Evidence map›Paper›PMID 33751742›Full record

SynthesisHaemophilia : the official journal of the World Federation of Hemophilia2021

A systematic review of physical activity in people with haemophilia and its relationship with bleeding phenotype and treatment regimen.

Megan Kennedy, Philip O'Gorman, Ann Monaghan, Michelle Lavin, Brian O'Mahony, Niamh M O'Connell, James S O' Donnell, Peter L Turecek, John Gormley, Irish Personalised Approach to the Treatment of Haemophilia (iPATH) study group

Abstract readSystematic Review
In one paragraph

Synthesis in Haemophilia : the official journal of the World Federation of Hemophilia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Measuring Physical Function Capacity in Persons With Haemophilia: A Systematic Review of Performance-Based Methods.Haemophilia : the official journal of the World Federation of Hemophilia · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Spinal Stenosis: An Emerging Complication of Ageing in People With Haemophilia.Haemophilia : the official journal of the World Federation of Hemophilia · 2025
    Article
  9. Article
  10. Subjective Physical Performance and Its Determinants in Patients With Haemophilia.Haemophilia : the official journal of the World Federation of Hemophilia · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Sexual activity and the adolescent with haemophilia.Acta bio-medica : Atenei Parmensis · 2023
    Review
  15. Promoting physical activity for people with haemophilia in the age of new treatments.Haemophilia : the official journal of the World Federation of Hemophilia · 2022
    Review
  16. Article
  17. Article
  18. Article
  19. 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.

Megan KennedyDiscipline of Physiotherapy, Trinity Centre for Health Sciences, Trinity College Dublin, St. James's Hospital, Dublin 8, Ireland.ORCID https://orcid.org/0000-0002-9060-8022
Philip O'GormanDiscipline of Physiotherapy, Trinity Centre for Health Sciences, Trinity College Dublin, St. James's Hospital, Dublin 8, Ireland.ORCID https://orcid.org/0000-0002-8948-1829
Ann MonaghanDiscipline of Physiotherapy, Trinity Centre for Health Sciences, Trinity College Dublin, St. James's Hospital, Dublin 8, Ireland.
Michelle LavinNational Coagulation Centre, St. James's Hospital, Dublin 8, Ireland.ORCID https://orcid.org/0000-0003-2999-4216
Brian O'MahonyIrish Haemophilia Society, Dublin 8, Ireland.ORCID https://orcid.org/0000-0001-9780-6972
Niamh M O'ConnellNational Coagulation Centre, St. James's Hospital, Dublin 8, Ireland.
James S O' DonnellNational Coagulation Centre, St. James's Hospital, Dublin 8, Ireland.
Peter L TurecekBaxalta Innovations GmbH, A Member of the Takeda Group of Companies, Vienna, Austria.
John GormleyDiscipline of Physiotherapy, Trinity Centre for Health Sciences, Trinity College Dublin, St. James's Hospital, Dublin 8, Ireland.
Irish Personalised Approach to the Treatment of Haemophilia (iPATH) study group

Funding

Science Foundation Ireland 16/SPP/3303Shire US Inc., a Takeda company
6 · The paper itself

Abstract

introductionAlthough the measurement of physical activity (PA) amongst people with haemophilia (PWH) has become increasingly widespread in recent years, the relationship between PA and bleeding phenotype remains poorly understood. In addition, the influence of various treatment regimens on this relationship has not been defined.

aimThis review aimed to systematically assess the data that are available regarding PA levels amongst PWH, as well as the relationship between PA and bleeding.

methodsA systematic search of the online databases EMBASE, Cochrane, MEDLINE Ovid, CINAHL and Web of Science was conducted by two independent reviewers. Quality assessment was undertaken using the AXIS Critical Appraisal Tool for Cross-sectional Studies and the STROBE checklist.

resultsOf 1902 sources identified overall, 36 articles were included. Low-to-moderate transparency of reporting and various sources of bias were identified. PA levels varied amongst heterogeneous samples of PWH. The relationship between PA and bleeds was inconclusive, although there was evidence that improvements in treatment over recent decades have appeared to enable PWH to become more physically active.

conclusionBased upon the limited available evidence, the relationship between PA and bleeding phenotype in PWH remains unclear. However, with the development of improved prophylaxis treatment regimens in recent years, there is evidence that PA levels have increased, especially amongst people with severe haemophilia. The use of validated outcome measures of PA and more robust reporting of bleeds and treatment regimen are warranted in future research, especially in a rapidly evolving era of new treatments for PWH.

Indexed as

Hemophilia ACross-Sectional StudiesExerciseHemorrhageHumansPhenotypebleedingexercisehaemophiliaphysical activityprophylaxistreatment

Identifiers

PMID33751742
PMCPMC8359343

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.