Intermediate-dose versus high-dose prophylaxis for severe hemophilia: comparing outcome and costs since the 1970s

Author:

Fischer Kathelijn12,Steen Carlsson Katarina3,Petrini Pia45,Holmström Margareta5,Ljung Rolf67,van den Berg H. Marijke2,Berntorp Erik37

Affiliation:

1. Van Creveldkliniek, Department of Hematology and

2. Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands;

3. Department of Clinical Sciences, Malmö, Lund University, Skåne University Hospital, Malmö, Sweden;

4. Department of Paediatrics and

5. Coagulation Unit, Karolinska University Hospital, Stockholm, Sweden;

6. Lund University, Department of Paediatrics, Malmö/Lund, Sweden; and

7. Malmö Centre for Thrombosis and Haemostasis, Skåne University Hospital, Malmö, Sweden

Abstract

Key Points Compared with intermediate-dose prophylaxis (3 × 1000 IU/wk), high-dose prophylaxis (3 × 2000 IU/wk) resulted in a 66% higher total cost. At age 24 years, high-dose prophylaxis resulted in a small reduction in bleeding and hemophilic arthropathy, but equal quality of life.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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