Evidence map›Paper›PMID 35258118›Full record

ArticleEuropean journal of haematology2022

Pain and functional disability amongst adults with moderate and severe haemophilia from the Irish personalised approach to the treatment of haemophilia (iPATH) study.

Megan Kennedy, Brian O' Mahony, Sheila Roche, Mark McGowan, Evelyn Singleton, Kevin Ryan, Niamh M O' Connell, Steven W Pipe, Michelle Lavin, James S O' Donnell and 3 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of haematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.7field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Spinal Stenosis: An Emerging Complication of Ageing in People With Haemophilia.Haemophilia : the official journal of the World Federation of Hemophilia · 2025
    Article
  3. Review
  4. Article
  5. The imperative to prevent joint bleeding in everyone living with hemophilia.Research and practice in thrombosis and haemostasis · 2024
    Article
  6. Article
  7. Physical activity, physical fitness and cardiometabolic risk amongst adults with moderate and severe haemophilia.Haemophilia : the official journal of the World Federation of Hemophilia · 2023
    Article
  8. 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
  9. Gait Alteration Due to Haemophilic Arthropathies in Patients with Moderate Haemophilia.International journal of environmental research and public health · 2022
    Article
  10. 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

13 authors at 6 institutions in 3 countries.

Megan KennedyDiscipline of Physiotherapy, Trinity Centre for Health Sciences, Trinity College Dublin, St. James's Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0002-9060-8022
Brian O' MahonyIrish Haemophilia Society, Dublin, Ireland.
Sheila RocheNational Coagulation Centre, St. James's Hospital, Dublin, Ireland.
Mark McGowanNational Coagulation Centre, St. James's Hospital, Dublin, Ireland.
Evelyn SingletonNational Coagulation Centre, St. James's Hospital, Dublin, Ireland.
Kevin RyanNational Coagulation Centre, St. James's Hospital, Dublin, Ireland.
Niamh M O' ConnellNational Coagulation Centre, St. James's Hospital, Dublin, Ireland.
Steven W PipeDepartments of Pediatrics and Pathology, University of Michigan, Ann Arbor, Michigan, USA.
Michelle LavinNational Coagulation Centre, St. James's Hospital, Dublin, Ireland.ORCID https://orcid.org/0000-0003-2999-4216
James S O' DonnellNational Coagulation Centre, St. James's Hospital, Dublin, 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, Ireland.
on behalf of the iPATH study group
St. James's Hospital · IERoyal College of Surgeons in Ireland · IETrinity College Dublin · IEBaxter (Austria) · ATIrish Cancer Society · IEUniversity of Michigan · US

Funding

Science Foundation IrelandTakeda Pharmaceutical CompanyWellcome Trust
6 · The paper itself

Abstract

objectivesTo establish the prevalence of pain and functional disability in Irish adults with moderate and severe haemophilia, and to examine demographic and lifestyle influences.

methodsMales ≥18 years with moderate or severe haemophilia participated. Pain and function were examined using the PROBE questionnaire.

resultsOf 49 participants [median age 44 (IQR 32, 52) years], most had severe haemophilia (Factor VIII = 30; Factor IX = 13) and were on regular prophylaxis (88%). Those with moderate haemophilia (Factor VIII = 5; Factor IX = 1) treated on demand (12%). Acute (72%) and chronic pain (71%), functional difficulties (58%), and analgesic requirements (92%) were prevalent. Age was significantly associated with more advanced haemophilic arthropathy (p = .002), chronic pain (p = .029) and functional difficulties (p = .036). Adults who reported chronic pain commenced prophylaxis significantly later in life [32 (20, 51) vs. 8 (1, 23) years; p = .004]. Physical activity was significantly lower in those with functional difficulties (p < .05). A disparity between self-perceived 'target joints' and clinically defined target joints was also identified (76% vs. 23%).

conclusionHaemophilic arthropathy, pain and functional disability were prevalent amongst Irish adults with moderate and severe haemophilia. Age-dependent lifestyle, analgesic and treatment influences on pain and function warrant further investigation.

Indexed as

Chronic PainHemophilia AHemophilia BJoint DiseasesAdultFactor IXFactor VIIIHemarthrosisHumansMaleFactor IXFactor VIIIfunctionhaemophiliapainphysical activityprophylaxis

Identifiers

PMID35258118
PMCPMC9311204
OpenAlexW4220675990

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.