Evidence map›Paper›PMID 32459044›Full record

ArticleHaemophilia : the official journal of the World Federation of Hemophilia2020

Clinical management of woman with bleeding disorders: A survey among European haemophilia treatment centres.

Karin P M van Galen, Michelle Lavin, Naja Skouw-Rasmussen, Eva Ivanova, Eveline Mauser-Bunschoten, Marieke Punt, Gerychová Romana, Petra Elfvinge, Roseline D'Oiron, Rezan Abdul-Kadir

Open access · hybridAbstract read
In one paragraph

Article in Haemophilia : the official journal of the World Federation of Hemophilia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Hemophilia's Overlooked Female Face.Journal of clinical medicine · 2026
    Review
  6. Article
  7. Article
  8. European Principles of Nursing Care for Persons With Inherited Bleeding Disorders.Haemophilia : the official journal of the World Federation of Hemophilia · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Clinical management of woman with bleeding disorders: A survey among European haemophilia treatment centres.Haemophilia : the official journal of the World Federation of Hemophilia · 2020
    Article
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

10 authors at 7 institutions in 6 countries.

Karin P M van GalenVan Creveldkliniek, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0003-3251-8595
Michelle LavinIrish Centre for Vascular Biology, School of Pharmacy and Biomedical Sciences, Royal College of Surgeons in Ireland, Dublin, Ireland.ORCID https://orcid.org/0000-0003-2999-4216
Naja Skouw-RasmussenEuropean Haemophilia Consortium, Brussels, Belgium.
Eva IvanovaDepartment of Haematology, University Hospital, Hradec Králové, Czech Republic.
Eveline Mauser-BunschotenVan Creveldkliniek, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Marieke PuntVan Creveldkliniek, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0002-1891-5255
Gerychová RomanaDepartment of Gynaecology, University Hospital Brno, Brno, Czech Republic.
Petra ElfvingeDepartment of Haematology, Karolinska University, Stockholm, Sweden.
Roseline D'OironInserm U 1176, APHP Paris Saclay, Hôpital Bicêtre, Le Kremlin Bicêtre, France.ORCID https://orcid.org/0000-0002-4843-7805
Rezan Abdul-KadirDepartment of Obstetrics and Gynaecology, Royal Free Foundation Hospital and Institute for Women's Health, University College London, London, UK.ORCID https://orcid.org/0000-0002-2684-1006
Utrecht University · NLInserm · FRKarolinska University Hospital · SERoyal College of Surgeons in Ireland · IEThe Royal Free Hospital · GBUniversity Hospital Brno · CZUniversity Hospital Hradec Králové · CZ

Funding

European Association for Haemophilia and Allied Disorders
6 · The paper itself

Abstract

introductionThe impact of bleeding for women with bleeding disorders (WBD) is of increasing focus and importance. Despite this, optimal management strategies are unclear and knowledge gaps persist.

aimTo examine practices and define research priorities on diagnosis and management of WBD in Europe.

methodsAn electronic survey on clinical management of WBD was sent to 136 European haemophilia treatment centres (HTCs), including open questions on knowledge gaps and research priorities.

resultsFifty-nine HTCs from 12 Western (WE) and 13 Central/Eastern European (CEE) countries completed the survey. Less than half runs a joint clinic (24 HTCs, 42%). Most centres without a joint clinic have a named obstetrician (81%) and/or gynaecologist (75%) available for collaboration. Overall 18/54 (33%) European HTCs do not offer preimplantation genetic diagnosis. Third trimester amniocentesis to guide obstetric management is available 28/54 HTCs (52%), less frequent in CEE compared to WE countries (5/17 vs 23/37, P = .03). 53% of HTCs (28/53) reported that only 0%-25% of WBD seek medical advice for heavy menstrual bleeding (HMB). An algorithm managing acute HMB in WBD is lacking in 22/53 (42%) HTCs. The main reported knowledge and research gaps are lack of awareness & education on WBD among patients and caregivers, optimal diagnostic strategies and effective multidisciplinary management of pregnancy & HMB.

conclusionJoint clinics, prenatal diagnostics and algorithms for managing acute HMB are lacking in many European HTCs. HMB may be an underestimated issue. This survey highlights the need to prioritize improvement of knowledge and patient care for WBD across Europe.

Indexed as

Blood Coagulation DisordersHemophilia AMenorrhagiavon Willebrand DiseasesAlgorithmsAmniocentesisCounselingEuropeFemaleHealth Knowledge, Attitudes, PracticeHumansPostpartum HemorrhagePregnancyPregnancy Complications, HematologicPregnancy Trimester, ThirdPreimplantation Diagnosisbleeding disorderhaemophiliaheavy menstrual bleedingpostpartum haemorrhage and reproductionsurveyvon Willebrand disease

Identifiers

PMID32459044
PMCPMC7497252
OpenAlexW3030597678

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.