Western Maharashtra Research Articles

Histomorphologic analysis of ovarian tumors according to the New 2020 WHO classification of female genital tumors.

In terms of female genital tract-related cancers, ovarian tumors account for 3% of all tumors. On the basis of gross, radiological, and clinical features alone, ovarian neoplasms cannot be diagnosed. Therefore, a clear histological diagnosis is necessary before beginning a permanent course of therapy. Cross-sectional analytical study. In this ambispective study, a total of 480 patients with ovarian tumors were included from January 2015 to July 2022 at a tertiary care center in western Maharashtra. Descriptive statistics-percentages, mean, and Chi-square test (to calculate P value) were used to analyze the collected data. To determine clinical presentation, age distribution and incidence of various morphological and histological variants of ovarian tumors. Out of 480, 250 cases (52%) in 41-50 years of age, followed by 154 cases (32%) in 21-30 years of age. Our study showed 301 cases of benign, 42 cases of borderline, and 137 cases of malignant neoplasms of ovary out of 480 cases studied. Out of 480 cases, 244 cases (50.83%) were cystic, 138 cases (28.75%) were solid, and 98 cases (20.42%) were mixed (cystic/solid). Out of 480 cases, 326 cases (67.91%) were surface epithelial ovarian neoplasms. In this research, most frequent ovarian neoplasms were serous tumors in 216 cases (45%) followed by mucinous tumors in 78 cases (16.25%). In 96% cases, clinical diagnosis matched with histopathological diagnosis. In our research, benign ovarian neoplasms were most frequent. Serous tumors were the most frequent type of surface epithelial neoplasms followed by mucinous tumors. Peak incidence was seen in fifth decade. Higher risk of malignancy was seen in nulliparity or low parity and early menarche not associated with risk of malignancy. Cystic morphology more common in benign neoplasms and complex or solid morphology showed greatest increase in incidence of malignancy. Latest WHO classification has important impact on prognosis and therapy of the patient.

An observational study on the presence of perilimbal conjunctival pigmentation in vernal keratoconjunctivitis.

To evaluate presence of perilimbal pigmentation (PLP) in Indian patients with vernal keratoconjunctivitis (VKC). Methods: A cross sectional study was conducted from 2019 to 2020 at a tertiary eye care center in Western Maharashtra, India. In this study, 152 cases of VKC were identified. The presence, type, color, and extent of PLP were recorded. The incidence of presence of PLP was calculated. Its correlations with severity and duration of VKC were analyzed using Wilcoxon-Mann-Whitney U test and Chi square test. Of 152 cases, 79.61% were males. Mean age at presentation was 11.4 ± 5.6 years. The characteristic PLP was present in 81 cases (53.29%; 95% confidence interval [CI]: 45.03%-61.42%; P < 0.001), of which 15 cases (18.5%) had this pigmentation in all the four quadrants. There was a significant difference between the groups with respect to quadrants involvement in terms of the extent of PLP in clock hours (χ2 = 73.85, P < 0.001). However, the extent did not correlate with age (rho = 0.08, P = 0.487), sex (P = 0.115), time since onset in months (rho = 0.03, P = 0.77), duration of VKC and type or color of PLP (P = 0.12). Perilimbal pigmentation seems to be a consistent clinical finding seen in a significant number of VKC cases. It may benefit ophthalmologists in treating VKC cases when the palpebral/limbal signs are elusive.

TRENDS OF RETINOPATHY OF PREMATURITY IN A TERTIARY CARE CENTRE IN URBAN INDIA

Introduction: Retinopathy of prematurity is the leading cause of preventable blindness in premature infants. Our study aims at nding the Incidence and severity of Retinopathy of prematurity (ROP) and its association with various risk factors like low gestational age, low birth weight, oxygen exposure, respiratory distress syndrome, sepsis, blood transfusion and intraventricular hemorrhage. This is a prospective observational study conducted in a tertiary ca Methods: re teaching hospital in Western Maharashtra. Patient data including systemic and ocular ndings were documented. Incidence and severity of ROP was calculated and the association of various risk factors with ROP was calculated using Chi-square test. Among the 266 babies i Results: ncluded in study, the Incidence of ROP was found to be 13.50% and Type I disease was found in 1.31%. The mean birth weight of neonates with ROP was 1230.2 ± 479.5 g and the mean gestational age was 30.27 ± 2.87 weeks. Development of ROP was signicantly associated with low gestational age (GA), low birth weight (BW) and Respiratory Distress Syndrome (RDS). Early screening of preterm babies is crucial Conclusion: for early diagnosis and treatment of ROP to prevent its sight threatening complications

