2024
Teenagers and Adolescents with Hemophilia-Need for a Specific Approach
KOENIGS, Christoph; Jayashree MOTWANI; Victor JIMENEZ-YUSTE a Jan BLATNÝZákladní údaje
Originální název
Teenagers and Adolescents with Hemophilia-Need for a Specific Approach
Autoři
KOENIGS, Christoph; Jayashree MOTWANI; Victor JIMENEZ-YUSTE a Jan BLATNÝ
Vydání
Journal of Clinical Medicine, BASEL, MDPI, 2024, 2077-0383
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30205 Hematology
Stát vydavatele
Švýcarsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 2.900
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/24:00138894
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
adolescence; adolescent; hemophilia; management
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 20. 2. 2025 10:30, Mgr. Tereza Miškechová
Anotace
V originále
Adolescents with hemophilia are a patient population with special requirements, having to manage their condition alongside the typical challenges of adolescence. Given the psychosocial impact of hemophilia and a desire to fit in with non-hemophilic peers, they may perceive treatment as more of a burden than a benefit. This can result in low adherence and a high risk of hemophilia-related complications. Hemophilia management has changed over time. To best inform shared decision-making with adolescent patients and their families, healthcare professionals must consider all the currently available evidence, highlighting treatment benefits as appropriate. They should also appreciate the requirements of all adolescents affected by hemophilia, including individuals with non-severe disease and girls/women. We discuss specific issues relating to the management of adolescents with hemophilia: prevention and management of bleeds, treatment adherence, joint health and physical activity, and other health-related issues. A multidisciplinary approach is advocated, and the potential role of digital technology in helping to equip patients with self-management skills to fully engage with treatment is considered. Currently, available hemophilia management generally enables adolescents with hemophilia to lead normal lives, participating in physical activities while maintaining good joint health. However, more work is required to help address both actual and perceived limitations.