This might

allow us to select the patients with the highest inhibitor risk and try to develop alternative treatment regimens to reduce the risk [25]. It has been observed in many studies that prophylaxis can prevent inhibitor selleck chemicals development [13, 14]. Several centres are now starting low dose prophylaxis very early, to prevent bleeding and danger signals, with promising results [25, 26]. However, the numbers of included patients are small and the exclusion of patients with large bleeds at birth can have a significant impact on the overall results. The presented case histories demonstrate the complexity of the clinical picture and emphasize the need to start collecting data from birth onwards. This means that for patients with negative family histories, data have to be collected retrospectively. Although retrospective data are often criticized, it is important to realize

that data collection in clinical studies is always retrospective, after the ‘event’ has occurred. Retrospective data should only be considered with more caution when prospectively collected data have been demonstrated to be more complete [27]. The diagnosis of inhibitors needs reconsideration; additional focus on high-titre inhibitors as the main outcome can make studies more comparable and better address the impact of different risk factors. The PedNet study centres: C Altisent, Barcelona; G Auerswald, Bremen; M Carcao, Toronto; E Chalmers, Glasgow; H Chambost, Marseille; A Cid, Imatinib cell line Valencia; S Claeyssens, Toulouse; N Clausen, Aarhus; K Fischer, 上海皓元医药股份有限公司 Utrecht; Ch van Geet, Leuven; G Kenet, Tel-Hashomer; R Kobelt, Wabern; W Kreuz, Frankfurt; K Kurnik, Munich; R

Liesner, London; R Ljung, Malmö; A Mäkipernaa, Helsinki; A Molinari, Genova; W Muntean, Graz; B Nolan, Dublin; J Oldenburg, Bonn; R Pérez Garrido, Seville; P Petrini, Stockholm; H Platokouki, Athens; A Rafowicz, Paris; G Rivard, M. Alvirez, Madrid, Montreal; E Santagostino, Milan; A Thomas, Edinburgh; M Williams, Birmingham; PedNet study coordinators; Ella Smink, Karin Lindvall, Kate Kair, Yves Guillaume. Mojtaba Hasemi PhD student of the PedNte study group has been involved with analysis for this article. The authors stated that they had no interests which might be perceived as posing a conflict or bias. “
“To meet the rapidly expanding need for musculoskeletal (MSK) specialists [physiotherapists (PTs), physiatrists] in haemophilia care in China, a 4-day Train the Trainer workshop was conducted in July/August 2009 in Beijing. A key focus was to train the participants to administer the Hemophilia Joint Health Score (HJHS) version 2.1 for effectively evaluating the MSK health of boys <18 years of age with haemophilia. The aim of this study was to test the HJHS version 2.1 inter- and intra-rater reliability in a group of Chinese PTs and physiatrists with limited experience in haemophilia care.