A Case–Control Study of Lung Cancer at a Tertiary Care Hospital of Western Maharashtra, India

A Case–Control Study of Lung Cancer at a Tertiary Care Hospital of Western Maharashtra, India

Seroprevalence of SARS-CoV-2 specific Immunoglobin G antibodies in rural population of Western Maharashtra, India

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, responsible for the coronavirus disease 2019 (COVID-19) pandemic, has been a major public health concern requiring continuous efforts for understanding its epidemiology. Patients infected with SARS-CoV-2 have a wide range of clinical features ranging from asymptomatic infection to mild or severe illness with fatal outcomes or recovery. Population-based seroepidemiological studies are an effective method for measuring the rapid spread of SARS-CoV-2 and monitoring the pandemic's progress. We conducted repeated cross-sectional community-based sentinel surveillance between January and June 2021 in the rural parts of the Pune district of Maharashtra, India to assess the seroprevalence against SARS-CoV-2 in three age categories. We selected 30 clusters for each round using a proportional population sampling method and 30 individuals in each of the three age groups (1-17 years, 18-49 years, and ≥50 years). We took blood samples from consenting study participants to check for the presence of Immunoglobulin G (IgG) antibodies against SARS-CoV-2 in all five rounds. We included 14 274 individuals across five rounds; 29% were from the 1-17, 39% from the 18-49, and 32% from the ≥50-year-old group. Overall seroprevalence combining all rounds was 45%. There was an increase in seropositivity in rounds four (51.15%) and five (58.32%) contributed mostly by adults. We found that about 72% of elderly individuals ≥50 years in round five were seropositive. The factors strongly associated with the seropositivity were being in contact with suspected or confirmed cases of COVID-19 (odds ratio (OR) = 7.15; 95% confidence interval (CI) = 4.2-12.14), receiving at least one dose of COVID-19 vaccine (OR = 3.13 (95% CI = 0.70-14.07), being aged ≥50 years (OR = 1.97; 95% CI = 1.81-2.15), and being in an occupation belonging to a high-risk category (OR = 1.92; 95% CI = 1.65-2.26). Among 135 hospitalizations reported due to COVID-19-like illness, 91 (67%) were in the elderly age group of ≥50 and 33 (24%) were in the 18-49-year-old age group. Seroprevalence of SARS-CoV-2 was high in the last two rounds (April to June 2021) which coincide with the second wave of the pandemic (Delta variant B.1.617.2) in India. Overall, one in three children and one in two adults had antibodies for SARS-CoV-2. The suspected or confirmed case of COVID-19 emerged as the significant factor strongly associated with the seropositivity followed by COVID-19 vaccination.

Genetic dissection, relationship and population structure of drumstick (Moringa oleifera Lam.) using Agro-morphological and SCoT markers

Drumstick (Moringa oleifera Lam.) is an economically important multipurpose perennial vegetable and every part of this plant contain essential properties for nutritional and medicinal values. Specially its leave can be used as an ideal remedy to combat micronutrient-related malnutrition. However, the assessment of genetic diversity is necessitated to isolate rich nutrient dense genotypes for improving culinary, pharmaceutical, and industrial demands. Therefore, In the present study, a total of 52 accessions collected from diversified areas of southern (Tamil Nadu, Kerala, Karnataka, and Andhra Pradesh); western (Maharashtra, Gujarat), and eastern state (Orissa) of India were assessed for morpho-molecular genetic diversity using 10 morphological traits and 36 Start Codon Targeted (SCoT) markers. Out of 36 SCoT primers, 20 primers were polymorphic, and the polymorphic information content (PIC) value ranged from (0.01–0.36) with mean PIC value of 0.21. The neighbor-joining (N-J) tree grouped the 52 accessions into three major distinct clusters (CI-CIII) and the population structure analysis divided these accessions into two pure population groups (probability score ≥ 0.80). Molecular variance using principal component analysis (PCA) showed 30.25% variations in the first three axes (axis 1–13.33%, axis 2–9.33%, and axis 3–7.59%, respectively). Analysis of molecular variance (AMOVA) indicated that 17% variance observed among the population and the remaining 83% variance attributed to variation within individuals. The present investigation elucidates a high genetic diversity among the drumstick accessions, and some distinct accessions could be utilized for crop improvement programmes in trait-specific breeding.

