Evidence map›Paper›PMID 31016855›Full record

ArticleHaemophilia : the official journal of the World Federation of Hemophilia2019

Health-related quality of life and health status in persons with haemophilia A with inhibitors: A prospective, multicentre, non-interventional study (NIS).

Johnny Mahlangu, Johannes Oldenburg, Michael U Callaghan, Midori Shima, Maria Elisa Mancuso, Peter Trask, Michael Recht, Claudia Garcia, Renchi Yang, Michaela Lehle and 5 more

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in Haemophilia : the official journal of the World Federation of Hemophilia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02476942 (A Multicenter, Non-Interventional Study Evaluating Bleeding Incidence, Health-Related Quality of Life, and Safety in Patients With Hemophilia A Under Standard-of-Care Treatment), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02476942 completednot on this map

A Multicenter, Non-Interventional Study Evaluating Bleeding Incidence, Health-Related Quality of Life, and Safety in Patients With Hemophilia A Under Standard-of-Care Treatment

TypeobservationalSponsorHoffmann-La RocheRan2015 to 2017Enrolled221ConditionsHemophilia AArmsBypassing Agents, FVIII Replacement
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. The Evolution of Hemophilia Therapeutics: An Illustrated Review.Research and practice in thrombosis and haemostasis · 2024
    Article
  7. Article
  8. Treatment Adherence and Health-Related Quality of Life in Patients with Hemophilia in Hong Kong.International journal of environmental research and public health · 2022
    Article
  9. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 10 institutions in 8 countries.

Johnny MahlanguHaemophilia Comprehensive Care Centre, Faculty of Health Sciences, University of the Witwatersrand and NHLS, Johannesburg, South Africa.ORCID https://orcid.org/0000-0001-5781-7669
Johannes OldenburgDepartment of Experimental Haematology and Transfusion Medicine, University Clinic Bonn, Bonn, Germany.ORCID https://orcid.org/0000-0002-1585-4100
Michael U CallaghanChildren's Hospital of Michigan, Detroit, Michigan.ORCID https://orcid.org/0000-0001-8742-0275
Midori ShimaDepartment of Pediatrics, Nara Medical University, Kashihara, Nara, Japan.
Maria Elisa MancusoFondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Peter TraskGenentech, Inc., South San Francisco, California.
Michael RechtOregon Health & Science University, Portland, Oregon.
Claudia GarciaHaematology Department, Hospital Mexico, San Jose, Costa Rica.
Renchi YangInstitute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences, Tianjin, China.ORCID https://orcid.org/0000-0003-3741-8518
Michaela LehleF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Harrison MachariaF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Elina AsikaniusF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Gallia G LevyGenentech, Inc., South San Francisco, California.
Rebecca Kruse-JarresBloodworks Northwest, Seattle, Washington.ORCID https://orcid.org/0000-0001-6547-5240
Sylvia von MackensenUniversity Medical Centre Hamburg-Eppendorf, Hamburg, Germany.ORCID https://orcid.org/0000-0002-5926-0478
Roche (Switzerland) · CHBloodworks Northwest · USChildren's Hospital of Michigan · USChinese Academy of Medical Sciences & Peking Union Medical College · CNFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITHospital Nacional de Niños · CRNara Medical University · JPOregon Health & Science University · USUniversität Hamburg · DEUniversity of the Witwatersrand · ZA

Funding

F. Hoffman-La Roche, Ltd
6 · The paper itself

Abstract

introductionReal-world data (RWD) on health-related outcomes in persons with haemophilia A (PwHA) provide insights into patient needs and can guide clinical study design. A global, prospective, non-interventional study (NIS; NCT02476942) collected detailed RWD on bleeding outcomes, health-related quality of life (HRQoL) and health status in PwHA treated per local routine clinical practice.

aimTo report HRQoL and health status in the adult/adolescent PwHA with inhibitors cohort in the NIS.

methodsThis cohort enrolled PwHA aged ≥12 years with high-titre factor VIII inhibitor history. Participants remained on their usual treatment (no protocol-specified interventions). Health-related outcomes: Haemophilia Quality of Life Questionnaire for Adults (Haem-A-QoL), Haemophilia-specific Quality of Life Questionnaire for Children Short Form (Haemo-QoL SF), EuroQol 5-Dimensions 5-Levels (EQ-5D-5L) index utility score (IUS) and visual analogue scale (EQ-VAS).

resultsOne hundred three participants were enrolled on episodic (n = 75) or prophylactic treatment (n = 28); median (range) age, 31 (12-75) years; median (range) observation time, 26 (4-70) weeks. Haem-A-QoL scores indicated impairments in HRQoL aspects; comparable between episodic/prophylactic regimens and relatively consistent over time. Haemo-QoL SF scores with both regimens varied over time, and appeared poorer with episodic than prophylactic treatment. IUS and EQ-VAS were comparable between regimens, stable over time and lower on bleeding days. Mean proportions of missed work and school days were 16% and 23%, respectively; mean (standard deviation) number of days hospitalized was 3.2 (8.8) (comparable between groups).

conclusionsThese RWD demonstrate that PwHA with inhibitors have impaired HRQoL, despite standard treatment, and that more effective treatment options are needed.

Indexed as

Health StatusQuality of LifeAbsenteeismAdolescentAdultAgedChildFemaleHemophilia AHemorrhageHospitalizationHumansMaleMiddle AgedProspective StudiesSchoolsalloantibodieshaemophiliahealth-related quality of lifeinhibitorsnon-interventional

Identifiers

PMID31016855
PMCPMC6850115
OpenAlexW2941723412

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.