Evidence map›Paper›PMID 37298347›Full record

ReviewInternational journal of molecular sciences2023

Haemophilia and Fragility Fractures: From Pathogenesis to Multidisciplinary Approach.

Angelo Alito, Federica Bellone, Simona Portaro, Giulia Leonardi, Vittorio Cannavò, Francesca Coppini, Danilo Leonetti, Antonino Catalano, Giovanni Squadrito, Domenico Fenga

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
4.1field-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

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Bone Fractures in People with Hemophilia.The archives of bone and joint surgery · 2026
    Article
  3. Article
  4. Review
  5. Recent Advances in Gene Therapy for Hemophilia.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Review
  6. 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

10 authors at 2 institutions in 2 countries.

Angelo AlitoDepartment of Biomedical, Dental Sciences and Morphological and Functional Images, University of Messina, 98100 Messina, Italy.ORCID 0000-0002-6609-579X
Federica BelloneDepartment of Clinical and Experimental Medicine, University of Messina, Via Consolare Valeria, 1, 98100 Messina, Italy.ORCID 0000-0002-0467-4921
Simona PortaroDepartment of Physical and Rehabilitation Medicine, University Hospital "G. Martino", 98100 Messina, Italy.
Giulia LeonardiDepartment of Physical and Rehabilitation Medicine, University Hospital "G. Martino", 98100 Messina, Italy.
Vittorio CannavòDepartment of Clinical and Experimental Medicine, University of Messina, Via Consolare Valeria, 1, 98100 Messina, Italy.ORCID 0009-0007-4903-055X
Francesca CoppiniDepartment of Orthopaedics and Traumatology, University Hospital A.O.U. "G. Martino", 98100 Messina, Italy.
Danilo LeonettiDepartment of Biomedical, Dental Sciences and Morphological and Functional Images, University of Messina, 98100 Messina, Italy.
Antonino CatalanoDepartment of Clinical and Experimental Medicine, University of Messina, Via Consolare Valeria, 1, 98100 Messina, Italy.
Giovanni SquadritoDepartment of Clinical and Experimental Medicine, University of Messina, Via Consolare Valeria, 1, 98100 Messina, Italy.
Domenico FengaDepartment of Orthopaedics and Traumatology, University Hospital A.O.U. "G. Martino", 98100 Messina, Italy.ORCID 0000-0002-4577-8719
University of Messina · ITMartin University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Haemophilia A (HA) and haemophilia B (HB) are X-linked inherited bleeding disorders caused by the absence or deficiency of coagulation factors VIII (FVIII) and IX (FIX), respectively. Recent advances in the development of effective treatments for haemophilia have led to a significant increase in life expectancy. As a result, the incidence of some comorbidities, including fragility fractures, has increased in people with haemophilia (PWH). The aim of our research was to perform a review of the literature investigating the pathogenesis and multidisciplinary management of fractures in PWH. The PubMed, Scopus and Cochrane Library databases were searched to identify original research articles, meta-analyses, and scientific reviews on fragility fractures in PWH. The mechanism underlying bone loss in PWH is multifactorial and includes recurrent joint bleeding, reduced physical activity with consequent reduction in mechanical load, nutritional deficiencies (particularly vitamin D), and FVIII and FIX deficiency. Pharmacological treatment of fractures in PWH includes antiresorptive, anabolic and dual action drugs. When conservative management is not possible, surgery is the preferred option, particularly in severe arthropathy, and rehabilitation is a key component in restoring function and maintaining mobility. Appropriate multidisciplinary fracture management and an adapted and tailored rehabilitation pathway are essential to improve the quality of life of PWH and prevent long-term complications. Further clinical trials are needed to improve the management of fractures in PWH.

Indexed as

Fractures, BoneHemophilia AHemophilia BHemorrhageHumansQuality of Lifefragility fractureshaemophiliamultidisciplinary approachrehabilitationsecondary osteoporosis

Identifiers

PMID37298347
PMCPMC10253338
OpenAlexW4378619307

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.