A comparison of the WHO 2004 and WHO 2017 thyroid tumor classifications.

The category of borderline malignancy or unknown malignant potential was added to the WHO's 2017 classification of thyroid tumours. A new histological variety of papillary tumours and Hurthle cell tumours was given as a separate entity. The classification has also adopted the Turin criteria for histological diagnosis of poorly differentiated cancer (PDC). Descriptive study. From July 2018 to June 2022, 200 thyroid neoplasm patients at a tertiary care facility in western Maharashtra were participated in the prospective research over a period of 4 years. The descriptive statistics were used to analyse the collected data. This study was undertaken to compare the old (2004) and new (2016) WHO classifications and their importance in the treatment of thyroid malignancies. Out of 200 cases, the age range of 31 to 40 years had the greatest number of cases. The ratio of females to males was 5:1. In our study, according to the WHO 2004 classification, malignant tumours comprised 57.5% of the cases, while benign tumours 42.5% of the cases. When tumours were subcategorized, the most frequent benign tumour was follicular adenoma (43.5%) and malignant tumour was papillary thyroid carcinoma (37%). Malignant tumours made up 47.5% of the cases when the tumours were reclassified using the revised WHO 2017 classification, followed by borderline tumours with 27.5% of the cases and benign tumours with 25% of the cases. The most frequent borderline tumour was NIFTP (Noninvasive follicular thyroid neoplasm with papillary-like nuclear features) (17.5%), the most prevalent malignant tumour was papillary carcinoma (including its variant) (32%), and the most frequent benign tumour was follicular adenoma (27%). We concluded that the inclusion of the Boderline Category in the new WHO classification significantly improved thyroid cancer management. WHO 2017 classification prevents under diagnosis (in the case of benign tumors) and over diagnosis (in the case of malignant tumors).

A Comparison of Conventional Pap Smear and Liquid-Based Cytology for Cervical Cancer Screening.

Early diagnosis and treatment of preinvasive lesions have made cervical cytology one of the most effective methods of cancer screening in industrialized nations, which have seen a sharp decline in the incidence and death of invasive cancer. The aim of this study is to compare liquid-based cytology (LBC) and conventional Pap on cervical smears. From July 2018 to June 2022, 600 patients were included in this cross-sectional study, which was done at the Pathology Department of a Tertiary Care Facility in Western Maharashtra. Of the 600 patients, 570 (95%) had good conventional Pap smear (CPS), whereas 30 (5%) had poor ones. Five hundred and ninety-two (98.6%) LBC smears were satisfactory, whereas 8 (1.4%) were unsatisfactory. Endocervical cells were seen in 294 (49%) CPS, whereas 360 (60%) LBC smears showed endocervical cells. The morphology of inflammatory cells was similar in both techniques. Hemorrhagic background was seen in 212 (35%) CPS and 76 (12.6%) LBC smears. Only two samples showed diathetic background, which was seen on both CPS and smear. Out of the satisfactory smears in the case of CPS, 512 (85%) cases were reported as negative for intraepithelial lesion or malignancy (NILM), whereas 58 (9.7%) cases were reported as epithelial cell abnormality. In LBC smears, 526 (87.3%) were reported as NILM, whereas 66 (11%) were reported as epithelial cell abnormality. Organisms were detected in 208 (34%) CPS and 162 (27%) LBC smears. Screening time was 5 ± 1 min for CPS, whereas it was 3 ± 1 min for LBC smear. Mortality will be decreased using LBC on a bigger scale in nations where many smears can be made and screened in a short amount of time, with the provision of doing human papillomavirus-based testing on the remaining sample.

