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Real-world clinical and psychosocial outcomes among people with mild or moderate haemophilia A treated on-demand in the Italian CHESS II cohort: a real-world data analysis Cover

Real-world clinical and psychosocial outcomes among people with mild or moderate haemophilia A treated on-demand in the Italian CHESS II cohort: a real-world data analysis

Open Access
|Apr 2024

Figures & Tables

Analysis of the Italian cohort of adults with mild or moderate haemophilia A in the CHESS II dataset shows a meaningful clinical and psychosocial burden of disease, impacted by bleeding events, chronic pain, anxiety, depression, and limitations on activities of daily life
Analysis of the Italian cohort of adults with mild or moderate haemophilia A in the CHESS II dataset shows a meaningful clinical and psychosocial burden of disease, impacted by bleeding events, chronic pain, anxiety, depression, and limitations on activities of daily life

Figure 1:

Psychosocial impact of haemophilia A among participants completing the patient self-complete questionnaire
Note: the figure above is relative to the subsample who also provided a patient-questionnaire composed by n=19 with mild HA and n=25 with moderate HA
HA: haemophilia A
Psychosocial impact of haemophilia A among participants completing the patient self-complete questionnaire Note: the figure above is relative to the subsample who also provided a patient-questionnaire composed by n=19 with mild HA and n=25 with moderate HA HA: haemophilia A

Demographic characteristics and clinical outcomes of people with mild or moderate haemophilia A

MILD HA (N=34)MODERATE HA (N=79)
Age
    Mean (SD)36.6 (12.0)41.4 (14.1)
    Median (IQR)37.0 (27.0, 42.0)41.0 (29.0, 54.0)
Age, n (%)
    18-3515 (44)31 (39)
    36-5916 (47)39 (49)
    >603 (9)9 (11)
Body mass index, n (%)
    Underweight0 (0)1 (1)
    Normal weight18 (53)48 (61)
    Overweight16 (47)28 (35)
    Obese02 (3)
Current treatment regimen, n (%)
    On-demand10 (29)24 (30)
    No recent FVIII treatmenta24 (71)55 (70)
    Prophylaxis00
ABR (all cause)
    Bleeding reported, n (%)24 (71)67 (85)
    Mean (SD)1.1 (0.9)2.9 (2.7)
    Median (Q1, Q3)1.0 (0.0, 2.0)2.0 (1.0, 4.0)
ABR (spontaneous)b
    Spontaneous bleeding reported, n (%)-57 (72)
    Mean (SD)-0.88 (0.93)
    Median (Q1, Q3)-0.6 (0, 1.2)
ABR, n (%)
    010 (29)12 (15)
    114 (41)14 (18)
    >210 (29)53 (67)
Baseline factor level (overall)
    Mean (SD)21.0 (10.3)3.5 (1.2)
    Median (Q1, Q3, range)20 (11, 30, 5.01-40)4 (3, 5, 1-5)
Baseline factor level in those reporting a bleeding event
    Mean (SD)21.3 (9.8)3.4 (1.3)
    Median (Q1, Q3, range)20 (15, 27, 5.1-37)3.3 (2.3, 5, 1-5)
Target joints
    Mean (SD)0.1 (0.3)0.3 (0.7)
    Median (Q1, Q3)00
Target joints, n (%)
    030 (88)62 (79)
    14 (12)11 (14)
    >206 (8)
Problem joints
    Mean (SD)0.1 (0.4)0.7 (0.8)
    Median (Q1, Q3)01.0 (0.0, 1.0)
Problem joints, n (%)
    030 (88)39 (49)
    13 (9)26 (33)
    >21 (3)14 (18)
Chronic pain level, n (%)
    None22 (65)21 (27)
    Mild pain11 (32)41 (52)
    Moderate pain1 (3)17 (22)
    Severe pain00
    Anxiety, n (%)4 (12)16 (20)
    Depression, n (%)1 (3)12 (15)

Clinical outcomes of participants who completed the patient self-complete questionnaire, by haemophilia A severity

MILD HA (N=19)MODERATE HA (N=25)
Age
    Mean (SD)37.7 (13.1)39.6 (14.6)
    Median (Q1, Q3)37.0 (27.0, 46.0)31.0 (28.0, 47.0)
Age, n (%)
    18-358 (42)14 (56)
    36-599 (47)7 (28)
    >602 (11)4 (16)
Body mass index, n (%)
    Underweight0 (0)0 (0)
    Normal weight11 (58)13 (52)
    Overweight8 (42)11 (44)
    Obese01 (4)
Current treatment regimen, n (%)
    On-demand8 (42)9 (36)
    No recent FVIII treatmenta11 (58)16 (64)
    Prophylaxis00
ABR (all cause)
    Mean (SD)1.3 (0.9)3.0 (2.7)
    Median (IQR)1.0 (1.0, 2.0)2.0 (1.0, 4.0)
Target joints
    Mean (SD)0.1 (0.3)0.3 (0.6)
    Median (IQR)00
Target joints, n (%)
    017 (90)20 (80)
    12 (11)3 (12)
    >202 (8)
Problem joints
    Mean (SD)0.1 (0.5)0.6 (0.7)
    Median (IQR)00
Problem joints, n (%)
    018 (95)13 (52)
    109 (36)
    >21 (5)3 (12)
Chronic pain level, n (%)
    None11 (58)5 (20)
    Mild pain8 (42)14 (56)
    Moderate pain06 (24)
    Severe pain00
    Anxiety, n (%)2 (11)3 (12)
    Depression, n (%)02 (8)
Language: English
Page range: 58 - 68
Published on: Apr 22, 2024
Published by: Haemnet Ltd
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Giancarlo Castaman, Maria Elisa Mancuso, Matteo Nicola Dario Di Minno, Luigi Sannino, Rosaria Tempre, Sara Bendinelli, Tom Blenkiron, Tom Burke, Enrico Ferri Grazzi, published by Haemnet Ltd
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.