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UCSF Medical Center

Bone Marrow Transplant Program
505 Parnassus Avenue
San Francisco, CA 94143
Direct phone: (415) 476-2188/353-2051
http://www.ucsfhealth.org

Program Description:

  Our adult program utilizes myeloablative and non-myeloablative approaches for patients with leukemias, myelodysplasis, lymphoma, myeloma and selected solid tumors. Our pediatric program treats children with a variety of cancers, brain tumors, neuroblastoma, genetic diseases and immunodeficiency disorders.

Contact Information:

  If you have transplant-related questions, please contact Helen Crouch, transplant center coordinator, at (415) 353-1506 or by e-mail at helen.crouch@ucsfmedctr.org.

Program Type:

  Adult (ages 18 to 75) and Pediatric (ages 0 to 21)

Attending Physicians:

(Medical Doctors)
 

Adult -

Weiyun Ai, Lloyd Damon, Karin Gaensler, Lawrence Kaplan, Charles Linker, Thomas Martin, Peter Sayre, Jeffrey Wolf

Pediatric -

Morton Cowan, Christopher Dvorak, Robert Goldsby, Biljana Horn, James Huang

Transplants Performed:

  Marrow/PBSC, single cord, and double cord

Cord blood transplants performed on:

  Adult and pediatric

Mismatches allowed:

For marrow, PBSC, or cord blood transplant with an unrelated donor. Match criteria may vary based on patient's age, disease type and stage.
 
Marrow/PBSC Cord Blood
Number: One Two
Location: Adults-any locus; Pediatrics-A,B,C,DQB1 A or B antigen and DRB1 allele or antigen
helpExplain Transplant Center HLA Match Requirements

Estimated Search & Transplant Costs

Costs vary greatly from center to center, and depend on factors such as health insurance, disease type, and disease stage of the patient, as well as center-specific billing policies.
Activation of formal search:$1,800 - 2,880
DR testing of A/B tested donors (per donor):$693 - 1,668
Confirmatory typing blood sample (per sample):$828 - 3,684
IDM sample collection/testing (per donor):$516 - 2,352
High resolution - HLA typing:$300 - 1,500
Marrow or PBSC procurement:$63,852 - 108,012
Cord blood procurement (including shipping fees):$28,980 - 99,012

The costs listed above are only a small part of the total cost of a transplant. Contact your transplant center to learn more about costs of actual transplant and follow-up treatment.

helpExplain Transplant Costs at Different Centers

Financial Services:

Financial services at this center could include:

  • Health insurance information
  • Financial assistance
  • Patient-related resources

Resources for financial information

If you have questions about costs and financial services at this transplant center, you can contact the center's financial representative, Shahed Mofidi at (415) 353-1902 or by e-mail at shahed.mofidi@ucsfmedctr.org.

Many organizations exist to help patients with lodging, transportation and other transplant-related expenses. Visit the National Marrow Donor Program's Patient Organizations database for more information. Financial assistance resources are also listed on this Web site.

Transplant Experience

This center has been performing allogeneic transplants since 1982 and has been an NMDP transplant center since March 1991.

Center-Specific Analysis

This analysis is based on transplants performed from Jan. 1, 2002 through Dec 31, 2006, using unrelated NMDP donors. It only includes patients who were confirmed to be either alive or deceased within one year of transplant.
  1. This center reported survival status data for 116 patients.
  2. The overall disease condition of patients treated at this center was in the medium-low category (2 on a scale of 1 to 5).
  3. The actual one-year survival of these patients was 65.0%.
  4. The predicted one-year survival was 56.9% (with 95% statistical confidence that the predicted survival was between 48.4% and 65.8%).
  5. This center's actual results are similar to the predicted range for this center. National one-year estimated actual survival was 54.0% in the 8,847 patients transplanted in the United States.

For help with understanding these statistics, please see How to Understand NMDP Transplant Center Statistics.

Transplants Performed

(From Jan. 2002 - Dec. 2006)

Marrow

PBSC

Cord
Blood

Auto-
logous

Total

(by transplant type)

Total Non-
Myeloblative transplants*

Unrelated Donor - Adult 24 64 8 --- 96 51
Unrelated Donor - Pediatric 17 23 14 --- 54 0
Related Donor - Adult 4 106 0 --- 110 55
Related Donor - Pediatric 17 51 1 --- 69 10
Autologous (PBSC and Marrow) - Adult --- --- --- 364 364 ---
Autologous (PBSC and Marrow) - Pediatric --- --- --- 59 59 ---
Total (by cell source) 62 244 23 423 752 116

This center performed a total of 164 transplants, all types, in the most recent year (from June 2007 to May 2008)

*The total Non-Myeloblative transplants column shows a subset of the total number of transplants by type.

