Evidence map›Paper›PMID 34923621›Full record

ArticleBritish journal of haematology2022

Diagnosis and treatment of chronic synovitis in patients with haemophilia: consensus statements from the Italian Association of Haemophilia Centres.

Matteo Nicola Dario Di Minno, Mariasanta Napolitano, Anna Chiara Giuffrida, Erminia Baldacci, Christian Carulli, Elena Boccalandro, Clarissa Bruno, Eleonora Forneris, Irene Ricca, Walter Passeri and 7 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in British journal of haematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Managing Haemophilic Arthropathy in People With Haemophilia in Japan: An Informal Consensus.Haemophilia : the official journal of the World Federation of Hemophilia · 2025
    Article
  3. Article
  4. Article
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  7. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 11 institutions in 1 country.

Matteo Nicola Dario Di MinnoDepartment of Translational Medical Sciences, Federico II University, Naples, Italy.ORCID 0000-0001-8059-3819
Mariasanta NapolitanoDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy.ORCID 0000-0001-8934-2936
Anna Chiara GiuffridaBorgo Roma University Hospital, Verona, Italy.
Erminia BaldacciHematology, University Hospital Policlinico Umberto I, Rome, Italy.
Christian CarulliDepartment of Health Sciences, Orthopaedic Clinic, University of Florence, Florence, Italy.
Elena BoccalandroAngelo Bianchi Bonomi Haemophilia and Thrombosis Center, IRCCS Cà Granda Foundation, Maggiore Hospital Policlinic, Milan, Italy.
Clarissa BrunoHaemophilia Center and Thrombosis, Policlinico, Bari, Italy.
Eleonora FornerisCittà della Salute e della Scienza University Hospital, Turin, Italy.
Irene RiccaCittà della Salute e della Scienza University Hospital, Turin, Italy.
Walter PasseriRehabilitation Service, "Domus Salutis" Casa di Cura, "Teresa Camplani" Foundation, Brescia, Italy.
Marco MartinelliRehabilitation Service, "Domus Salutis" Casa di Cura, "Teresa Camplani" Foundation, Brescia, Italy.
Gianna Franca RivoltaRegional Reference Centre for Inherited Bleeding Disorders, University Hospital of Parma, Parma, Italy.
Luigi Piero SolimenoAngelo Bianchi Bonomi Haemophilia and Thrombosis Center, IRCCS Cà Granda Foundation, Maggiore Hospital Policlinic, Traumatology and Orthopaedic Unit, Milan, Italy.
Carlo MartinoliDepartment of Health Science (DISSAL), University of Genoa, Unit of Radiology and IRCCS San Martino Hospital, Genoa, Italy.
Angiola RocinoHaemophilia and Thrombosis Centre, Haematology, Ospedale del Mare, ASL Napoli 1 Centro, Naples, Italy.
Gianluigi PastaIRCCS San Matteo Hospital, Pavia, Italy.
Italian Association of Haemophilia Centres Musculoskeletal Working Group
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITFederico II University Hospital · ITOspedale Madonna Delle Grazie · ITPoliclinico San Matteo Fondazione · ITPoliclinico Umberto I · ITUniversity of Florence · ITUniversity of Genoa · ITUniversity of Palermo · ITUniversity of Parma · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although synovitis is recognized as a marker of joint disease activity, its periodic assessment is not included in routine clinical surveillance of patients with haemophilia (PwH). In order to evaluate the current knowledge and to identify controversial issues, a preliminary literature search by the Musculoskeletal Committee of the Italian Association of Haemophilia Centres (AICE) has been conducted. Statements have been established and sent to the Italian AICE members to collect their level of agreement or disagreement by a Delphi process. Thirty-seven consensus recommendations have been drafted. We found a general agreement on the indication to consider the presence of synovitis as a marker of joint disease activity in PwH. Accordingly, there was agreement on the indication to search for synovitis both in patients reporting joint pain and in asymptomatic ones, recognizing ultrasound as the most practical imaging technique to perform periodic joint screening. Interestingly, after detection of synovitis, there was agreement on the indication to modify the therapeutic approach, suggesting prophylaxis in patients treated on demand and tailoring treatment in patients already under prophylaxis. Whereas the need of an early consultation with a physiotherapist is recommended for PwH affected by chronic synovitis, the exact timing for an orthopaedic surgeon consultation is currently unknown.

Indexed as

Chronic DiseaseHemophilia AHumansItalySynovitishaemophiliahaemophilic arthropathysynovitis

Identifiers

PMID34923621
PMCPMC9299781
OpenAlexW4200188198

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.