Evidence map›Paper›PMID 37304933›Full record

ArticleHemaSphere2023

Antithrombotic Treatment in Patients With Hemophilia: an EHA-ISTH-EAHAD-ESO Clinical Practice Guidance.

Roger E G Schutgens, Victor Jimenez-Yuste, Miguel Escobar, Anna Falanga, Bruna Gigante, Robert Klamroth, Riitta Lassila, Frank W G Leebeek, Michael Makris, Tarek Owaidah and 6 more

Open access · goldAbstract read
In one paragraph

Article in HemaSphere, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
16.3field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Outcomes of Emicizumab in Acquired Hemophilia Patients: A Systematic Review.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  3. Review
  4. Coronary bypass for acute coronary syndrome in severe hemophilia A.Turk gogus kalp damar cerrahisi dergisi · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Anticoagulation in malignancy: the patient who bleeds and clots simultaneously.Hematology. American Society of Hematology. Education Program · 2025
    Review
  14. The aging hemophilia patient.Hematology. American Society of Hematology. Education Program · 2025
    Review
  15. Article
  16. Haemophilia Prophylaxis in the Age of Innovation: Exploring Opportunities for Personalized Treatment.Haemophilia : the official journal of the World Federation of Hemophilia · 2025
    Review
  17. Review
  18. Review
  19. Review
  20. Epigenetic Aging Signatures in People with Hemophilia.TH open : companion journal to thrombosis and haemostasis · 2025
    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

16 authors at 13 institutions in 13 countries.

Roger E G SchutgensCenter for Benign Hematology, Thrombosis and Hemostasis, Van Creveldkliniek University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Victor Jimenez-YusteHematology Department, La Paz University Hospital, Autonoma University, Madrid, Spain.
Miguel EscobarUniversity of Texas Health Science Center at Houston, TX, USA.
Anna FalangaUniversity of Milano Bicocca, School of Medicine, Monza, Italy.
Bruna GiganteDivision of Cardiovascular Medicine, Department of Medicine, Karolinska Institutet, Solna, Sweden.
Robert KlamrothDepartment of Internal Medicine Angiology and Coagulation Disorders at the Vivantes Klinikum im Friedrichshain, Berlin, Germany.
Riitta LassilaDepartment of Hematology, Coagulation Disorders Unit, and Research Program Unit in Systems Oncology Oncosys, Medical Faculty, University of Helsinki, Finland.
Frank W G LeebeekDepartment of Hematology, Erasmus MC, University Medical Center Rotterdam, The Netherlands.
Michael MakrisHaemophilia and Thrombosis Centre, University of Sheffield, United Kingdom.
Tarek OwaidahKing Faisal Specialist Hospital and Research Centre, Alfaisal University, Riyadh, Saudi Arabia.
Michelle SholzbergDivision of Hematology-Oncology, Departments of Medicine, and Laboratory Medicine and Pathobiology, St. Michael's Hospital, Li Ka Shing Knowledge Institute, University of Toronto, Canada.
Andreas TiedeDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Germany.
David J WerringDepartment of Brain Repair and Rehabilitation, UCL Institute of Neurology, London, United Kingdom.
H Bart van der WorpUniversity Medical Center (UMC), Utrecht University, The Netherlands.
Jerzy WindygaDepartment of Hemostasis Disorders and Internal Medicine, Laboratory of Hemostasis and Metabolic Diseases, Institute of Hematology and Transfusion Medicine, Warsaw, Poland.
Giancarlo CastamanCenter for Bleeding Disorders and Coagulation, Department of Oncology, Careggi University Hospital, Florence, Italy.
European Hematology Association · NLEuropean Association for Palliative Care · BEAlfaisal University · SAAzienda Ospedaliero-Universitaria Careggi · ITEuropean Society of Cardiology · FRMedizinische Hochschule Hannover · DEOspedale Papa Giovanni XXIII · ITStroke Association · GBThe University of Texas Health Science Center at Houston · USUniversity College London · GBUniversity of Helsinki · FIUniversity of Sheffield · GBUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular disease is an emerging medical issue in patients with hemophilia (PWH) and its prevalence is increasing up to 15% in PWH in the United States. Atrial fibrillation, acute and chronic coronary syndromes, venous thromboembolism, and cerebral thrombosis are frequent thrombotic or prothrombotic situations, which require a careful approach to fine-tune the delicate balance between thrombosis and hemostasis in PWH when using both procoagulant and anticoagulant treatments. Generally, PWH could be considered as being naturally anticoagulated when clotting factors are <20 IU/dL, but specific recommendations in patients with very low levels according to the different clinical situations are lacking and mainly based on the anecdotal series. For PWH with baseline clotting factor levels >20 IU/dL in need for any form of antithrombotic therapy, usually treatment without additional clotting factor prophylaxis could be used, but careful monitoring for bleeding is recommended. For antiplatelet treatment, this threshold could be lower with single-antiplatelet agent, but again factor level should be at least 20 IU/dL for dual antiplatelet treatment. In this complex growing scenario, the European Hematology Association in collaboration with the International Society on Thrombosis and Haemostasis, the European Association for Hemophilia and Allied Disorders, the European Stroke Organization, and a representative of the European Society of Cardiology Working Group on Thrombosis has produced this current guidance document to provide clinical practice recommendations for health care providers who care for PWH.

Identifiers

PMID37304933
PMCPMC10256340
OpenAlexW4379467996

What OpenQuestion holds

Textmetadata
LicenceCC BY-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.