A systematic approach to controlling problem bleeds in patients with severe congenital haemophilia A and high-titre inhibitors
(2007) In Haemophilia 13(3). p.256-263- Abstract
- The presence of inhibitory antibodies to clotting factors complicates the treatment of bleeding in haemophilia patients. For patients with high-titre inhibitors, bypassing agents are essential to haemostatic management. To determine optimal treatment practices, an international panel of physicians convened to develop a systematic treatment approach for problem bleeds (i.e. bleeds that are unresponsive to initial therapy with a single agent within a reasonable amount of time) in haemophilia patients with inhibitors. AIM: The goal of this panel was to develop a consensus algorithm that would aid physicians in considering a variety of treatment approaches to optimize patient care by preventing extensive therapy with inadequate treatments that... (More)
- The presence of inhibitory antibodies to clotting factors complicates the treatment of bleeding in haemophilia patients. For patients with high-titre inhibitors, bypassing agents are essential to haemostatic management. To determine optimal treatment practices, an international panel of physicians convened to develop a systematic treatment approach for problem bleeds (i.e. bleeds that are unresponsive to initial therapy with a single agent within a reasonable amount of time) in haemophilia patients with inhibitors. AIM: The goal of this panel was to develop a consensus algorithm that would aid physicians in considering a variety of treatment approaches to optimize patient care by preventing extensive therapy with inadequate treatments that may lead to suboptimal patient outcomes and unnecessary costs. METHODS: Consensus opinions were analyzed for clinical preferences at different time periods, depending on patient response to treatment. Decision-making points were defined based on the type of bleed: every 8-12 h for the first 24 h, then every 24 h thereafter for limb-threatening bleeds; every 2-4 h for 2-7 days for life-threatening bleeds. RESULTS: The resultant consensus guidelines provide a generalized methodology to guide the treatment of problem bleeds in patients with severe haemophilia A and inhibitors, and emphasize changing treatment at the first sign of an inadequate haemostatic response. The treatment algorithms apply to both paediatric and adult patients, although the differences between the two groups were reviewed. CONCLUSION: These guidelines are focused on optimising the timing of treatment decisions, which may lead to faster responses and improved outcomes. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1139392
- author
- organization
- publishing date
- 2007
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- management, inhibitors, haemophilia, guidelines, consensus, bleeding
- in
- Haemophilia
- volume
- 13
- issue
- 3
- pages
- 256 - 263
- publisher
- Wiley-Blackwell
- external identifiers
-
- pmid:17498074
- scopus:34248594449
- ISSN
- 1351-8216
- DOI
- 10.1111/j.1365-2516.2007.01449.x
- language
- English
- LU publication?
- yes
- id
- 88ac1930-1133-4581-babf-af6cf870bd36 (old id 1139392)
- date added to LUP
- 2016-04-01 12:32:16
- date last changed
- 2022-08-21 08:37:28
@article{88ac1930-1133-4581-babf-af6cf870bd36,
abstract = {{The presence of inhibitory antibodies to clotting factors complicates the treatment of bleeding in haemophilia patients. For patients with high-titre inhibitors, bypassing agents are essential to haemostatic management. To determine optimal treatment practices, an international panel of physicians convened to develop a systematic treatment approach for problem bleeds (i.e. bleeds that are unresponsive to initial therapy with a single agent within a reasonable amount of time) in haemophilia patients with inhibitors. AIM: The goal of this panel was to develop a consensus algorithm that would aid physicians in considering a variety of treatment approaches to optimize patient care by preventing extensive therapy with inadequate treatments that may lead to suboptimal patient outcomes and unnecessary costs. METHODS: Consensus opinions were analyzed for clinical preferences at different time periods, depending on patient response to treatment. Decision-making points were defined based on the type of bleed: every 8-12 h for the first 24 h, then every 24 h thereafter for limb-threatening bleeds; every 2-4 h for 2-7 days for life-threatening bleeds. RESULTS: The resultant consensus guidelines provide a generalized methodology to guide the treatment of problem bleeds in patients with severe haemophilia A and inhibitors, and emphasize changing treatment at the first sign of an inadequate haemostatic response. The treatment algorithms apply to both paediatric and adult patients, although the differences between the two groups were reviewed. CONCLUSION: These guidelines are focused on optimising the timing of treatment decisions, which may lead to faster responses and improved outcomes.}},
author = {{Teitel, J and Berntorp, Erik and Collins, P and D'Oiron, R and Ewenstein, B and Gomperts, E and Goudemand, J and Gringeri, A and Key, N and Leissinger, C and Monahan, P and Young, G}},
issn = {{1351-8216}},
keywords = {{management; inhibitors; haemophilia; guidelines; consensus; bleeding}},
language = {{eng}},
number = {{3}},
pages = {{256--263}},
publisher = {{Wiley-Blackwell}},
series = {{Haemophilia}},
title = {{A systematic approach to controlling problem bleeds in patients with severe congenital haemophilia A and high-titre inhibitors}},
url = {{http://dx.doi.org/10.1111/j.1365-2516.2007.01449.x}},
doi = {{10.1111/j.1365-2516.2007.01449.x}},
volume = {{13}},
year = {{2007}},
}