Continuous prophylaxis |
|
If initiated with the intent of treating for 52 weeks of the year and is accomplished for at least 45 weeks of that year |
|
Primary prophylaxis |
The regular, continuous use of treatment that is started before the second clinically evident large joint bleed (bleeds in ankles, knees, hips, elbows, or shoulders). It is initiated before three years of age in children without documented osteochondral joint disease (determined by a physical examination and/or imaging studies) |
|
Secondary prophylaxis |
Initiated after ≥2 bleeds into large joints but before the onset of joint disease documented by physical examination and imaging studies |
|
Tertiary prophylaxis |
The continuous treatment started after the onset of joint disease, as documented by physical examination and plain radiographs of the affected joints |
Intermittent prophylaxis |
|
If the prophylaxis regimen does not exceed more than 45 weeks in a year |
“On-demand” therapy |
|
Treatment given at the time of clinically evident bleeding |