A Geographical Study of Literacy Pattern in Western Maharashtra Region (2011)

A Geographical Study of Literacy Pattern in Western Maharashtra Region (2011)

Economic Analysis of Temporal Changes in Land Use Pattern of Western Maharashtra

Land is a finite natural resource, the efficient management of which is vital for economic growth and development of the country. It is required for both agriculture and non-agricultural purposes. An analysis of structural changes in the land use pattern over a period of time provides the scope for planned and judicious management of land. In this connection, the present study on ‘An Economic analysis of temporal changes in land use pattern in Western Maharashtra’ was undertaken. For analysis the secondary sources and the necessary regional level time series data on area under land use categories were compiled from various issues of statistical abstract of Maharashtra and other publications of Government. The entire period of 1960-61 to 2019-20 was decomposed into three periods, viz; pre-liberalization, post-liberalization and overall period. A temporal change in land use pattern was estimated with the per cent change and compound growth rates. The temporal changes in land use dynamics of Western Maharashtra region revealed that, land put to non-agricultural uses, miscellaneous tree crops and groves, current fallow and fallows other than current fallow showed an increased trend while, area under forest, barren and uncultivable land, cultivable waste and net area sown registered a decline during Period-II. It is suggested that, during Period-II, the average proportion of forest land is 14.72 per cent, which is far less than the necessary percentage i.e., 33 per cent. Therefore, necessary steps may be taken by the state government in order to restore and maintain ecological balance. Land put to non-agricultural uses inclined throughout all the periods under study indicating an alarming situation. Majority of this conversion to land put to non-agricultural uses has taken place of agricultural land. Hence, the state government may prepare suitable policies controlling conversion of agricultural land, particularly.

Factors Influencing Entrepreneurial Behaviour of Group and Individual Farmers in Western Part of India

Entrepreneurial actions influence a nation's economic growth and technological prowess. The level of socioeconomic development that civilization has reached is inversely proportional to its presence. Pune and Ahmednagar were the research sites in western Maharashtra. The survey had 240 respondents. This study compared individual and group farmer entrepreneurship behaviour. Most respondents (60.71 per cent) expressed medium levels of leadership skill, management orientation, and risk orientation. Group farmers' entrepreneurial behaviour differed from that of individual farmers. The attributes identified in the study would further boost entrepreneurial interest in individual farmers of the state in future.

A Study of Impact of EdTech Platforms on Learning Patterns in Western Maharashtra

Technology enabled education has been trending worldwide for many years but recent pandemic of COVID 19 has brought paradigm shift in teaching learning processes. EdTech has facilitated learning by breaking walls of geographical and cultural boundaries across all sections of societies in India. The paper aims at understanding perception and responsiveness of people towards EdTech. Study also focuses on identifying opportunities and challenges of EdTeching future. The structured questionnaire was circulated using convenient sampling method to collect primary data from 44 respondents. The questionnaire included aspects of devices used, frequency of use, preference to learn and so on. It was found that the respondents had fair idea about functioning of EdTech and respondents used EdTech as primary and secondary source of knowledge equally. The key challenges faced in using EdTech were found to be technical issues, lack of personal touch and attention and inability to pose questions on the spot. If interface is made user - friendly and lectures are made available on offline platform too then the utility can be multiplied so as to reach to last leg of society.

Identification of Potential Groundwater Recharge Zones Using GIS Based Multi-Criteria and AHP Technique: A Case Study of Pune City, Western Maharashtra

With dwindling supply of surface water, Ground water is increasingly being used as a source of fresh water in many cities across the world. Consequently, there is an increasing need to evaluate groundwater potential of an area. Over the past few decades, Remote Sensing and GIS have been used for systematic investigations on potential recharge of aquifers. As in major cities of the world, the demand for water in Pune City is also increasing every year and demand outstrips the supply of surface water. This study delineated potential zones for artificial recharge across Pune City by using Multi-criteria analysis and the Analytical Hierarchy Process (AHP) techniques. Artificial recharge techniques especially the use of rainwater harvesting (RWH) are being deployed globally to augment supply of fresh water. Ground-water recharge is directly influenced by surface characteristics such as rainfall, geology, soil types, Land Use/Land Cover (LULC), drainage, lineaments/fractures, etc. Hence, six such parameters, namely, LULC, Slope, Soil texture, Rainfall, Drainage density, and Geology were considered to generate a groundwater recharge potential map. Based on the analysis, the study area was zoned into five classes, namely, low, moderate, good, very good and high groundwater potentials. About 45% of the city shows good to high potential for recharge. The results reveal that the high and good potential recharge zones lie to the western part of the city, whereas the central part (inner city) and the eastern part show medium to low potential for recharge. The results can help to identify areas for recharge and formulate a framework for systematic recharge of the existing aquifers in the area under study.

