{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T18:33:06Z","timestamp":1778178786472,"version":"3.51.4"},"reference-count":41,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T00:00:00Z","timestamp":1697760000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Elderly people with haemophilia (PwH) develop haemophilic arthropathy, pain, and reduced health\u2010related quality of life (HR\u2010QoL). The condition of elderly mild haemophilia patients have rarely been evaluated. This study aimed to compare joint status, pain, and HR\u2010QoL between elderly with mild, moderate\/severe haemophilia and healthy elderlies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Knee\/ankle abnormalities were assessed by ultrasound (HEAD\u2010US) and physical examination (HJHS 2.1). Pain severity and pain interference were investigated using the Brief Pain Inventory. Pressure pain thresholds (PPTs) were obtained at knees\/ankles and forehead. Functional limitations were evaluated using the 2\u2010Minute\u2010Walking\u2010Test, Timed\u2010Up\u2010and\u2010Go and HAL. The EQ\u20105D\u20105L questionnaire evaluated HR\u2010QoL. Healthy controls (HCs) and elderly individuals with moderate\/severe and mild haemophilia were compared using Kruskal\u2013Wallis and Mann\u2013Whitney <jats:italic>U<\/jats:italic> tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From the 46 elderly PwH approached, 40 individuals (\u226560 years) with haemophilia A\/B (17 moderate\/severe; 23 mild) and 20 age\u2010matched HCs were recruited. Moderate\/severe PwH displayed worse joint status, lower PPTs, and poorer HR\u2010QoL than mild PwH and HCs (<jats:italic>p<\/jats:italic>\u2010value\u00a0=\u00a0.010\u2013&lt;.001). HEAD\u2010US abnormalities were observed in 100% of knees and 94% of ankles in moderate\/severe PwH, versus 50% of knees and 61% of ankles in mild PwH. Pain was reported by 80% and 57% of moderate\/severe and mild PwH, respectively. Low PPTs, functional limitations, and poor HR\u2010QoL scores were likewise observed in some mild PwH, yet without significantly differing from HCs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study highlights poor joint\/functional status, pain, and HR\u2010QoL outcomes in elderly with moderate\/severe haemophilia. A few mild haemophilia subjects presented joint abnormalities, pain, functional limitations, and poor HR\u2010QoL, without significantly differing from HCs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Highlights<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Elderly individuals with mild haemophilia have not yet been extensively studied, whereas moderate\/severe haemophilia individuals have proven to suffer from haemophilic arthropathy, pain, and poor health\u2010related quality of life (HR\u2010QoL).<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Using a case\u2010control design, joint status, pain, and HR\u2010QoL outcomes were examined in elderly haemophilia individuals and compared with those of healthy controls (HCs).<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Elderly moderate\/severe haemophilia individuals exhibited worse joint status, increased joint pain sensitivity, and reduced HR\u2010QoL compared with both mild haemophilia subjects and HCs. A subset of mild haemophilia subjects exhibited poor joint status, pain, and HR\u2010QoL outcomes, without any differences noted when compared with HCs.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1111\/hae.14890","type":"journal-article","created":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T10:49:47Z","timestamp":1697798987000},"page":"1621-1632","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Joint status, pain and quality of life in elderly people with haemophilia: A case\u2010control study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2044-7112","authenticated-orcid":false,"given":"Val\u00e9rie\u2010Anne","family":"Chantrain","sequence":"first","affiliation":[{"name":"Faculty of Medicines and Health Sciences Research Group (MOVANT) Department of Rehabilitation Sciences and Physiotherapy (REVAKI) University of Antwerp  Wilrijk 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