Evidence map›Paper›PMID 34707421›Full record

ArticleJournal of blood medicine2021

Integrated Hemophilia Patient Care via a National Network of Care Centers in the United States: A Model for Rare Coagulation Disorders.

Leonard A Valentino, Judith R Baker, Regina Butler, Miguel Escobar, Neil Frick, Susan Karp, Kollet Koulianos, Susan Lattimore, Diane Nugent, Joseph N Pugliese and 5 more

Open access · goldAbstract read
In one paragraph

Article in Journal of blood medicine, 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
4.1field-weighted citation impact, top 5% 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, 36 citations in OpenAlex.

  1. Article
  2. The Bleeding Disorders Research Collaborative.Blood vessels, thrombosis & hemostasis · 2025
    Review
  3. Review
  4. Review
  5. Contemporary approaches to treat people with hemophilia: what's new and what's not?Research and practice in thrombosis and haemostasis · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Gene therapy: Practical aspects of implementation.Haemophilia : the official journal of the World Federation of Hemophilia · 2022
    Review
  17. Article
  18. Clinical Spectrum, Subtype Distribution, and Treatment Outcomes in von Willebrand Disease: A Prospective Study from a Hemophilia Treatment Center in Pakistan.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Observational
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

15 authors at 9 institutions in 2 countries.

Leonard A ValentinoNational Hemophilia Foundation, New York, NY, USA.ORCID 0000-0002-7927-6418
Judith R BakerCenter for Inherited Blood Disorders, Orange, CA, USA.ORCID 0000-0002-7850-0027
Regina ButlerChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Miguel EscobarDepartment of Internal Medicine, University of Texas Health Science Center at Houston, Houston, TX, USA.ORCID 0000-0002-2944-0240
Neil FrickNational Hemophilia Foundation, New York, NY, USA.
Susan KarpUniversity of California, San Francisco, San Francisco, CA, USA.
Kollet KoulianosNational Hemophilia Foundation, New York, NY, USA.
Susan LattimoreDepartment of Pediatrics, Oregon Health & Science University, Portland, OR, USA.
Diane NugentCenter for Inherited Blood Disorders, Orange, CA, USA.ORCID 0000-0002-1109-0879
Joseph N PuglieseHemophilia Alliance, Lansdale, PA, USA.
Michael RechtDepartment of Pediatrics, Oregon Health & Science University, Portland, OR, USA.
Mark T RedingDepartment of Internal Medicine, University of Minnesota Medical Center, Minneapolis, MN, USA.
Michelle RiceNational Hemophilia Foundation, New York, NY, USA.
Constance B ThibodeauxDepartments of Internal Medicine and Pediatrics, Hemophilia Center, Tulane University School of Medicine, New Orleans, LA, USA.
Mark SkinnerInstitute for Policy Advancement Ltd, Washington, DC, USA.
National Hemophilia Foundation · USCenter for Inherited Blood Disorders · USOregon Health & Science University · USChildren's Hospital of Philadelphia · USImpact · CAThe University of Texas Health Science Center at Houston · USTulane University · USUniversity of California, San Francisco · USUniversity of Minnesota Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rare, chronic diseases such as hemophilia and other congenital coagulation disorders require coordinated delivery of services for optimal outcomes. Hemophilia Treatment Centers (HTCs) are specialized, multidisciplinary health-care centers providing team-based care to meet the physical, psychosocial, and emotional needs of people with hemophilia (PWH) and may serve as a model for other rare coagulation disorders. Health-care purchasers, as well as the general medical community, may not appreciate the breadth and quality of services provided by HTCs. They exemplify the acculturalization and actualization of integrated care by providing comprehensive diagnostic and treatment services that reduce morbidity, mortality, avoidable emergency room visits, hospitalizations, and overall costs, while promoting a longer lifespan and improved patient functioning and outcomes. This is accomplished by a team-based approach relying upon a shared decision-making model to effectively prevent complications and manage symptoms in PWH, who are dependent on high-cost treatments. This article provides a concise yet comprehensive description of the core components of an HTC and the regional and national networks in the United States, which together achieve their incomparable value for all stakeholders.

Indexed as

coagulation disordershealth-care delivery networkhemophiliaintegrated caremultidisciplinarypatient-centered care

Identifiers

PMID34707421
PMCPMC8544265
OpenAlexW3205001562

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.