Nutrient Status of Soil and Farm Yard Manure (FYM) under Different Agro-Climatic Regions of Maharashtra

Aim: To gain maximum crop production from a unit area, soil health is one of the major components. It is determined based on the nutritional availability and other parameters like pH, EC, organic carbon, etc. The reports on soil nutrients help farmers in fertilizer application to optimize the yields. The values of these parameters vary from region, soil type, agro-climatic zones, crop, etc. To maintain soil fertility application of organic source of fertilizer such as, FYM plays an important role. It is not only a good source of nutrients but also increases water-holding capacity, soil organic matter, soil physical properties, etc. The study was conducted with an objective to assess nutrient status of soil and FYM from various agro-climatic regions of Maharashtra. &#x0D; Methodology: Maharashtra state is divided into nine different agro-climatic regions. The study was conducted to understand the region-wise variability in the nutritional composition of both soil and FYM in Maharashtra during the year 2020-21. Samples of soils and dried FYM were collected from farmer’s fields from five agro-climatic regions of Maharashtra i.e., Western Maharashtra, Northern Maharashtra, Marathwada, Vidharbha, and Konkan. The samples were analyzed for various parameters at BAL-Chemical laboratory, BAIF Central Research Station, Urulikanchan.&#x0D; Results: The analysis reports of soil samples revealed that soils of the Western Maharashtra region showed maximum values for N, Fe, Mn, Cu, and Zn whereas, soil samples from the Vidharbha region were having high values for P and K content as compared to other regions. The soil samples from the Konkan region showed low nutrients availability than other regions. The soil pH of different agro-climatic regions ranged from 6.3 to 9.0. Similarly, FYM samples of the Western Maharashtra region showed maximum values for N, P, K, Fe, Mn, and Zn content whereas, samples of the Marathwada region were comparatively low in all nutrients and organic carbon content. PCA biplot of macro and micro elements of soil and FYM nutrients revealed geographical/spatial structuring based on nutrient content.

“PALLCARE Seva”—A Beacon Amid the Catastrophic COVID-19 Times: Correspondence

We would like to comment on the publication “‘PALLCARE Seva’—A Beacon Amid the Catastrophic COVID-19 Times: A Cross-Sectional Study from a Rural Oncology Institute in Western Maharashtra[1].” This study reports on an audit of the “PALLCARE Seva” telephone service calls.[1] General practitioners might be consulted in more than one-tenth of cases, according to Patil et al. The main tenets of our service were courtesy and compassion, helpfulness, addressing skepticism about the condition, and giving patients and caregivers a chance to express their ideas. The majority of callers—more than three-fourths—rated their interactions as positive and said they would suggest this service to other patients in need.[1]

The Clinical and Laboratory Profiles of Immunocompetent Patients With Short-Duration Fever With Neutropenia in a Tertiary Care Hospital in Pune, India.

Background Management of a febrile patient is based on understanding the pathophysiology of an abnormal temperature and temperature regulation, impacts of fever, and its treatment. In the current study, we aimed to characterize and compare the epidemiological, etiologic, microbiological, serological, clinical, and outcome traits of febrile patientswith acute neutropenia admitted to a tertiary care center in Western Maharashtra. Methods Adult patientswith a history of fever of less than two weeks' duration and without any immunosuppressive state were screened with predefined inclusion and exclusion criteria. General anddemographic information (age andgender), and clinical examinations (type and duration of fever) were recorded. Biochemical, hematologic(total and differential cell counts), and immunologicmeasurements (rapid malaria, dengue, Leptospira, and viral hepatitis antigen antibodies) were performed. Data were analyzed using an appropriate statistical package. Results A total of 403 (214 males) young adults (aged: 29±11 years) with clinical presentation of fever were studied. The majority (n=361, 89.6%) had low-grade continuous fever with an average duration of 3±1 (mean±standard deviation (SD)) days. Headache and myalgia were the common symptoms present, and patients had an average hospital stay of 4±1 days. Dengue (55%) was the most common cause of febrile neutropenia, and all patients recovered well without antibiotics and granulocyte colony-stimulating factor. The mean C-reactive protein (CRP) level was 61.4±4.4 mg/L. CRP and procalcitonin (PCT) were directly correlated with the degree of neutropenia and inverselycorrelated with total leucocyte count (TLC). Conclusions It was highlighted from this study that antibiotics are not necessary for viral infections that have been diagnosed to stop the development of secondary bacterial infections. A clinician should be aware of "when not to use antibiotics,"or the world will soon have to deal with superbugs.

