Current status of umbilical cord blood storage and provision to private biobanks by institutions handling childbirth in Japan

Abstract Background The Act Regarding the Promotion of the Appropriate Supply of Hematopoietic Stem Cells for Transplant regulates only how public banks store and provide umbilical cord blood (UCB) for research or transplantation. Japan had no laws to regulate how the private banks manage the proced...

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Main Authors: Maho Murata, Kenichiro Kawabe, Taichi Hatta, Shoichi Maeda, Misao Fujita
Format: Article
Language:English
Published: BMC 2022-09-01
Series:BMC Medical Ethics
Subjects:
Online Access:https://doi.org/10.1186/s12910-022-00830-8
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author Maho Murata
Kenichiro Kawabe
Taichi Hatta
Shoichi Maeda
Misao Fujita
author_facet Maho Murata
Kenichiro Kawabe
Taichi Hatta
Shoichi Maeda
Misao Fujita
author_sort Maho Murata
collection DOAJ
description Abstract Background The Act Regarding the Promotion of the Appropriate Supply of Hematopoietic Stem Cells for Transplant regulates only how public banks store and provide umbilical cord blood (UCB) for research or transplantation. Japan had no laws to regulate how the private banks manage the procedures, harvesting, preparation, and storage of such blood. As a result, the status of UCB distribution remains unknown. We conducted a survey to investigate the current status of UCB storage and provision to private biobanks by Japanese institutions that handle childbirth. Methods Questionnaire forms were mailed to 3,277 facilities handling childbirth that were registered in the Japan Council for Quality Health Care website. Results Of the 1,192 institutions handling childbirth that participated in the survey (response rate: 36.7%), 34.4% responded that they currently provide UCB to private biobanks, while 16.1% of facilities did so in the past. Moreover, some institutions currently provide or formerly provided UCB to medical treatment facilities (2.6%), research institutions (5.9%), companies (2.2%), or overseas treatment facilities, research institutions, or companies (0.3%). A certain number of institutions handling childbirth did not even provide explanations or obtain consent when the UCB was harvested from private bank users. Conclusions This is the first study to determine the status of UCB provision to private banks by Japanese institutions handling childbirth. Future studies will need to examine in detail how institutions handling childbirth provide explanations to private bank users and UCB providers as well as how these institutions obtain consent.
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spelling doaj.art-693e6e40ec884038bb9cbd750b5430362022-12-22T02:04:14ZengBMCBMC Medical Ethics1472-69392022-09-012311710.1186/s12910-022-00830-8Current status of umbilical cord blood storage and provision to private biobanks by institutions handling childbirth in JapanMaho Murata0Kenichiro Kawabe1Taichi Hatta2Shoichi Maeda3Misao Fujita4Course for Health Care Management and Public Health, Graduate School of Health Management, Keio UniversityCourse for Health Care Management and Public Health, Graduate School of Health Management, Keio UniversityGraduate School of Public Health, Shizuoka Graduate University of Public HealthCourse for Health Care Management and Public Health, Graduate School of Health Management, Keio UniversityUehiro Research Division for iPS Cell Ethics, Center for iPS Cell Research and Application, Kyoto UniversityAbstract Background The Act Regarding the Promotion of the Appropriate Supply of Hematopoietic Stem Cells for Transplant regulates only how public banks store and provide umbilical cord blood (UCB) for research or transplantation. Japan had no laws to regulate how the private banks manage the procedures, harvesting, preparation, and storage of such blood. As a result, the status of UCB distribution remains unknown. We conducted a survey to investigate the current status of UCB storage and provision to private biobanks by Japanese institutions that handle childbirth. Methods Questionnaire forms were mailed to 3,277 facilities handling childbirth that were registered in the Japan Council for Quality Health Care website. Results Of the 1,192 institutions handling childbirth that participated in the survey (response rate: 36.7%), 34.4% responded that they currently provide UCB to private biobanks, while 16.1% of facilities did so in the past. Moreover, some institutions currently provide or formerly provided UCB to medical treatment facilities (2.6%), research institutions (5.9%), companies (2.2%), or overseas treatment facilities, research institutions, or companies (0.3%). A certain number of institutions handling childbirth did not even provide explanations or obtain consent when the UCB was harvested from private bank users. Conclusions This is the first study to determine the status of UCB provision to private banks by Japanese institutions handling childbirth. Future studies will need to examine in detail how institutions handling childbirth provide explanations to private bank users and UCB providers as well as how these institutions obtain consent.https://doi.org/10.1186/s12910-022-00830-8Umbilical cord bloodPrivate biobankPublic biobankQuestionnaireJapan
spellingShingle Maho Murata
Kenichiro Kawabe
Taichi Hatta
Shoichi Maeda
Misao Fujita
Current status of umbilical cord blood storage and provision to private biobanks by institutions handling childbirth in Japan
BMC Medical Ethics
Umbilical cord blood
Private biobank
Public biobank
Questionnaire
Japan
title Current status of umbilical cord blood storage and provision to private biobanks by institutions handling childbirth in Japan
title_full Current status of umbilical cord blood storage and provision to private biobanks by institutions handling childbirth in Japan
title_fullStr Current status of umbilical cord blood storage and provision to private biobanks by institutions handling childbirth in Japan
title_full_unstemmed Current status of umbilical cord blood storage and provision to private biobanks by institutions handling childbirth in Japan
title_short Current status of umbilical cord blood storage and provision to private biobanks by institutions handling childbirth in Japan
title_sort current status of umbilical cord blood storage and provision to private biobanks by institutions handling childbirth in japan
topic Umbilical cord blood
Private biobank
Public biobank
Questionnaire
Japan
url https://doi.org/10.1186/s12910-022-00830-8
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