Evidence map›Paper›PMID 38456386›Full record

ArticleClinical and experimental immunology2024

Prophylaxis in hereditary angioedema: a United Kingdom Delphi consensus.

Patrick F K Yong, Rachel Annals, Lavanya Diwakar, Shuayb Elkhalifa, Mark Gompels, Rashmi Jain, Mohammed Yousuf Karim, Sujoy Khan, Angela Metcalfe, Sadia Noorani and 3 more

Abstract readConsensus Statement
In one paragraph

Article in Clinical and experimental immunology, 2024. 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
–field-weighted citation impact
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.

  1. Review
  2. Article
  3. Article
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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

13 authors.

Patrick F K YongDepartment of Immunology, Frimley Health NHS Foundation Trust, Frimley, UK.
Rachel AnnalsHereditary Angioedema UK, Bridgwater, UK.
Lavanya DiwakarDepartment of Immunology, University Hospital of North Midlands NHS Trust, Stoke-on-Trent, UK.
Shuayb ElkhalifaDepartment of Allergy and Immunology, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Mark GompelsDepartment of Immunology, North Bristol NHS Trust, Bristol, UK.
Rashmi JainDepartment of Clinical Immunology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Mohammed Yousuf KarimHematopathology, Sidra Medicine, Doha, Qatar.
Sujoy KhanDepartment of Immunology and Allergy, Hull University Teaching Hospitals NHS Trust, Hull, UK.
Angela MetcalfeHereditary Angioedema UK, Bridgwater, UK.
Sadia NooraniDepartment of Immunology, Sandwell and West Birmingham NHS Trust, Birmingham, UK.
Cathal SteeleRegional Immunology Service, Royal Hospitals Belfast, Belfast, UK.
Sorena Kiani-AlikhanDepartment of Immunology, Royal Free London NHS Foundation Trust, London, UK.
Tomaz GarcezDepartment of Immunology, Manchester University NHS Foundation Trust, Manchester, UK.

Funding

Takeda Foundation
6 · The paper itself

Abstract

Hereditary angioedema (HAE) is a rare inherited disorder causing recurrent episodes of swelling that can be potentially life threatening. Treatment of HAE can be divided into on-demand treatment for swelling, and prophylaxis. The last UK consensus on HAE was in 2014 and since then, new medications for prophylaxis have been developed, with more drugs in the pipeline. International guidelines currently recommend the use of long-term prophylaxis (LTP) as the only way of achieving disease control and normalizing patient lives. Modern prophylactic medications are available in the UK, although access is restricted primarily by HAE attack frequency. To establish an updated view of UK clinicians and patients, a Delphi process was used to develop statements regarding LTP as well as other aspects of HAE management. There was consensus that UK access criteria for modern LTP agents based on numerical frequency of attacks alone are too simplistic and potentially disadvantage a cohort of patients who may benefit from LTP. Additionally, there was agreement that patients should be seen in expert centres, remote monitoring of patients is popular post-pandemic, and that the use of patient-reported outcome measures has the potential to improve patient care. Psychological health is an area in which patients may benefit, and recognition of this is important for future research and development.

Indexed as

Angioedemas, HereditaryDelphi TechniqueComplement C1 Inhibitor ProteinHumansUnited KingdomComplement C1 Inhibitor ProteinC1 inhibitor deficiencyDelphi consensusHAEhereditary angioedemaprophylaxis

Identifiers

PMID38456386
PMCPMC11188536

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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.