Table 3.
Question | Percentage agreement/disagreement (%) | Number of participants’ responses included in analysis (n)a | Delphi survey round |
---|---|---|---|
Joint health should be regularly measured in routine comprehensive care visits by a suitably trained physiotherapist using a validated tool | 90.2 | 41 | Round 1 |
Infusion requirements (both volume and frequency) must be considered when selecting a therapyb | 84.4 | 32 | Round 2 |
Quality of life should be regularly measured in routine comprehensive care visits using a validated tool | 82.9 | 41 | Round 1 |
The number of major bleeds should be specifically considered when deciding whether to offer prophylaxis with bypassing agents to a mild or moderate haemophilia patients with inhibitorsc | 82.4 | 34 | Round 2 |
Inadequate response to ITI is best defined as an upward trend in inhibitor titre or <20% reduction in inhibitor titre over a 6-month periodb | 82.1 | 28 | Round 2 |
The number of joint bleeds should be specifically considered when deciding whether to offer prophylaxis with bypassing agents to a mild or moderate haemophilia patient with inhibitorsc | 79.4 | 34 | Round 2 |
If inadequate response to ITI is observed at <200 IU/kg/day, the dose can be increased to this levelb | 79.3 | 29 | Round 2 |
The avoidance of allergic reactions is a key factor which should be considered when selecting a therapy | 70.7 | 41 | Round 1 |
The aims of treatment in haemophilia patients with inhibitors are completely different from the aims of treatment in haemophilia patients without inhibitors [b] | 67.6 | 34 | Round 2 |
Eradicating inhibitors is a priority in mild or moderate haemophilia patients with inhibitorsb | 62.5 | 32 | Round 2 |
Anamnesis is an important consideration when selecting a therapy prior to ITI or during ITIb | 60.0 | 30 | Round 2 |
Anamnesis is an important consideration when selecting a therapy for a patient who has failed ITIb | 56.7 | 30 | Round 2 |
Moderate haemophilia patients with inhibitors should not be routinely offered prophylaxis with bypassing agentsb | 46.9 | 32 | Round 2 |
For patients who inadequately respond to ITI, ITI should be terminatedd | 43.3 | 30 | Round 2 |
Infusion requirements should be specifically considered when deciding whether to offer prophylaxis with bypassing agents to a mild or moderate haemophilia patients with inhibitorsb | 42.4 | 33 | Round 2 |
Baseline factor activity levels should be specifically considered when deciding whether to offer prophylaxis with bypassing agents to a mild or moderate haemophilia patients with inhibitorsb | 37.9 | 29 | Round 2 |
Mild haemophilia patients with inhibitors should not be routinely offered prophylaxis with bypassing agentsb | 37.9 | 29 | Round 2 |
A total of 41 participants answered questions on general care in Round 1, and 34 in Round 2. Questions achieving consensus agreement and disagreement (⩾70% participants agreeing/disagreeing with the statement) are highlighted in dark blue and light blue, respectively. Where questions did not achieve consensus in Round 1 and were carried forward to Round 2, only the Round 2 results are shown here.
In Round 2, ‘IE’ responses were removed prior to analysis.
Rephrased from question in Round 1.
New question added based on free-text response in Round 1.
Round 1 question restated in Round 2.
IE, insufficient expertise; ITI, immune tolerance induction; IU, international units.