REARING PERFORMANCE OF ERI SILKWORM (PHILOSAMIA RICINI) FROM WARANA HILLY REGION AREA, KOLHAPUR, MAHARASHTRA

An attempt was made to rear the eri silkworm, Philosamia ricini on the leaves of caster and reared under laboratory condition. It was observed that the caster is a primary potential host of eri silkworm. The growth parameters and cocoon characters of the eri silkworm reared on caster leaves were normal. The eri silkworm successfully lasted its life cycle ranged from 38 to 40 days. The effective rate of rearing, weight of pre-spinning larvae, cocoon, shell and pupae ranged from 70 to 75 per cent, 6 to 7 g, 3.01 to 3.05 g, 0.40 to 0.45g, 2.50 to 2.70g, respectively. Parameters such as length of cocoon shell, width of shell, shell thickness etc. The fecundity ranged from 400 to 425 eggs. Rearing performance of eri silkworm is a need in western Maharashtra for a future development of raw silk production.

Analysis of cropping pattern in ghod irrigation project of pune district in western Maharashtra

Analysis of cropping pattern in ghod irrigation project of pune district in western Maharashtra

Assessment of phenotype, its correlations and prediction of live body weight in goat (Capra hircus) raised under hot semi-arid region of India

The present investigation was carried out on 1,070 local goats named as Udgiri goat in 242 villages from Marathwada and western Maharashtra during 2018 to 2021. The average body weight of adult Udgiri male goat is 42.77±3.94 kg while female weight is 32.98±3.44 kg and was highest than any other recognized indigenous goat breeds of Maharashtra. The average body length was 76.53±3.53 cm, height at withers was 74.65±1.65 cm, chest girth was 74.46±1.72 cm, paunch girth was 73.54±3.88 cm, tail length was 18.50±1.94 cm, horn length was 16.96±1.18 cm and ear length was 22.23±2.27 cm in male. While, in female goat, the average body length was 72.21±2.53 cm, height at withers was 68.7±2.68 cm, chest girth was 71.95±1.74 cm, paunch girth was 74.24±1.83 cm, tail length was 18.52±2.96 cm, horn length was 17.52±1.26 cm and ear length was 21.73±2.91 cm. The highest and positive significant correlation was noticed between live body weight and almost all body measurement parameters in all four age groups. The highest positive significant correlation (0.82) was found between live body weight and body length in the group of adult goat, hence, it may be used as selection criteria for goat and selection based upon these body measurements should improve the meat production. The multiple linear regression model revealed high level of coefficient of determination and low RMSE for prediction of live body weight using linear body measurements parameters.

A retrospective study to assess the impact of ABO incompatibility on outcomes of allogeneic peripheral blood stem cell transplants at a tertiary care hospital in Western Maharashtra.

Hematopoietic stem cell transplantation (HSCT) has emerged as a curative measure for life-threatening hematological disorders. It can be autologous or allogeneic depending on the disease characteristics. Providing transfusion support to the transplant patients can be challenging, especially in AB-mismatched allogeneic HSCT. In this study, we investigated the impact of ABO incompatibility in patients undergoing allogeneic HSCT. A retrospective review was conducted in 76 patients with hematological diseases who underwent allogeneic HSCT. Transfusion requirements, engraftment profile, incidence of graft versus host disease (GvHD), and mortality for a period of 1 year were analyzed. ABO incompatibility between donor and the patient did not significantly affect the neutrophil and platelet (PLT) engraftment time (P = 0.389, 0.349, respectively), packed red blood cells transfusion requirement, and duration of initial hospital stay. However, patients of ABO-incompatible HSCT received more PLT transfusions posttransplant which was statistically significant. 29.1% of ABO compatible and 16.7% incompatible HSCT patients developed GVHD. Mortality rates in the two groups were 16.7% and 8.3%, respectively. However, differences in both the parameters were not statistically significant. Our study showed that ABO incompatibility does not significantly affect the outcome and should not be a limiting factor for selection of donor. Donor availability and human leukocyte antigen (HLA) matching remain the critical selection criteria.