HAR §17-1737-93
HAR §17-1737-93. Allogenic bone marrow transplant
Cite as Haw. Code R. § 17-1737-93
UNOFFICIAL
1737-107
(a) Indications for allogenic bone marrow
transplant include:
(1) Severe aplastic anemia unresponsive to usual
therapy;
(2) Acute myelogenous leukemia in first
remission;
(3) Acute lymphocytic leukemia in second
remission; and
(4) Chronic leukemia after first year.
(b) Conditions and limitations affecting
allogenic bone marrow transplant include:
(1) Human leukocyte group A (HLA) histocompatible
donor shall be available;
(2) Patient has no other major systemic disease
which would result in poor potential for
recovery (such as a heart condition, liver
disease, kidney damage, brain lesions, cancer
in other organs or lung disease);
(3) Patient shall have been properly evaluated by
a qualified authority in Hawaii and bone
marrow transplant is recommended as a
possible curative procedure or if palliative,
with reasonable likelihood for prolongation
of life and return to an active life;
(4) No active infection at the time of the
procedure;
(5) No general medical contraindication for the
procedure and anesthesia;
(6) Informed consent shall be obtained from the
patient or the patient's representative; and
(7) Age restricted to fifty or under except when
identical twin is histocompatible and then
age limit may be fifty-five.
[Eff 08/01/94 ] (Auth: HRS §346-14; 42
C.F.R. §431.10) (Imp: 42 C.F.R. §440.230;
42 U.S.C. §1396b(i))