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出血性疾病的大画面计划。

Big picture initiatives in bleeding disorders.

机构信息

CHU Lille, Hematology Transfusion, LILLE, France.

National Hemophilia Foundation, New York, New York, USA.

出版信息

Haemophilia. 2022 May;28 Suppl 4:53-60. doi: 10.1111/hae.14532.

Abstract

INTRODUCTION

The inherited bleeding disorders (IBD) community has witnessed significant therapeutic advances recently, yet important gaps persist, particularly for those with rare disorders and historically underserved populations.

AIMS

-To create a national research blueprint agenda, led by the National Hemophilia Foundation (NHF), enhancing patient-centric principles, accelerate research progress and address important gaps in care. -To review critical gaps that remain to be addressed in women with IBDs, who face specific bleeding challenges.

METHODS

The NHF research blueprint research agenda was defined by input from across the community, including caregivers and patients who are considered subject matter experts of their IBD, research leaders, allied health professionals and specialists, and representatives of the biopharmaceutical industry. In addition, two medical experts in the field of IBDs performed a comprehensive review to address the knowledge gaps in women with IBDs.

RESULTS

Two foundational principles of the NHF blueprint are: (1) it must deliver on key issues that significantly impact the lives of those affected by IBDs, and (2) the priorities defined are relevant and actionable aimed to achieve health equity among all those affected by IBDs. A multidisciplinary approach is necessary for an optimal management of puberty, transition to adulthood and pregnancy. Even if strict guidelines are followed, recent studies show that women with IBDs are still facing a high burden.

CONCLUSION

NHF blueprint will be issued in 2022. A specific research agenda is needed in women with IBDs to further improve their management and quality of life.

摘要

简介

遗传性出血性疾病(IBD)领域最近取得了重大治疗进展,但仍存在一些重要空白,尤其是在罕见疾病和历史上服务不足的人群中。

目的

  • 由国家血友病基金会(NHF)牵头制定国家研究蓝图议程,增强以患者为中心的原则,加速研究进展,解决护理方面的重要差距。- 回顾 IBD 女性中仍然存在的未解决的关键差距,她们面临着特定的出血挑战。

方法

NHF 研究蓝图研究议程是通过社区内的多方意见形成的,包括被认为是他们的 IBD 领域的主题专家的护理人员和患者、研究领导者、相关健康专业人员和专家以及生物制药行业的代表。此外,两位 IBD 领域的医学专家进行了全面审查,以解决 IBD 女性中的知识空白。

结果

NHF 蓝图的两个基本原则是:(1)它必须解决对 IBD 患者生活产生重大影响的关键问题,(2)确定的优先事项具有相关性和可操作性,旨在实现所有 IBD 患者的健康公平。多学科方法对于青春期、向成年期过渡和妊娠的最佳管理是必要的。即使遵循严格的指南,最近的研究表明,IBD 女性仍面临着沉重的负担。

结论

NHF 蓝图将于 2022 年发布。IBD 女性需要制定具体的研究议程,以进一步改善她们的管理和生活质量。

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