• Katharine Batt, Lisa Boggio, Anne Neff, Tyler W Buckner, Michael Wang, Doris Quon, Michelle Witkop, Michael Recht, Craig Kessler, Neeraj N Iyer, and David L Cooper.
• Wake Forest School of Medicine, Winston-Salem, NC, USA.
• Eur. J. Haematol. 2018 Apr 1; 100 Suppl 1: 14-24.

IntroductionPain and functional impairment associated with joint disease are major problems for people with hemophilia, and impact on health-related quality of life (HRQoL) may vary across groups defined by demographic and treatment-related characteristics.ObjectiveTo evaluate differences in overall HRQoL, pain, function, and joint status between P-FiQ study subgroups.MethodsAdult males with hemophilia and a history of joint pain/bleeding completed a pain history and the patient-reported outcome instruments EQ-5D-5L, Brief Pain Inventory v2 Short Form (BPI), International Physical Activity Questionnaire (IPAQ), and Hemophilia Activities List (HAL); optionally, joint status was assessed (Hemophilia Joint Health Score v2.1 [HJHS]). Scores were analyzed between subgroups across sets of participant characteristics.ResultsA total of 381 adult males with hemophilia were enrolled, with median age of 34 years. Worse scores on EQ-5D-5L index, BPI pain severity/interference, HAL overall score, and HJHS were generally associated with being college educated, unemployment, self-reporting both acute and chronic pain, and self-reporting anxiety/depression.ConclusionsMeasures of joint status and HRQoL were consistently lower in participants who had higher educational levels, were unemployed, self-reported having both acute and chronic pain, and self-reported having anxiety/depression. A greater understanding of the association of these factors with disease outcomes may improve individualized patient management.© 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

30 keywords...

hide…