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European retrospect...
European retrospective study of real-life haemophilia treatment
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- Berntorp, E. (author)
- Lund University,Lunds universitet,Klinisk koagulationsmedicin, Malmö,Forskargrupper vid Lunds universitet,Clinical Coagulation, Malmö,Lund University Research Groups
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- Dolan, G. (author)
- Guy's and St Thomas' NHS Foundation Trust
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- Hay, C. (author)
- Manchester Royal Infirmary
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- Linari, S. (author)
- Careggi University Hospital
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- Santagostino, E. (author)
- Maggiore Hospital Policlinico
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Tosetto, A. (author)
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- Castaman, G. (author)
- Careggi University Hospital
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- Álvarez-Román, Mt (author)
- University Hospital La Paz
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- Parra Lopez, R. (author)
- Vall d'Hebron University Hospital
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- Oldenburg, J. (author)
- University Hospital Bonn
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- Albert, T. (author)
- University Hospital Bonn
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- Scholz, U. (author)
- Center of Haemostasis Leipzig
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- Holmström, M. (author)
- Karolinska Institutet,Karolinska Institute
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- Schved, J. F. (author)
- Hôpital Saint Eloi
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- Trossaërt, M. (author)
- Nantes University Hospital
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- Hermans, C. (author)
- Saint-Luc University Hospital
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- Boban, A. (author)
- Saint-Luc University Hospital
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- Ludlam, C. (author)
- University of Edinburgh
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- Lethagen, S. (author)
- University of Copenhagen,Swedish Orphan Biovitrum
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(creator_code:org_t)
- 2016-10-20
- 2017
- English.
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In: Haemophilia. - : Wiley. - 1351-8216. ; 23:1, s. 105-114
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Abstract
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- Introduction: Haemophilia treatment varies significantly between individuals, countries and regions and details of bleed rates, factor consumption and injection frequency are often not available. Aim: To provide an overview of the FVIII/FIX treatment practice and outcome for patients with haemophilia A (HA) or haemophilia B (HB) across Europe. Methods: Non-interventional, 12-month retrospective study where anonymized data were retrieved from haemophilia centres/registers in Belgium, France, Germany, Italy, Spain, Sweden and the United Kingdom. Male patients (all ages) receiving coagulation factor treatment 24 months prior to the study, with basal FVIII/FIX levels ≤5 IU dL-1, without inhibitors, were included. Data were summarized descriptively. Results: In total, 1346 patients with HA and 312 with HB were included in the analysis; 75% and 57% had severe disease (FVIII/FIX < 1 IU dL-1) respectively. Prophylaxis was most common for severe haemophilia, especially for children, whereas on-demand treatment was more common for moderate haemophilia in most countries. The mean (SD) prescribed prophylactic treatment ranged from 67.9 (30.4) to 108.4 (78.1) (HA) and 32.3 (10.2) to 97.7 (32.1) (HB) IU kg-1 per week, across countries. Most patients on prophylaxis were treated ≥3 times/week (HA) or two times/week (HB). The median annual bleeding rate (ABR) for patients on prophylaxis ranged from 1.0 to 4.0 for severe HA, and from 1.0 to 6.0 for severe HB, while those with moderate haemophilia generally had slightly higher ABRs. Median ABRs for on-demand-treated severe HA ranged from 4.5 to 18.0, and for HB, 1.5 to 14.0. Conclusion: Treatment practice varied greatly between centres and countries and patients treated on-demand and prophylactically both experienced bleeds, emphasizing the need for further optimization of care.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Hematologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Hematology (hsv//eng)
Keyword
- Factor IX
- Factor VIII
- Haemophilia A
- Haemophilia B
- Retrospective study
- Treatment
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Berntorp, E.
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Dolan, G.
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Hay, C.
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Linari, S.
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Santagostino, E.
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Tosetto, A.
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Castaman, G.
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Álvarez-Román, M ...
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Parra Lopez, R.
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Oldenburg, J.
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Albert, T.
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Scholz, U.
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Holmström, M.
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Schved, J. F.
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Trossaërt, M.
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Hermans, C.
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Boban, A.
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Ludlam, C.
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Lethagen, S.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Hematology
- Articles in the publication
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Haemophilia
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Haemophilia : th ...
- By the university
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Lund University
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Karolinska Institutet