{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T19:18:32Z","timestamp":1787858312070,"version":"build-2784847793"},"reference-count":21,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The accurate physical examination of musculoskeletal (MSK) health is an essential part of proactive best practice care of people with hemophilia and must be consistently monitored in clinic. In response to current MSK tool limitations, the Musculoskeletal Health Expert Working Group (MSKH EWG) of the International Prophylaxis Study Group (IPSG) has identified developing an improved MSK scoring system a priority.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To identify the priority needs for healthcare professionals examining the MSK health of people with hemophilia in clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Priorities were identified through a modified Delphi consensus process and an expert meeting with the members of the MSKH EWG. Three iterative surveys were distributed worldwide to healthcare professionals who were participants of the World Federation of Haemophilia (WFH) MSK Committee meetings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The modified Delphi process identified priorities of these healthcare professionals (\n                      <jats:italic>n<\/jats:italic>\n                      = 78) through surveys and an expert meeting (\n                      <jats:italic>n<\/jats:italic>\n                      = 13). The three surveys achieved response rates of 58%, 54% and 55%. The top two priorities, as to why a new MSK scoring system should be developed, were 1) current tools cannot detect the earliest and subtle changes of hemophilia, and 2) current tools are too time consuming. The top two attributes and purposes of a new MSK scoring system were to 1) measure the earliest changes of hemophilia, and 2) measure joint health changes over the course of time.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Delphi process successfully identified which future MSK examination priorities should be considered in the development of an improved MSK scoring system for clinical use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hae.70368","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T18:35:41Z","timestamp":1787855741000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Healthcare Professional Identified Priorities for a New Musculoskeletal Examination Scoring System for People With Hemophilia\u2014an International Consensus"],"prefix":"10.1111","author":[{"given":"Lizabeth","family":"Teshler","sequence":"first","affiliation":[{"name":"Institute of Medical Sciences Faculty of Medicine University of Toronto  Toronto Ontario Canada"},{"name":"Child Health Evaluative Sciences The Hospital for Sick Children Research Institute  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Abad","sequence":"additional","affiliation":[{"name":"Child Health Evaluative Sciences The Hospital for Sick Children Research Institute  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magnus","family":"Aspdahl","sequence":"additional","affiliation":[{"name":"Allied Health Professionals Function Medical Unit Occupational Therapy and Physiotherapy Karolinska University Hospital  Stockholm Sweden"},{"name":"Neuropaediatrics Department of Women's and Children's Health Karolinska Institute  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Avila","sequence":"additional","affiliation":[{"name":"Institute of Medical Sciences Faculty of Medicine University of Toronto  Toronto Ontario Canada"},{"name":"Child Health Evaluative Sciences The Hospital for Sick Children Research Institute  Toronto Ontario Canada"},{"name":"Division of Haematology\/Oncology The Hospital for Sick Children  Toronto Ontario Canada"},{"name":"Departments of Pediatrics Faculty of Medicine and Institute of Health Policy Management &amp; Evaluation Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Bladen","sequence":"additional","affiliation":[{"name":"Haemophilia Center Great Ormond Street Hospital for Children NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Funk","sequence":"additional","affiliation":[{"name":"Hemophilia and Thrombosis Center University of Colorado Anschutz Medical Campus  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Hilliard","sequence":"additional","affiliation":[{"name":"Member of the International Prophylaxis Study Group Musculoskeletal Health Expert Working Group  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judy Ann","family":"John","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine &amp; Rehabilitation Christian Medical College  Vellore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilyn","family":"Manco\u2010Johnson","sequence":"additional","affiliation":[{"name":"Hemophilia and Thrombosis Center University of Colorado Anschutz Medical Campus  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janjaap van der","family":"Net","sequence":"additional","affiliation":[{"name":"Center For Child Development Exercise and Physical Literacy Children's Hospital of the University Medical Center Utrecht Utrecht University  Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Stephensen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Health and Social Care Canterbury Christ Church University  Canterbury UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"St\u2010Louis","sequence":"additional","affiliation":[{"name":"Department of Hematology CHU Sainte\u2010Justine and H\u00f4pital Maisonneuve\u2010Rosemont  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merel","family":"Timmer","sequence":"additional","affiliation":[{"name":"Center For Benign Hematology thrombosis and hemostasis, Van Creveldkliniek University Medical Center Utrecht Utrecht University  Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth Boulden","family":"Warren","sequence":"additional","affiliation":[{"name":"Hemophilia and Thrombosis Center University of Colorado Anschutz Medical Campus  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. Virginia","family":"Wright","sequence":"additional","affiliation":[{"name":"Holland Bloorview Kids Rehabilitation Hospital and Department of Physical Therapy University of Toronto  Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nichan","family":"Zourikian","sequence":"additional","affiliation":[{"name":"Pediatric\/Adult Comprehensive Hemostasis Center CHU Sainte\u2010Justine  Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian M.","family":"Feldman","sequence":"additional","affiliation":[{"name":"Institute of Medical Sciences Faculty of Medicine University of Toronto  Toronto Ontario Canada"},{"name":"Child Health Evaluative Sciences The Hospital for Sick Children Research Institute  Toronto Ontario Canada"},{"name":"Departments of Pediatrics Faculty of Medicine and Institute of Health Policy Management &amp; Evaluation Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"},{"name":"Division of Rheumatology The Hospital for Sick Children  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,27]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.2147\/JBM.S343924"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S87659"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13631"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14046"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13088"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102516.2008.01750.x"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14180"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/rth2.12690"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20353"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102516.2006.01312.x"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rpth.2024.102372"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.12108"},{"key":"e_1_2_12_14_1","volume-title":"Group Techniques for Program Planning: A Guide to Nominal Group and Delphi Processes","author":"Delbecq A. 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