Evidence map›Paper›PMID 33988293›Full record

ReviewHaemophilia : the official journal of the World Federation of Hemophilia2021

Concomitant use of bypassing agents with emicizumab for people with haemophilia A and inhibitors undergoing surgery.

Victor Jiménez-Yuste, E Carlos Rodríguez-Merchán, Tadashi Matsushita, Pål Andrè Holme

Open access · hybridAbstract readReview
In one paragraph

Review 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
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  7. Article
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  11. From a bispecific monoclonal antibody to gene therapy: A new era in the treatment of hemophilia A.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2023
    Review
  12. Review
  13. Article
  14. Article
  15. Perioperative hemostasis for patients with hemophilia.Hematology. American Society of Hematology. Education Program · 2022
    Article
  16. Review
  17. Impact of novel hemophilia therapies around the world.Research and practice in thrombosis and haemostasis · 2022
    Article
  18. 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

4 authors at 3 institutions in 3 countries.

Victor Jiménez-YusteDepartment of Hematology, La Paz University Hospital-IdiPaz, Autónoma University, Madrid, Spain.ORCID https://orcid.org/0000-0003-3937-3499
E Carlos Rodríguez-MerchánOsteoarticular Surgery Research, La Paz University Hospital-IdiPaz, Autónoma University, Madrid, Spain.ORCID https://orcid.org/0000-0002-6360-0113
Tadashi MatsushitaDepartment of Transfusion Medicine, Nagoya University Hospital, Nagoya, Japan.
Pål Andrè HolmeDepartment of Hematology, Oslo University Hospital, Oslo, Norway.
Hospital Universitario La Paz · ESNagoya University Hospital · JPOslo University Hospital · NO

Funding

Novo Nordisk
6 · The paper itself

Abstract

introductionSurgery in people with haemophilia and factor VIII inhibitors is typically managed with perioperative administration of haemostatic agents to prevent or control the occurrence of bleeding events. Practical experience of surgery in patients with inhibitors who are receiving treatment with emicizumab is growing; however, the novelty of the situation means that standardised guidelines are lacking with regard to the concomitant administration of haemostatic agents, including dose and laboratory monitoring.

aimTo review approaches to haemostatic management during major and minor invasive procedures in patients with haemophilia A and inhibitors, and to provide recommendations for controlling bleeding events.

methodsA search was conducted, limited to the past 4 years (January 2016-April 2020), pertaining to published evidence of surgery for patients receiving emicizumab. Publications identified from the search were manually reviewed to determine studies and case reports relevant for inclusion.

resultsIdentified literature and practical experience of the authors were used to build a consensus of practical recommendations for the concomitant administration of haemostatic agents during the perioperative period for elective surgery in patients with inhibitors who are receiving emicizumab.

conclusionsThe current evidence base indicates that surgery can be successfully performed in patients with inhibitors who are receiving emicizumab and that bypassing agents can be used concomitantly. Data from prospective studies are required to further support recommendations for haemostatic management of surgery in patients receiving emicizumab.

Indexed as

Antibodies, BispecificHemophilia AAntibodies, Monoclonal, HumanizedFactor VIIIHemorrhageHumansAntibodies, BispecificAntibodies, Monoclonal, HumanizedemicizumabFactor VIIIbypassing agentsemicizumabFVIII inhibitorshaemophilia Amonitoringsurgery

Identifiers

PMID33988293
PMCPMC8359827
OpenAlexW3160163066

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.