A systematic review of haemophilia comprehensive care suggests it reduced mortality, emergency and walk-in visits, admissions, length of stay and days missed from school or work¶

Claim · All claims
Evidence · 1 study · design r2 · q2
Currency · newest study 2020 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? Comprehensive (integrated) care in haemophilia was associated with reduced mortality, emergency room and walk-in clinic visits, hospital admissions and length of stay, and days missed from school or work. → Pollard D 2020

Evidence¶

Pollard D 2020¶

Pollard D, Harrison C, Dodgson S, Holland M, Khair K. (2020). The UK haemophilia specialist nurse: Competencies fit for practice in the 21st century. Haemophilia. https://doi.org/10.1111/hae.14002

q2 · i? · design · r2

The article reports a systematic review of comprehensive care models in haemophilia identifying eight comparative and 19 non-comparative studies published up to 2015; meta-analysis was not possible due to differences in study designs and outcomes, and quality of evidence was rated low or very low.

"Overall, the analysis suggested that comprehensive care reduced mortality, emergency room and walk‐in clinic visits, hospital admissions and length of stay, and days missed from school or work."

Discussion¶

Related Claims¶

• A UK NHS survey estimated each haemophilia nurse specialist's work was associated with minimum annual savings of £83,000 in avoided emergency visits and £50,000–£100,000 in replaced consultant appointments
• Systematic reviews suggest nurse-led services achieve outcomes at least as good as traditional physician-led models, with some evidence of cost-effectiveness