Evidence map›Paper›PMID 34027286›Full record

ArticleResearch and practice in thrombosis and haemostasis2021

Patient-relevant health outcomes for hemophilia care: Development of an international standard outcomes set.

Erna C van Balen, Brian O'Mahony, Marjon H Cnossen, Gerard Dolan, Victor S Blanchette, Kathelijn Fischer, Deborah Gue, Jamie O'Hara, Alfonso Iorio, Shannon Jackson and 9 more

Open access · goldAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 41 citations in OpenAlex.

  1. Assessing the real-world value of hemophilia care: how suitable are patient-centered outcomes for hospital-level comparisons?International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
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  10. Can hemophilia be cured? It depends on the definition.Research and practice in thrombosis and haemostasis · 2024
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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 15 institutions in 6 countries.

Erna C van BalenDepartment of Clinical Epidemiology Leiden University Medical Center Leiden The Netherlands.ORCID https://orcid.org/0000-0002-3678-6581
Brian O'MahonyIrish Haemophilia Society Trinity College Dublin Ireland.
Marjon H CnossenDepartment of Pediatric Hematology Erasmus University Medical Center - Sophia Children's Hospital Rotterdam The Netherlands.
Gerard DolanCentre for Haemostasis and Thrombosis St Thomas' Hospital London UK.
Victor S BlanchetteDivision of Hematology/Oncology Department of Pediatrics Hospital for Sick Children University of Toronto Toronto ON Canada.
Kathelijn FischerVan Creveldkliniek Department of Hematology University Medical Centre Utrecht Utrecht The Netherlands.
Deborah GueBritish Columbia Provincial Bleeding Disorders Program - Adult Division St. Paul's Hospital Vancouver BC Canada.
Jamie O'HaraFaculty of Health and Social Care University of Chester Chester UK.
Alfonso IorioDepartment of Medicine McMaster-Bayer Endowed Research Chair in Clinical Epidemiology of Congenital Bleeding Disorders McMaster University Hamilton ON Canada.ORCID https://orcid.org/0000-0002-3331-8766
Shannon JacksonBritish Columbia Provincial Bleeding Disorders Program - Adult Division St. Paul's Hospital Vancouver BC Canada.
Barbara A KonkleBloodworks Northwest Seattle WA USA.ORCID https://orcid.org/0000-0002-3959-8797
Diane J NugentChildren's Hospital University of California Irvine.
Donna CoffinWorld Federation of Haemophilia Montreal QC Canada.
Mark W SkinnerNational Hemophilia Foundation New York NY USA.
Cees SmitDepartment of Clinical Epidemiology Leiden University Medical Center Leiden The Netherlands.
Alok SrivastavaDepartment of Haematology Christian Medical College Vellore India.
Fred van EenennaamThe Decision Group Amsterdam The Netherlands.
Johanna G van der BomDepartment of Clinical Epidemiology Leiden University Medical Center Leiden The Netherlands.
Samantha C GouwDepartment of Clinical Epidemiology Leiden University Medical Center Leiden The Netherlands.
Leiden University Medical Center · NLSt. Paul's Hospital · CACanadian Hemophilia Society · CAChildren's Hospital of Orange County · USChristian Medical College, Vellore · INErasmus MC · NLErasmus University Rotterdam · NLImpact · CANational Hemophilia Foundation · USSt Thomas' Hospital · GBTrinity College Dublin · IEUniversity Medical Center Utrecht · NLUniversity of Chester · GBUniversity of Toronto · CAUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient-relevant health outcomes for persons with hemophilia should be identified and prioritized to optimize and individualize care for persons with hemophilia. Therefore, an international group of persons with hemophilia and multidisciplinary health care providers set out to identify a globally applicable standard set of health outcomes relevant to all individuals with hemophilia.

methodsA systematic literature search was performed to identify possible health outcomes and risk adjustment variables. Persons with hemophilia and multidisciplinary health care providers were involved in an iterative nominal consensus process to select the most important health outcomes and risk adjustment variables for persons with hemophilia. Recommendations were made for outcome measurement instruments.

resultsPersons with hemophilia were defined as all men and women with an X-linked inherited bleeding disorder caused by a deficiency of coagulation factor VIII or IX with plasma activity levels <40 IU/dL. We recommend collecting the following 10 health outcomes at least annually, if applicable: (i) cure, (ii) impact of disease on life expectancy, (iii) ability to engage in normal daily activities, (iv) severe bleeding episodes, (v) number of days lost from school or work, (vi) chronic pain, (vii) disease and treatment complications, (viii) sustainability of physical functioning, (ix) social functioning, and (x) mental health. Validated clinical as well as patient-reported outcome measurement instruments were endorsed. Demographic factors, baseline clinical factors, and treatment factors were identified as risk-adjustment variables.

conclusionA consensus-based international set of health outcomes relevant to all persons with hemophilia, and corresponding measurement instruments, was identified for use in clinical care to facilitate harmonized longitudinal monitoring and comparison of outcomes.

Indexed as

delivery of health carehealth carehemophilia Ahemophilia Boutcome assessmentpatient‐reported outcome measures

Identifiers

PMID34027286
PMCPMC8117824
OpenAlexW3135272581

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.