Hematopoietic Stem Cell Transplant (HSCT)
| Consent Forms |
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| Information and consent form for autologous hematopoietic stem cell transplantation treatment (document in French) |  |
| Information and consent form for the collection of patient data in the EBMT registry (document in French)
Version of 01.07.2021 |
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| Consent for MATHEC Databse
Version of 03.01.2022 |
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| Blood sampling authorization
Version of 06.02.2019 |
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| Genetic consent
Version of 06.02.2019 |
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| Skin biopsy consent
Version of 26.06.2019 |
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| Photo authorization
Version of 06.02.2019 |
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| Transplant procedures |
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| General planning
Version of 06.02.2019 |
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| Cytapheresis | appointment request
Version of 24.11.2022 |
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| Cytapheresis | pre-cytapheresis assessment
Version of 24.11.2022 |
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| Cytapheresis | nurse evaluation
Version of 24.11.2022 |
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| Cytapheresis | mobilisation process
Version of 20.06.2023 |
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| Standard conditioning protocol | Endoxan 200mg/kg + Thymoglobuline 6.0 mg/kg
Version of 20.06.2023 |
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| Alternative conditioning protocol| Endoxan 60mg/kg + Fludarabine 120mg/m² + Thymoglobuline 6.0mg/kg + Rituximab 1000mg
Version of 20.06.2023 |
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