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. 2021 Apr 30;12:20406207211007058. doi: 10.1177/20406207211007058

Table 3.

Likert scale questions relating to the general care of haemophilia patients with inhibitors.

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.

a

In Round 2, ‘IE’ responses were removed prior to analysis.

b

Rephrased from question in Round 1.

c

New question added based on free-text response in Round 1.

d

Round 1 question restated in Round 2.

IE, insufficient expertise; ITI, immune tolerance induction; IU, international units.