[Table], Excluded Studies table - Donor Breast Milk Banks

	Details	Additional comments	Status
Review question	What processes and procedures should be undertaken to ensure the safety of donor breast milk?	Indications for donor milk are excluded. Only included paper if explicit reference to donor milk. Excluded therefore for example, studies describing different chemical composition of sample unless directly linked to donor milk services/processes. Included any studies on the handling/ storage/ pasteurization of human milk, and only those studies related to the process of fortification.
Objectives	To identify all relevant literature on the running of donor breast milk services.
Language	English only
Study design	No restriction. Published papers only.	Excluded only articles/publications assessed as ‘news’ or ‘magazine’ items.
Population	Babies receiving donor milk; donor milk services; donor women.	Excluded studies on maternal milk only.
Outcomes	N/R
Other criteria for inclusion/exclusion of studies	None applied.		Some studies excluded as ‘not relevant to the UK’. Where a service was described more than once, only the most recent description was included.
Search strategies	See saved searches.		Re-ran in Feb 2009. Medline updated in Jan 2009, so searches re-ran earlier than planned – only 2 additional references, neither of which were relevant at ti,ab scan.
Review strategies	Narrative summary.	Quality assessment tools may not be available for all study designs, so some adaptation may be needed.

Details

Additional comments

Status

Review question

What processes and procedures should be undertaken to ensure the safety of donor breast milk?

Indications for donor milk are excluded. Only included paper if explicit reference to donor milk. Excluded therefore for example, studies describing different chemical composition of sample unless directly linked to donor milk services/processes.
Included any studies on the handling/ storage/ pasteurization of human milk, and only those studies related to the process of fortification.

Objectives

To identify all relevant literature on the running of donor breast milk services.

Language

English only

Study design

No restriction. Published papers only.

Excluded only articles/publications assessed as ‘news’ or ‘magazine’ items.

Population

Babies receiving donor milk; donor milk services; donor women.

Excluded studies on maternal milk only.

Outcomes

N/R

Other criteria for inclusion/exclusion of studies

None applied.

Some studies excluded as ‘not relevant to the UK’.
Where a service was described more than once, only the most recent description was included.

Search strategies

See saved searches.

Re-ran in Feb 2009. Medline updated in Jan 2009, so searches re-ran earlier than planned – only 2 additional references, neither of which were relevant at ti,ab scan.

Review strategies

Narrative summary.

Quality assessment tools may not be available for all study designs, so some adaptation may be needed.

From: Appendix 2, Key guideline questions

Donor Breast Milk Banks: The Operation of Donor Milk Bank Services.

NICE Clinical Guidelines, No. 93.

London: National Institute for Health and Clinical Excellence (NICE); 2010 Feb.

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