Evidence map›Paper›PMID 37601028›Full record

ArticleResearch and practice in thrombosis and haemostasis2023

Desmopressin in nonsevere hemophilia A: patient perspectives on use and efficacy.

Lorenzo G R Romano, Lize F D van Vulpen, Paul L den Exter, Floor C J I Heubel-Moenen, Helene L Hooijmeijer, Michiel Coppens, Karin Fijnvandraat, Saskia E M Schols, Paula F Ypma, Cees Smit and 5 more

Open access · goldAbstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Review
  2. Review
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 10 institutions in 1 country.

Lorenzo G R RomanoDepartment of Hematology, Hemophilia Treatment Center, Erasmus MC, Erasmus University Medical Center, Rotterdam, The Netherlands.
Lize F D van VulpenCenter for Benign Hematology, Thrombosis and Hemostasis, Van Creveldkliniek, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Paul L den ExterDepartment of Internal Medicine, Division of Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, The Netherlands.
Floor C J I Heubel-MoenenDepartment of Hematology, Maastricht University Medical Center+, Maastricht, The Netherlands.
Helene L HooijmeijerDepartment of Pediatrics, University Medical Center Groningen, Groningen, The Netherlands.
Michiel CoppensDepartment of Vascular Medicine, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Karin FijnvandraatDepartment of Pediatric Hematology, Amsterdam University Medical Center - Emma Children's Hospital, University of Amsterdam, Amsterdam, The Netherlands.
Saskia E M ScholsDepartment of Hematology, Radboud University Medical Center and Hemophilia Treatment Center, Nijmegen-Eindhoven-Maastricht, Nijmegen, The Netherlands.
Paula F YpmaDepartment of Hematology, Haga Hospital, The Hague, The Netherlands.
Cees SmitNetherlands Hemophilia Patient Society (NVHP), Nijkerk, The Netherlands.
Mariëtte H E DriessensNetherlands Hemophilia Patient Society (NVHP), Nijkerk, The Netherlands.
Frits R RosendaalDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.
Johanna G van der BomDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.
Samantha C GouwDepartment of Pediatric Hematology, Amsterdam University Medical Center - Emma Children's Hospital, University of Amsterdam, Amsterdam, The Netherlands.
Marieke J H A KruipDepartment of Hematology, Hemophilia Treatment Center, Erasmus MC, Erasmus University Medical Center, Rotterdam, The Netherlands.
Leiden University Medical Center · NLDutch Cancer Society · NLErasmus MC · NLAmsterdam University Medical Centers · NLHaga Hospital · NLMaastricht University · NLRadboud University Nijmegen · NLUniversity Medical Center Groningen · NLUniversity of Amsterdam · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Desmopressin increases plasma factor VIII and von Willebrand factor levels in persons with nonsevere hemophilia A. Patients' perspectives on desmopressin are relevant to increase and optimize its suboptimal use. However, patients' views on desmopressin are not reported. Objectives: To evaluate the perspectives of persons with nonsevere hemophilia A on desmopressin use, barriers for its use, side effects, and their knowledge about desmopressin's efficacy and side effects. Methods: Persons with nonsevere hemophilia A were included in a cross-sectional, national, multicenter study. Questionnaires were filled out by adult patients and children aged ≥12 years themselves. Caretakers filled out questionnaires for children aged <12 years. Results: In total, 706 persons with nonsevere hemophilia A were included (544 mild, 162 moderate, [age range, 0-88 years]). Of 508 patients, 234 (50%) patients reported previous desmopressin use. Desmopressin was considered as at least moderately effective in 171 of 187 (90%) patients. Intranasal administration was the modality of choice for 138 of 182 (76%) patients. Flushing was the most reported side effect in 54 of 206 (26%) adults and 7 of 22 (32%) children. The most frequently reported advantage and disadvantage were the convenience of intranasal, out-of-hospital administration by 56% (126/227) and side effects in 18% (41/227), respectively. Patients' self-perceived knowledge was unsatisfactory or unknown in 28% (63/225). Conclusion: Overall, desmopressin was most often used intranasally and considered effective, with flushing as the most common side effect. The most mentioned advantage was the convenience of intranasal administration and disadvantage was side effects. More information and education on desmopressin could answer unmet needs in patients with current or future desmopressin treatment.

Indexed as

advantagesdesmopressinhemophilia Apatient perspectiveside effectssurvey

Identifiers

PMID37601028
PMCPMC10439392
OpenAlexW4381094658

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.