Evidence map›Paper›PMID 33217158›Full record

Observational studyJournal of thrombosis and haemostasis : JTH2021

Mortality, life expectancy, and causes of death of persons with hemophilia in the Netherlands 2001-2018.

Shermarke Hassan, Rory C Monahan, Evelien P Mauser-Bunschoten, Lize F D van Vulpen, Jeroen Eikenboom, Erik A M Beckers, Louise Hooimeijer, Paula F Ypma, Laurens Nieuwenhuizen, Michiel Coppens and 9 more

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

Observational study in Journal of thrombosis and haemostasis : JTH, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07187661 (Efficacy of Intra-Articular Bevacizumab in Preventing Recurrent Hemarthrosis in Hemophilia Patients With Chronic Synovitis), which is not on this map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing 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.

NCT07187661 nacompletednot on this mapstarted 2025, after this paper: background citation

Efficacy of Intra-Articular Bevacizumab in Preventing Recurrent Hemarthrosis in Hemophilia Patients With Chronic Synovitis: A Pre- and Post-Design Study

TypeinterventionalSponsorKhyber Medical University PeshawarRan2025 to 2026Enrolled18ConditionsHemophilia, Chronic SynovitisArmsIntra-articular Bevacizumab
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 91 citations in OpenAlex.

  1. Life expectancy of people with hemophilia in France in 2022.European journal of epidemiology · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. Race, Ethnicity, and Hemophilia: A Scoping Review.Journal of racial and ethnic health disparities · 2026
    Review
  6. Review
  7. Article
  8. The aging hemophilia patient.Hematology. American Society of Hematology. Education Program · 2025
    Review
  9. Article
  10. Spinal Stenosis: An Emerging Complication of Ageing in People With Haemophilia.Haemophilia : the official journal of the World Federation of Hemophilia · 2025
    Article
  11. Article
  12. Burden of Haemophilia A in South Korea: A Serial Cross-Sectional Study From 2008 to 2021.Haemophilia : the official journal of the World Federation of Hemophilia · 2025
    Article
  13. Article
  14. Article
  15. Review
  16. Global patterns of hemophilia drug trials, hemophilia care, and health care measures.Research and practice in thrombosis and haemostasis · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. 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

19 authors at 9 institutions in 1 country.

Shermarke HassanDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.
Rory C MonahanDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.
Evelien P Mauser-BunschotenVan Creveldkliniek, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Lize F D van VulpenVan Creveldkliniek, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.ORCID 0000-0003-3242-5524
Jeroen EikenboomDepartment of Internal Medicine, Division of Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-3268-5759
Erik A M BeckersDepartment of Hematology, Maastricht University Medical Centre, Maastricht, the Netherlands.
Louise HooimeijerDepartment of Paediatrics, University Medical Center Groningen, Groningen, the Netherlands.
Paula F YpmaDepartment of Hematology, HagaZiekenhuis, The Hague, the Netherlands.
Laurens NieuwenhuizenDepartment of Internal Medicine, Maxima Medical Centre, Eindhoven, the Netherlands.
Michiel CoppensDepartment of Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, the Netherlands.
Saskia E M ScholsDepartment of Hematology, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0003-2423-2829
Frank W G LeebeekDepartment of Hematology, Erasmus University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0001-5677-1371
Cees SmitDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.
Mariëtte H DriessensNetherlands Hemophilia Patient Society (NVHP), Nijkerk, the Netherlands.
Saskia le CessieDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.
Erna C van BalenDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-3678-6581
Frits R RosendaalDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0003-2558-7496
Johanna G van der BomDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0001-9095-2475
Samantha C GouwDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-1957-4122
Leiden University Medical Center · NLRadboud University Nijmegen · NLUtrecht University · NLAmsterdam University Medical Centers · NLDutch Cancer Society · NLErasmus MC · NLHaga Hospital · NLMaastricht University Medical Centre · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment of patients with hemophilia has advanced over the past decades, but it is unknown whether this has resulted in a normal life expectancy in the Netherlands.

objectiveThis observational cohort study aimed to assess all-cause and cause-specific mortality in patients with hemophilia in the Netherlands between 2001 and 2018 and to compare mortality and life expectancy with previous survival assessments from 1973 onward. PATIENTS/

methodsAll 1066 patients with hemophilia who participated in a nationwide survey in 2001 were followed until July 2018.

resultsInformation on 1031 individuals (97%) was available, of whom 142 (14%) deceased during follow-up. Compared with the general Dutch male population, mortality of patients with hemophilia was still increased (standardized mortality ratio: 1.4, 95% confidence interval: 1.2-1.7). Intracranial bleeding and malignancies were the most common causes of death. Estimated median life expectancy of patients with hemophilia was 77 years, 6 years lower than the median life expectancy of the general Dutch male population (83 years). Over the past 45 years, death rates of patients with hemophilia have consistently decreased, approaching the survival experience of the general population. Over the past decades, mortality due to human immunodeficiency virus and hepatitis C virus infections has decreased, death due to intracranial hemorrhages has increased, and death due to ischemic heart disease has remained consistently low over time.

conclusionsSurvival in patients with hemophilia in the Netherlands has improved over time but is still lower than that of the general population.

Indexed as

Hemophilia AHIV InfectionsCause of DeathHumansLife ExpectancyMaleMortalityNetherlandshemophiliahepatitis CHIVlife expectancymortality

Identifiers

PMID33217158
PMCPMC7986360
OpenAlexW3104935789

What OpenQuestion holds

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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.