Evidence map›Paper›PMID 40153403›Full record

ArticleHaemophilia : the official journal of the World Federation of Hemophilia2025

Subjective Physical Performance and Its Determinants in Patients With Haemophilia.

Alexander Schmidt, Fabian Tomschi, Pia Möllers, Marius Brühl, Sylvia von Mackensen, Andreas C Strauss, Heinrich Richter, Johannes Oldenburg, Thomas Hilberg

Abstract read
In one paragraph

Article in Haemophilia : the official journal of the World Federation of Hemophilia, 2025. 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Alexander SchmidtDepartment of Sports Medicine, University of Wuppertal, Wuppertal, Germany.ORCID https://orcid.org/0009-0001-5577-7306
Fabian TomschiDepartment of Sports Medicine, University of Wuppertal, Wuppertal, Germany.ORCID https://orcid.org/0000-0003-1738-4891
Pia MöllersDepartment of Sports Medicine, University of Wuppertal, Wuppertal, Germany.ORCID https://orcid.org/0000-0002-8466-5389
Marius BrühlDepartment of Sports Medicine, University of Wuppertal, Wuppertal, Germany.ORCID https://orcid.org/0009-0006-1325-0510
Sylvia von MackensenDepartment of Medical Psychology, University Medical Centre, Hamburg-Eppendorf, Germany.ORCID https://orcid.org/0000-0002-5926-0478
Andreas C StraussDepartment of Orthopaedics and Trauma Surgery, University of Bonn, Bonn, Germany.ORCID https://orcid.org/0000-0001-7777-3253
Heinrich RichterHaemophilia Centre Muenster, Muenster, Germany.
Johannes OldenburgDepartment of Experimental Haematology and Transfusion Medicine, University Clinic Bonn, Bonn, Germany.ORCID https://orcid.org/0000-0002-1585-4100
Thomas HilbergDepartment of Sports Medicine, University of Wuppertal, Wuppertal, Germany.ORCID https://orcid.org/0000-0002-0935-2526

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPhysical functioning is compromised in patients with haemophilia (PwH). However, factors negatively influencing subjective physical performance (SPP) remain underexplored. Hence, this study aimed to compare the SPP of PwH with healthy controls (CON), to differentiate them based on disease-specific, person-related, and arthropathy-related parameters, and to identify overarching determinants influencing SPP.

methodsSPP was assessed in 301 PwH and 263 CON via the HEP-Test-Q, which divides SPP into a total score and four distinct dimensions (e.g., mobility). Additionally, disease-specific (i.e., type, severity, treatment regime, HIV, hepatitis), person-related (i.e., age, BMI), and arthropathy-related parameters (i.e., current pain intensity (NRS-now) and average pain intensity across 4 weeks (NRS-4w) and the HJHS) were examined, and associations with SPP were calculated.

resultsAll PwH and PwH subgroups demonstrated significantly greater impairment across all SPP dimensions compared to CON. Apart from the type of haemophilia (A vs. B, p = 0.894), significant differences in total SPP were observed among PwH subgroups for severity (severe vs. non-severe, p = 0.012), treatment (prophylaxis vs. on demand, p = 0.002), HIV (no vs. yes), and hepatitis (no vs. yes, both p < 0.001). A multiple linear regression model further revealed significant predictive effects for HJHS (p < 0.001) and NRS-4w (p < 0.001) on the total SPP score.

conclusionPwH perceived their physical performance as significantly worse across all dimensions compared to CON. The decreased SPP in PwH can be attributed primarily to arthropathy-related factors, that is, an impaired joint status and persistent pain. To oppose the decline in SPP, tailored sports-therapeutic programs should be integrated into the multimodal treatment concept.

Indexed as

Hemophilia APhysical Functional PerformanceAdolescentAdultFemaleHumansMaleMiddle AgedYoung AdulthaemophiliaHEP‐Test‐Qjoint statuspainrare diseasesubjective physical performance

Identifiers

PMID40153403
PMCPMC12175108

What OpenQuestion holds

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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.