/genetics ; Antigens ; Blood Donors ; HIV Infections/epidemiology ; HIV-1/genetics
    Chemical Substances ABO Blood-Group System ; Antigens ; Rho(D) antigen
    Language English
    Publishing date 2023-04-26
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0284975
    Database MEDical Literature Analysis and Retrieval System OnLINE

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