Evidence map›Paper›PMID 38017431›Full record

ArticleJournal of orthopaedic surgery and research2023

Skeletal complications in patients with hemophilia: a single-center experience.

Mohammadreza Bordbar, Razieh Beigipour, Mohammad Tahami, Omid Reza Zekavat, Sezaneh Haghpanah, Reza Moshfeghinia

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Mohammadreza BordbarHematology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Razieh BeigipourPediatrics Department, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Mohammad TahamiBone and Joint Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Omid Reza ZekavatHematology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Sezaneh HaghpanahHematology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Reza MoshfeghiniaStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. rezamoshfeghinia@gmail.com.
Shiraz University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArthropathy is a common complication in patients with hemophilia. We examined the prevalence of this skeletal complication in patients with hemophilia who were registered at a Comprehensive Hemophilia Center in Shiraz, Southern Iran. MATERIALS AND

methodsIn this cross-sectional study, an orthopedic specialist visited 448 patients and conducted screenings for skeletal complications. The assessment included evaluating the type of hemophilia, disease severity, treatment modality, the presence of inhibitors, and the identification of skeletal complications.

resultsNinety patients with hemophilia A, with a mean age (SD) of 31.6 (14.4) years, and 10 patients with hemophilia B, with a mean age of 30.5 (20.6) years, were assessed. The most frequently affected joints were the knee and ankle joints. In the univariate analysis, patients with severe disease were more likely to exhibit synovitis, a target joint, and bone disease compared to patients with non-severe disease. Additionally, a history of treated or active hepatitis and an annual bleeding rate showed significant associations with the target joint. In the multivariable logistic regression analysis, disease severity (OR 14.43, 95% CI 1.6-129.6) and a higher age at diagnosis (OR 1.06, 95% CI 1.00-1.13) increased the likelihood of developing osteoporosis. A history of hepatitis (OR 3.67, 95% CI 1.28-10.48) was identified as an independent risk factor for the target joint.

conclusionSkeletal complications are a common occurrence in hemophilia. Regular consultations with orthopedic specialists, focusing on bleeding control and hepatitis prevention, are essential for reducing the impact of this debilitating complication.

Indexed as

Hemophilia AHemophilia BHepatitisAdultCross-Sectional StudiesHemarthrosisHemorrhageHumansArthropathyHemophiliaMusculoskeletal complications

Identifiers

PMID38017431
PMCPMC10685514
OpenAlexW4389109582

What OpenQuestion holds

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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.