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

Table 5.

Likert scale questions relating to the care of children/adolescents with haemophilia and inhibitors.

Question Percentage agreement/disagreement (%) Number of participants’ responses included in analysis (n)a Delphi survey round
When treating children and adolescents with inhibitors on ITI, the aim is for them to not have any bleedsb 90.9 22 Round 2
In children and adolescents who have failed ITI, prophylaxis with bypassing therapy should be offered, if not already initiated 83.3 24 Round 1
Prophylaxis with bypassing agents is justified in children and adolescents who require joint protection 79.2 24 Round 1
Restoring/maintaining a child’s or an adolescent’s lifestyle, in terms of their everyday activities, should be the main priority 75.0 24 Round 1
A key aim of treatment in children and adolescents with inhibitors is to eradicate the inhibitor 70.8 24 Round 1
Prophylaxis with bypassing agents is justified in children and adolescents who have had a single life-threatening bleed 70.8 24 Round 1
High dose factor prophylaxis is justified in children and adolescents who are partially tolerised to ITI 70.8 24 Round 1
Children and adolescents with haemophilia A and inhibitors should be treated with ITI to eradicate their inhibitors, regardless of severityc 70.0 20 Round 2

A total of 24 participants answered questions on paediatric care in Round 1, and 22 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. One participant answered the ‘adult care only’ questions in Round 1 but answered questions relating to the care of both children/adolescents and adults in Round 2. For consistency with Round 1, this participant’s Round 2 child-related responses were not included in analyses.

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.

IE, insufficient expertise; ITI, immune tolerance induction.