Evidence map›Paper›PMID 31942541›Full record

ReviewHemaSphere2019

Fundamentals for a Systematic Approach to Mild and Moderate Inherited Bleeding Disorders: An EHA Consensus Report.

Francesco Rodeghiero, Ingrid Pabinger, Margaret Ragni, Rezan Abdul-Kadir, Erik Berntorp, Victor Blanchette, Imre Bodó, Alessandro Casini, Paolo Gresele, Riitta Lassila and 10 more

Open access · goldAbstract readReview
In one paragraph

Review in HemaSphere, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
6.2field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 97 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Current Practice Regarding Bleeding Disorders of Unknown Cause in the Netherlands: A National Survey.Haemophilia : the official journal of the World Federation of Hemophilia · 2025
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Evaluating the impact of the self-BAT screening tool on patient outcomes: Results of the let's talk period project.Haemophilia : the official journal of the World Federation of Hemophilia · 2024
    Observational
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

20 authors at 14 institutions in 14 countries.

Francesco RodeghieroHematology Project Foundation, Vicenza, Italy, affiliated to the Hematology Department, San Bortolo Hospital, Vicenza, Italy.
Ingrid PabingerClinical Division of Hematology and Hemostaseology, Department of Medicine I, Medical University of Vienna, Austria.
Margaret RagniDepartment of Medicine - Division Hematology/Oncology, University of Pittsburgh Medical Center Hemophilia Center of Western PA, Pittsburgh, USA.
Rezan Abdul-KadirDepartment of Obstetrics and Gynecology and Katharine Dormandy Hemophilia and Thrombophilia Centre, The Royal Free Foundation Hospital and University College London, London, UK.
Erik BerntorpDepartment of Translational Medicine & Centre for Thrombosis and Hemostasis, Lund University, Malmö, Sweden.
Victor BlanchetteDepartment of Pediatrics, University of Toronto and Division of Hematology/Oncology, Hospital for Sick Children, Toronto, Canada.
Imre Bodó3rd Dept of Internal Medicine, Semmelweis University, Budapest, Hungary.
Alessandro CasiniDivision of Angiology and Hemostasis, Faculty of Medicine, University Hospitals of Geneva, Switzerland.
Paolo GreseleDepartment of Medicine - Section of Internal and Cardiovascular Medicine jUniversity of Perugia, Perugia, Italy.
Riitta LassilaCoagulation Disorders Unit, Department of Haematology, Research Program in Oncology, Helsinki University Hospital;, Helsinki, Finland.
Frank LeebeekDepartment of Haematology, Erasmus University Medical Center, Rotterdam, the Netherlands.
David LillicrapDepartment of Pathology and Molecular Medicine, Queen's University, Kingston, Canada.
Diego MezzanoDepartment of Hematology-Oncology, School of Medicine, Pontificia Universidad Católica de Chile.
Patrizia NorisDepartment of Internal Medicine and Medical Therapy, University of Pavia and Department of Medical Sciences and Infectious Diseases, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Alok SrivastavaDepartment of Haematology, Christian Medical College, Vellore, India.
Alberto TosettoHemophilia and Thrombosis Center, Hematology Department, S. Bortolo Hospital, Vicenza, Italy.
Jerzy WindygaDepartment of Hemostasis Disorders and Internal Medicine, Institute of Hematology and Transfusion Medicine, Warsaw, Poland.
Barbara ZiegerDepartment of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center - University of Freiburg, Faculty of Medicine, Germany.
Mike MakrisSheffield Hemophilia and Thrombosis Centre, Royal Hallamshire Hospital, Sheffield, UK.
Nigel KeyDepartment of Medicine, Division of Heamtology-Oncology, University of North Carolina at Chapel Hill, NC, USA.
Ospedale San Bortolo · ITHemophilia Center of Western Pennsylvania · USMedical University of Vienna · ATUniversity College London · GBUniversity of Toronto · CAHelsinki University Hospital · FIInstytut Hematologii i Transfuzjologi · PLLund University · SEQueen's University · CARoyal Hallamshire Hospital · GBSemmelweis University · HUUniversity Hospital of Geneva · CHUniversity Medical Center Freiburg · DEUniversity of Perugia · IT

Funding

Zimmerman Program on the Biology of VWDP01HL144457 · NHLBI · VERSITI WISCONSIN, INC. · PI MONTGOMERY, ROBERT R · 2019 to 2023
$13.3M
NHLBI NIH HHS P01 HL144457
6 · The paper itself

Abstract

Healthy subjects frequently report minor bleedings that are frequently 'background noise' of normality rather than a true disorder. Nevertheless, unexpected or unusual bleeding may be alarming. Thus, the distinction between normal and pathologic bleeding is critical. Understanding the underlying pathologic mechanism in patients with an excessive bleeding is essential for their counseling and treatment. Most of these patients with significant bleeding will result affected by non-severe inherited bleeding disorders (BD), collectively denominated mild or moderate BD for their relatively benign course. Unfortunately, practical recommendations for the management of these disorders are still lacking due to the current state of fragmented knowledge of pathophysiology and lack of a systematic diagnostic approach. To address this gap, an International Working Group (IWG) was established by the European Hematology Association (EHA) to develop consensus-based guidelines on these disorders. The IWG agreed that grouping these disorders by their clinical phenotype under the single category of mild-to-moderate bleeding disorders (MBD) reflects current clinical practice and will facilitate a systematic diagnostic approach. Based on standardized and harmonized definitions a conceptual unified framework is proposed to distinguish normal subjects from affected patients. The IWG proposes a provisional comprehensive patient-centered initial diagnostic approach that will result in classification of MBD into distinct clinical-pathological entities under the overarching principle of clinical utility for the individual patient. While we will present here a general overview of the global management of patients with MBD, this conceptual framework will be adopted and validated in the evidence-based, disease-specific guidelines under development by the IWG.

Identifiers

PMID31942541
PMCPMC6919472
OpenAlexW2974616558

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.