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How Pain Manifests in People with Hemophilia

Haemophilia; ePub 2017 Dec 5; Kempton, et al

People with hemophilia tend to experience ankle/knee pain and lower extremity functional impairment that impact life quality, researchers concluded after conducting a study involving 381 individuals. Participants were a median of 34 years of age with hemophilia and a history of joint pain/bleeding. Investigators evaluated joint health using 5 types of patient-reported outcome assessments. Among the results:

  • ~Half of patients reported having a joint procedure or surgery.
  • 6 in every 10 reported mobility issues.
  • 53% were able to conduct usual activities.
  • ~Three-fourths experienced pain/discomfort.
  • On Brief Pain Inventory v2 Short Form, median worst pain was 6 (out of 10), least pain 1, average pain 3, and current pain 2.
  • Most painful joints were ankles (37%), knees (24%), and elbows (19%).
  • In a physical activity questionnaire, ~half reported no activity in the prior week.
  • A health survey revealed worse scores for physical vs mental health.
  • Among Hemophilia Activities List domains, functions of the legs and lying/sitting/kneeling/standing were most impacted.

Citation:

Kempton C, Recht M, Neff A, et al. Impact of pain and functional impairment in US adults with haemophilia: Patient-reported outcomes and musculoskeletal evaluation in the pain, functional impairment and quality of life (P-FiQ) study. [Published online ahead of print December 5, 2017]. Haemophilia. doi:10.1111/hae.13377.