Table 1.

Benefits and limitations of umbilical cord blood (UCB) as a hematopoietic stem cell (HSC) source compared with unrelated volunteer donors (URD).

Benefit of UCBComparison with URD
  • Rapid availability

  • Ability to reschedule easily

  • Reduced requirement of HLA match

  • Less severe GVHD

 
  • Advantage over URD

  • Potential advantage over URD

  • Advantage over URD

  • Advantage over URD

 
Limitation of UCB Comparison with URD 
  • Limited cell dose

  • Limited inventory to enable at least 4/6 matches of adequate dose for patients of all races and ethnicities

  • Potential for variable unit quality at thaw

  • Inability to obtain additional collections from donor

 
  • Disadvantage over URD

  • URD also has limited availability to minorities

  • Disadvantage over URD

  • Disadvantage over URD for cellular therapy

 
Benefit of UCBComparison with URD
  • Rapid availability

  • Ability to reschedule easily

  • Reduced requirement of HLA match

  • Less severe GVHD

 
  • Advantage over URD

  • Potential advantage over URD

  • Advantage over URD

  • Advantage over URD

 
Limitation of UCB Comparison with URD 
  • Limited cell dose

  • Limited inventory to enable at least 4/6 matches of adequate dose for patients of all races and ethnicities

  • Potential for variable unit quality at thaw

  • Inability to obtain additional collections from donor

 
  • Disadvantage over URD

  • URD also has limited availability to minorities

  • Disadvantage over URD

  • Disadvantage over URD for cellular therapy

 
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