The National Marrow Donor Program s (NMDP) is headquartered in Minneapolis, Minnesota, USA. Established in 1986, the NMDP currently operates the world's largest registry of unrelated adult donors and umbilical cord blood (UCB) units. Since its inception, the NMDP has benefited from continuous financial support provided by the US government through a series of contracts and grant awards. This funding has supported a large network of donor centers and the recruitment of millions of potential adult hematopoietic cell (HC) donors. More recently, the federal government has also supported a national registry for UCB units and expansion of the available UCB inventories. Today, the NMDP registry lists more than 6.7 million adult donors and 68 000 UCB units. Seventy-seven percent (5.
NMDP history and statusThe National Marrow Donor Program s (NMDP) is headquartered in Minneapolis, Minnesota. It was established in 1986 through the combined efforts of families and physicians whose goal was a US national registry of adult, volunteer unrelated hematopoietic cell (HC) donors. Initial funding was provided through a grant to the American Red Cross. The history of NMDP's development has been recently reviewed. 1 Currently, the NMDP receives contracts from the US federal government to operate the CW Bill Young Cell Transplantation Program. This new program, named after Congressman Young who has been an ardent supporter of unrelated donor HCT and the NMDP, continues congressional support for a national BM donor registry and additionally calls for the development of enhanced capabilities to provide UCB units for transplantation. Funding provided under these contracts allows for the continued recruitment and support of adult donors as well as the collection, processing and storage of UCB units. The contracts further specify requirements for the identification and delivery of HC grafts, support of patients and the collection of comprehensive donor and recipient outcome data.In fulfillment of its mission and the government mandates, the NMDP functions as a network of participating organizations that perform the various functions involved in facilitating unrelated donor HC transplantation (HCT). The organizations include donor centers, which currently number 73 and are involved in the recruitment and subsequent management of adult volunteer donors. Donor centers are assisted in their recruitment efforts by 10 recruitment groups, which focus upon targeted recruitment within the US racial and ethnic minority populations. When an adult donor is matched with a recipient and a transplant occurs, the donor will donate either BM or PBSC, depending upon the wishes of the transplant physician. PBSC have been collected since 1999 and currently comprise nearly 70% of adult donor donations. BM collections occur at collection centers, which currently number 97, while PBSC collections occur at apheresis centers, which number 89. Twenty-four CB banks, which collect, store and manage UCB units, are currently participating with the NMDP. Transplant ce...