Evidence-based recommendations on the treatment of von Willebrand disease in Italy.
Details
Serval ID
serval:BIB_4BBCE8D8B7A7
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Evidence-based recommendations on the treatment of von Willebrand disease in Italy.
Journal
Blood Transfusion = Trasfusione Del Sangue
Working group(s)
Italian Association of Hemophilia Centers
Contributor(s)
Contino L., Accorsi A., Ciavarella N., Schiavoni M., Scaraggi FA., Rodorigo G., Valdre L., Targhetta R., Tagariello G., Radossi P., Musso R., Cultrera D., Muleo G., Iannacaro P., Biasioli C., Testa S., Alatri A., Vincenzi D., Scapoli G., Morfini M., Molinari AC., Boeri E., Caprino D., Delios G., Girotto M., Mariani G., Lapecorella M., Carloni MT., Cantori I., Santagostino E., Gringeri A., Marietta M., Pedrazzoli P., Di Minno G., Coppola A., Perricone C., Schiavulli M., Rocino A., Berrettini M., Zanon E., Mancuso G., Siragusa S., Malato A., Saccullo G., Tagliaferri A., Rivolta F., Iorio A., Oliovecchio E., Ferrante F., Dragani A., Rossi A., Mancino A., Albertini P., Macchi S., D'Incà M., De Rossi G., Luciani M., Landolfi R., Mazzucconi MG., Santoro C., Piseddu G., Schinco PC., Rossetti G., Barillari G., Feola G., Gandini G.
ISSN
1723-2007 (Print)
ISSN-L
1723-2007
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
7
Number
2
Pages
117-126
Language
english
Notes
Publication types: Journal Article ; Practice Guideline
Abstract
BACKGROUND: von Willebrand disease (VWD) is the most common hereditary bleeding disorder affecting both males and females. It arises from quantitative or qualitative defects of von Willebrand factor (VWF) and causes bleeding of mucous membranes and soft tissues. The aim of treatment is to correct the dual defect of haemostasis caused by the abnormal/reduced VWF and the concomitant deficiency of factor VIII (FVIII).
MATERIAL AND METHODS: This document contains evidence-based recommendations for the management of VWD compiled by AICE (the Italian Association of Haemophilia Centres). All the evidence supporting these recommendations are based on non-randomised comparative studies or case series, because randomised controlled clinical trials or meta-analyses are not available for this disease.
RESULTS AND CONCLUSIONS: Desmopressin (DDAVP) is the treatment of choice for patients with type 1 VWD with FVIII and VWF levels of 10 U/dL or more, while VWF/FVIII concentrates are indicated for those who are unresponsive or insufficiently responsive to DDAVP (severe type 1, type 2 and 3 VWD). VWF concentrates devoid of FVIII, not yet licensed in Italy, may be considered for short-term prophylaxis in elective surgery or for long-term secondary prophylaxis.
MATERIAL AND METHODS: This document contains evidence-based recommendations for the management of VWD compiled by AICE (the Italian Association of Haemophilia Centres). All the evidence supporting these recommendations are based on non-randomised comparative studies or case series, because randomised controlled clinical trials or meta-analyses are not available for this disease.
RESULTS AND CONCLUSIONS: Desmopressin (DDAVP) is the treatment of choice for patients with type 1 VWD with FVIII and VWF levels of 10 U/dL or more, while VWF/FVIII concentrates are indicated for those who are unresponsive or insufficiently responsive to DDAVP (severe type 1, type 2 and 3 VWD). VWF concentrates devoid of FVIII, not yet licensed in Italy, may be considered for short-term prophylaxis in elective surgery or for long-term secondary prophylaxis.
Keywords
Deamino Arginine Vasopressin/therapeutic use, Drug Therapy, Combination, Evidence-Based Medicine, Factor VIII/therapeutic use, Female, Hemostatics/therapeutic use, Humans, Italy, Male, Treatment Outcome, von Willebrand Diseases/drug therapy, von Willebrand Factor/therapeutic use
Pubmed
Web of science
Create date
14/02/2013 14:36
Last modification date
03/06/2020 6:26
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