PMID- 33576546 OWN - NLM STAT- MEDLINE DCOM- 20210924 LR - 20210924 IS - 1365-2516 (Electronic) IS - 1351-8216 (Linking) VI - 27 IP - 3 DP - 2021 May TI - Health-related quality of life and health status in adolescent and adult people with haemophilia A without factor VIII inhibitors-A non-interventional study. PG - 398-407 LID - 10.1111/hae.14270 [doi] AB - INTRODUCTION: Real-world data on health-related outcomes in persons with haemophilia A (PwHA) can provide useful information for improving patient care. The global, non-interventional study (NIS; NCT02476942) prospectively collected high-quality data in PwHA, including those without factor VIII (FVIII) inhibitors treated according to local routine clinical practice. AIM: To report health-related quality of life (HRQoL) and health status of adult/adolescent PwHA without FVIII inhibitors. METHODS: Participants were PwHA without FVIII inhibitors age >/=12 years; they remained on existing episodic treatment or prophylaxis. HRQoL was assessed by Haemophilia Quality of Life Questionnaire for Adults (Haem-A-QoL) or Haemophilia-Specific Quality of Life Assessment for Children and Adolescents Short Form (Haemo-QoL-SF II). Health status was assessed through EuroQol 5-Dimensions 5-Levels (EQ-5D-5L) index utility score and visual analogue scale (EQ-VAS). RESULTS: Ninety-four participants enrolled; median age was 34.0 years (range 12-76). Forty-five received episodic treatment and 49 received prophylaxis for a median time of 27.7 weeks and 30.4 weeks, respectively. Mean (standard deviation) baseline Haem-A-QoL total scores were 40.1 (17.0) for the episodic group and 26.6 (14.6) for the prophylaxis group, indicating impairments in HRQoL, which remained consistent over time. Mean EQ-5D-5L IUS scores were similar between treatment regimens (0.8 episodic; 0.9 prophylaxis) and consistent over time. The mean EQ-VAS scores were similar between treatment regimens, and lower on days when bleeding occurred (79.0 vs 85.0 for episodic treatment; 77.0 vs 82.0 for prophylaxis, respectively). CONCLUSIONS: Adult and adolescent PwHA without FVIII inhibitors had HRQoL impairments regardless of whether they were treated with episodic or prophylactic standard care with FVIII. CI - (c) 2021 The Authors. Haemophilia published by John Wiley & Sons Ltd. FAU - Oldenburg, Johannes AU - Oldenburg J AUID- ORCID: 0000-0002-1585-4100 AD - Department of Experimental Haematology and Transfusion Medicine, University Clinic Bonn, Bonn, Germany. FAU - Tran, Huyen AU - Tran H AD - The Alfred Hospital, Melbourne, Vic., Australia. FAU - Peyvandi, Flora AU - Peyvandi F AUID- ORCID: 0000-0001-7423-9864 AD - Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, IRCCS Fondazione Ca, Granda Ospedale Maggiore Policlinico, Milan, Italy. AD - Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy. FAU - Nunez, Ramiro AU - Nunez R AD - Hospital Universitario Virgen Del Rocio, Seville, Spain. FAU - Trask, Peter AU - Trask P AD - Genentech, Inc., South San Francisco, CA, USA. FAU - Chebon, Sammy AU - Chebon S AD - F. Hoffmann-La Roche Ltd, Basel, Switzerland. FAU - Mahlangu, Johnny N AU - Mahlangu JN AUID- ORCID: 0000-0001-5781-7669 AD - Haemophilia Comprehensive Care Centre, Faculty of Health Sciences, University of the Witwatersrand and NHLS, Johannesburg, South Africa. FAU - Lehle, Michaela AU - Lehle M AD - F. Hoffmann-La Roche Ltd, Basel, Switzerland. FAU - Jimenez-Yuste, Victor AU - Jimenez-Yuste V AUID- ORCID: 0000-0003-3937-3499 AD - La Paz University Hospital, Autonoma University, Madrid, Spain. FAU - von Mackensen, Sylvia AU - von Mackensen S AUID- ORCID: 0000-0002-5926-0478 AD - Department of Medical Psychology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany. LA - eng GR - F. Hoffmann-La Roche Ltd/ GR - Chugai Pharmaceutical Co., Ltd/ PT - Journal Article DEP - 20210212 PL - England TA - Haemophilia JT - Haemophilia : the official journal of the World Federation of Hemophilia JID - 9442916 RN - 9001-27-8 (Factor VIII) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Child MH - Factor VIII/therapeutic use MH - Health Status MH - *Hemophilia A/drug therapy MH - Humans MH - Infant, Newborn MH - Middle Aged MH - *Quality of Life MH - Surveys and Questionnaires MH - Young Adult OTO - NOTNLM OT - factor VIII OT - haemophilia A OT - health-related quality of life OT - inhibitors OT - non-interventional study OT - real-world data EDAT- 2021/02/13 06:00 MHDA- 2021/09/25 06:00 CRDT- 2021/02/12 08:41 PHST- 2021/01/20 00:00 [revised] PHST- 2020/08/07 00:00 [received] PHST- 2021/01/21 00:00 [accepted] PHST- 2021/02/13 06:00 [pubmed] PHST- 2021/09/25 06:00 [medline] PHST- 2021/02/12 08:41 [entrez] AID - 10.1111/hae.14270 [doi] PST - ppublish SO - Haemophilia. 2021 May;27(3):398-407. doi: 10.1111/hae.14270. Epub 2021 Feb 12.