Table 2.
Target Population | Estimated cases in Europe | Measure | Target threshold | |
---|---|---|---|---|
Measure 1} | All HHT- clinical or molecular diagnosis | 85,000 | Screen for pulmonary AVMs | ≥ 90% |
Measure 2} | Receive nosebleed advice in writing | ≥ 90% | ||
Measure 3} | Assessment of iron deficiency at each consultation | ≥ 70% | ||
Measure 4 | Pulmonary AVMs (+/− HHTa) | 196,000 | Receive written advice on antibiotic prophylaxis prior to dental and surgical procedures | 100% |
Measure 5 | Pregnant women with pulmonary AVMs (+/− HHTa) | ~ 1000 | Receive written advice on PAVM/HHT pregnancies | 100% |
Prevalence estimates assume a European population of 510,000,000 (196,000 with HHT or PAVMs), 100,000 females with HHT or PAVMs; and an average of 1.6 children per woman accounting for 1.2 years pregnant in 84 years life expectancy. aPulmonary AVMs also occur outside HHT and are estimated to affect 1 in 2600 people [33]. HHT and non HHT-related pulmonary AVMs are currently managed in the same way