Evidence map›Paper›PMID 37740066›Full record

ArticleAnnals of hematology2023

Bleeding pattern and consumption of factor VIII concentrate in adult patients with haemophilia A without inhibitors in the Czech Republic between 2013 and 2021 (Czech National Haemophilia Programme registry data).

Gabriela Romanová, Petr Smejkal, Petra Ovesná, Eva Drbohlavová, Petr Dulíček, Zdeňka Hajšmanová, Antonín Hluší, Radka Hrdličková, Jana Ullrychová, Ivan Vonke and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of hematology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

14 authors at 7 institutions in 1 country.

Gabriela RomanováDepartment of Internal Medicine, Haematology and, Oncology University Hospital Brno, Brno, Czech Republic. romanova.gabriela@fnbrno.cz.ORCID http://orcid.org/0000-0003-2948-1226
Petr SmejkalDepartment of Clinical, Haematology University Hospital Brno, Brno, Czech Republic.
Petra OvesnáInstitute of Biostatistics and Analyses, Ltd., Brno, Czech Republic.
Eva DrbohlavováDepartment of Clinical Haematology, Regional Hospital Liberec, Liberec, Czech Republic.
Petr DulíčekIVth Department of Internal Medicine-Haematology, University Hospital in Hradec Králové, Medical Faculty in Hradec Kralove, Hradec Králové, Czech Republic.
Zdeňka HajšmanováDepartment of Haematology, Institute of Clinical Biochemistry and, Haematology University Hospital Pilsen, Pilsen, Czech Republic.
Antonín HlušíDepartment of Haemato-Oncology, Faculty of Medicine and Dentistry, Palacky University and University Hospital Olomouc, Olomouc, Czech Republic.
Radka HrdličkováBlood Centre University Hospital Ostrava, Ostrava, Czech Republic.
Jana UllrychováDepartment of Clinical Haematology Krajska Zdravotní a.S., Masaryk Hospital Ústí Nad Labem, Ústí Nad Labem, Czech Republic.
Ivan VonkeClinical Haematology Hospital České Budějovice, České Budějovice, Czech Republic.
Jan BlatnýDepartment of Paediatric Haematology and Biochemistry, University Hospital Brno, Brno, Czech Republic.
Zuzana ČermákováBlood Centre University Hospital Ostrava, Ostrava, Czech Republic.
Ester ZápotockáDepartment of Paediatric Haematology and Oncology, University Hospital Motol, Prague, Czech Republic.
Miroslav PenkaDepartment of Internal Medicine, Haematology and, Oncology University Hospital Brno, Brno, Czech Republic.
Masaryk University · CZCharles University · CZUniversity Hospital Ostrava · CZKrajská Nemocnice Liberec · CZKrajská Zdravotní · CZNemocnice České Budějovice · CZUniversity Hospital Olomouc · CZ

Funding

Ministerstvo Zdravotnictví Ceské Republiky 65269705Ministerstvo Zdravotnictví Ceské Republiky FNBr
6 · The paper itself

Abstract

The manuscript provides an overview of treatment and its changes in adult patients with haemophilia A without inhibitors in the Czech Republic between 2013 and 2021 using data from the registry of the Czech National Haemophilia Programme (CNHP). Over a 9-year period, we focused on the reduction in the annual bleeding rate (ABR), joint bleeding rate (AJBR) and factor VIII consumption when patients with severe haemophilia A switched from on-demand treatment to prophylaxis. The ABR and AJBR include both patient-reported home treatment and treated hospitalisation episodes. All adult patients with severe haemophilia A were categorised into three groups according to the therapeutic regimen. The first group was patients on prophylaxis during the follow-up period, the second group consisted of patients on on-demand treatment, and the third group was patients who received both treatment regimens during follow-up. With an increase in the proportion of patients with severe haemophilia A on prophylaxis from 37 to 74% between 2013 and 2021, the ABR for all patients with severe haemophilia A decreased approximately 6.9-fold, and the AJBR decreased 8.7-fold. Expectedly, the factor consumption increased by approximately 68.5%. In the group of patients with severe haemophilia A who had switched from an on-demand to a prophylactic regimen, the total number of bleeding events decreased 3.5-fold, and the number of joint bleeding episodes decreased 3.9-fold. Factor VIII consumption increased by 78.4%. Our study supports a previously reported positive effect of prophylaxis on bleeding control. We believe that the substantial improvement in ABR justifies the increased treatment costs.

Indexed as

Factor VIIIHemophilia AHemorrhageRegistriesAdolescentAdultCzech RepublicFemaleFollow-Up StudiesHumansMaleMiddle AgedYoung AdultF8 protein, humanFactor VIIIBleedingCNHP (the Czech National Haemophilia Programme)Consumption of factor VIII/IX concentrateEHL (extended half-life)HaemophiliaOn-demandProphylaxis

Identifiers

PMID37740066
PMCPMC10567882
OpenAlexW4386945971

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.