To locate centers that perform cord blood transplants, use the search tool on this site.

The NMDP also has Transplants by Disease Charts available showing the number of NMDP coordinated transplants by disease category at each U.S. transplant center.

helpExplain Transplant Experience

Survival by Patient's Age, Disease Type and Stage


This data is only based on unrelated transplants performed from Jan. 2002 to Dec. 2006. It also includes one year post-transplant follow-up, through Dec. 2007. The first number represents the number of patients alive at one year post transplant. The second number is a total number of transplanted patients in the particular group.

Key:
CP = chronic phase (1st or 2nd) BP = blastic phase
AP = accelerated phase CR = complete remission (1st, 2nd, 3rd or more)
RLPS = relapse PIF = primary induction failure

Diagnoses

0-10
Yrs

11-17
Yrs

18-30
Yrs

31-40
Yrs

41-50
Yrs

51-60
Yrs

> 60
Yrs

Overall

Acute Lymphoblastic Leukemia 1CR 2/2 1/1 2/2 2/2 -- 0/1 -- 7/8
Acute Lymphoblastic Leukemia 2CR 1/4 -- 1/2 0/1 -- -- -- 2/7
Acute Lymphoblastic Leukemia 3+CR 1/1 1/1 1/1 -- -- -- -- 3/3
Acute Myelogenous Leukemia 1CR -- 2/2 1/1 -- 0/2 1/3 -- 4/8
Acute Myelogenous Leukemia 2CR 2/2 1/2 1/1 0/1 -- 2/3 -- 6/9
Acute Myelogenous Leukemia 3+CR/RLPS -- -- 0/1 -- 1/1 1/4 0/1 2/7
Acute Myelogenous Leukemia PIF -- -- -- -- 1/1 -- 2/3 3/4
Adrenoleukodystrophy 1/2 0/1 -- -- -- -- -- 1/3
Chronic Granulomatous Disease 1/1 -- -- -- -- -- -- 1/1
Chronic Lymphocytic Leukemia -- -- -- -- 1/1 -- 1/1 2/2
Chronic Myelogenous Leukemia 1CP 1/1 -- 1/1 -- 1/1 -- -- 3/3
Chronic Myelogenous Leukemia 2CP -- -- -- -- 0/1 -- -- 0/1
Chronic Myelogenous Leukemia AP -- -- -- -- -- 1/2 -- 1/2
Familial Erythrophagocytic Lymphohistiocytosis 0/1 -- -- -- -- -- -- 0/1
Fanconi Anemia -- 0/2 -- -- -- -- -- 0/2
Hodgkin's Disease -- -- 1/1 -- -- -- -- 1/1
Hurler Syndrome 2/2 -- -- -- -- -- -- 2/2
MDS-Chronic Myelomonocytic Leukemia (CMML) -- -- -- 0/1 -- -- -- 0/1
MDS-Other Myelodysplastic Disorder -- -- -- -- -- 1/1 -- 1/1
MDS-Refractory Anemia 1/1 2/2 -- 1/1 1/1 0/1 -- 5/6
MDS-Refractory Anemia with Ringed Sideroblasts (RARS) -- -- -- -- -- -- 1/1 1/1
MDS-Refractory Anemia-Excess Blasts -- -- -- 1/1 -- -- 0/2 1/3
Multiple Myeloma -- -- -- -- -- 3/5 0/1 3/6
Non-Hodgkin's Lymphoma -- -- 1/1 2/2 3/5 6/8 0/2 12/18
Other Abnormality of Platelets 1/1 -- -- -- -- -- -- 1/1
Other Acute Leukemia 4/4 -- -- -- -- -- -- 4/4
Other Myelofibrosis -- -- -- -- -- -- 1/1 1/1
Other Non-Malignant Disease 0/1 -- -- -- -- -- -- 0/1
Other Plasma Cell Disorder -- -- -- 1/1 -- -- -- 1/1
Polycythemia Vera -- -- -- -- -- -- 1/1 1/1
Prolymphocytic Leukemia -- -- -- -- -- 1/1 -- 1/1
Severe Aplastic Anemia 1/1 1/1 2/2 1/1 -- -- -- 5/5
X-Linked Lymphoproliferative 1/1 -- -- -- -- -- -- 1/1
Total 19/25 8/12 11/13 8/11 8/13 16/29 6/13 76/116

helpExplain Survival by Patient Diagnosis and Age


Additional Information
Further information about this center, including the number and type of transplants performed in each of the last three years, and the support groups offered, may be found in the BMT InfoNet Transplant Center Directory: http://www.bmtinfonet.org/centers.

BMT InfoNet (Blood & Marrow Transplant Information Network) is a nonprofit organization that provides information and emotional support to transplant patients and their families.