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  • A number of studies have been published on the benefits of prophylactic treatment in adults with haemophilia. However, in many countries, it is considered as optional due to financial constraints. This survey was carried out to examine the long-term effects of prophylaxis and the continuing benefit of the treatment into adulthood. Self-assessed health-related data and the EQ-5D questionnaire measuring health utility were collected from 124 men (26.9 +- 4.6 years) from Canada (N = 40), France (N = 14), Ireland (N = 17), the Netherlands (N = 16), Poland (N = 24) and the UK (N = 13). The respondents were split into four groups: On-Demand, {50% life on prophylaxis, ?50% life on prophylaxis, Prophylaxis. Overall, long-term prophylaxis results in lower presence of target joints (P ? 0.001), occurrence of serious bleeding episodes (P ? 0.05), recurring bleeding episodes (P ? 0.01) and requirement for surgical procedures (P ? 0.05). Furthermore, health utility (P ? 0.01) in the On-demand group was significantly lower (P ? 0.01) compared to the ?50% life on prophylaxis and the Prophylaxis group. No significant differences between countries were found except between the Netherlands and Poland, with Poland showing the lowest health utility (P ? 0.01) and the most problems with mobility (P ? 0.05) and pain/discomfort (P ? 0.001). The Netherlands showed the highest health utility (0.915) followed by Canada (0.791), Ireland (0.786), UK (0.768), France (0.687) and Poland (0.629). The results demonstrate consistently higher quality of life of individuals who are on long-term prophylactic treatment when compared to on-demand treatment or intermittent prophylaxis and on -demand treatment.
  • A number of studies have been published on the benefits of prophylactic treatment in adults with haemophilia. However, in many countries, it is considered as optional due to financial constraints. This survey was carried out to examine the long-term effects of prophylaxis and the continuing benefit of the treatment into adulthood. Self-assessed health-related data and the EQ-5D questionnaire measuring health utility were collected from 124 men (26.9 +- 4.6 years) from Canada (N = 40), France (N = 14), Ireland (N = 17), the Netherlands (N = 16), Poland (N = 24) and the UK (N = 13). The respondents were split into four groups: On-Demand, {50% life on prophylaxis, ?50% life on prophylaxis, Prophylaxis. Overall, long-term prophylaxis results in lower presence of target joints (P ? 0.001), occurrence of serious bleeding episodes (P ? 0.05), recurring bleeding episodes (P ? 0.01) and requirement for surgical procedures (P ? 0.05). Furthermore, health utility (P ? 0.01) in the On-demand group was significantly lower (P ? 0.01) compared to the ?50% life on prophylaxis and the Prophylaxis group. No significant differences between countries were found except between the Netherlands and Poland, with Poland showing the lowest health utility (P ? 0.01) and the most problems with mobility (P ? 0.05) and pain/discomfort (P ? 0.001). The Netherlands showed the highest health utility (0.915) followed by Canada (0.791), Ireland (0.786), UK (0.768), France (0.687) and Poland (0.629). The results demonstrate consistently higher quality of life of individuals who are on long-term prophylactic treatment when compared to on-demand treatment or intermittent prophylaxis and on -demand treatment. (en)
Title
  • A survey of the outcome of prophylaxis, on-demand treatment or combined treatment in 18-35-year old men with severe haemophilia in six countries
  • A survey of the outcome of prophylaxis, on-demand treatment or combined treatment in 18-35-year old men with severe haemophilia in six countries (en)
skos:prefLabel
  • A survey of the outcome of prophylaxis, on-demand treatment or combined treatment in 18-35-year old men with severe haemophilia in six countries
  • A survey of the outcome of prophylaxis, on-demand treatment or combined treatment in 18-35-year old men with severe haemophilia in six countries (en)
skos:notation
  • RIV/61989592:15260/13:33147233!RIV14-MSM-15260___
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • P(EE.2.3.20.0063)
http://linked.open...iv/cisloPeriodika
  • 1
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
  • Dijk, Jitse P. Van
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 59127
http://linked.open...ai/riv/idVysledku
  • RIV/61989592:15260/13:33147233
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • EQ-5D; on demand; prophylaxis; haemophilia (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [DD0AE6417968]
http://linked.open...i/riv/nazevZdroje
  • Haemophilia
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 19
http://linked.open...iv/tvurceVysledku
  • Dijk, Jitse P. Van
  • Noone, Declan
  • O'Mahony, Brian
  • Příhodová, Lucia
http://linked.open...ain/vavai/riv/wos
  • 000314827200014
issn
  • 1351-8216
number of pages
http://bibframe.org/vocab/doi
  • 10.1111/j.1365-2516.2012.02934.x
http://localhost/t...ganizacniJednotka
  • 15260
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