{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T04:30:18Z","timestamp":1789878618949,"version":"4.0.1"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Novo Nordisk A\/S"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Appl Thromb Hemost"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>We used a structured interview to explore approaches to comprehensive hemophilia and arthropathy care among 24 healthcare professionals (HCPs) from multidisciplinary teams (MDTs) in Canada and the UK. Represented MDTs typically comprise a hematologist, nurse, physiotherapist, and sometimes an orthopedic surgeon; pediatric (and some adult) MDTs also include a social worker\/psychologist. HCPs emphasized the centrality of a team approach, facilitated through MDT meetings and involvement of all MDT members in patient care. In both countries, nurses and physiotherapists play critical, multifaceted roles. Respondents agreed that MDTs are crucial for successful transitioning, which can be facilitated by close collaboration between pediatric and adult MDTs, even when they are not co-located. Physiotherapists are instrumental in providing non-pharmacological pain relief. Hematologists or physiotherapists typically make orthopedic referrals, with the nurse, physiotherapist and hematologist working together in patient preparation for (and follow-up after) surgery. MDT best practices include a non-hierarchical team approach, ensuring that all MDT members know all patients, and regular MDT meetings. Together, these real-life insights from the MDT perspective emphasize the value of the MDT approach in comprehensive hemophilia care.<\/jats:p>","DOI":"10.1177\/10760296211070002","type":"journal-article","created":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T09:20:47Z","timestamp":1642756847000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Multidisciplinary Team Care of Patients with Hemophilic Arthropathy: A Qualitative Assessment of Contemporary Practice in the UK and Canada"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1183-533X","authenticated-orcid":false,"given":"Jean","family":"St-Louis","sequence":"first","affiliation":[{"name":"Universit\u00e9 de Montr\u00e9al, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pratima","family":"Chowdary","sequence":"additional","affiliation":[{"name":"Royal Free Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerry","family":"Dolan","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn","family":"Goodyear","sequence":"additional","affiliation":[{"name":"University of Calgary, Calgary, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Strike","sequence":"additional","affiliation":[{"name":"Hamilton Niagara Regional Hemophilia Treatment Centre, McMaster Children's Hospital, McMaster University, Hamilton, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra","family":"Pollard","sequence":"additional","affiliation":[{"name":"Royal Free Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerry","family":"Teitel","sequence":"additional","affiliation":[{"name":"St Michael's Hospital, Toronto, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,1,21]]},"reference":[{"key":"bibr1-10760296211070002","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13449"},{"key":"bibr2-10760296211070002","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14046"},{"key":"bibr3-10760296211070002","unstructured":"NHS Commissioning Board. NHS Standard Contract for Haemophilia (All Ages). https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2013\/06\/b05-haemophilia.pdf. Accessed April 23, 2020."},{"key":"bibr4-10760296211070002","unstructured":"Canadian Hemophilia Standards Group.\n                      Canadian Comprehensive Care Standards for Inherited Bleeding Disorders\n                      . https:\/\/www.hemophilia.ca\/wp-content\/uploads\/2020\/06\/Canadian-Integrated-and-Comprehensive-Care-Standards-for-Inherited-Bleeding.pdf. Accessed March 10, 2020."},{"key":"bibr5-10760296211070002","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30181-8"},{"key":"bibr6-10760296211070002","first-page":"154","volume":"10","author":"Peckham S","year":"2014","journal-title":"Healthc Policy"},{"key":"bibr7-10760296211070002","unstructured":"Full Fact. What is the NHS? https:\/\/fullfact.org\/health\/what-is-the-nhs\/. Accessed April 23, 2020."},{"key":"bibr8-10760296211070002","doi-asserted-by":"publisher","DOI":"10.1111\/ejh.12582"},{"key":"bibr9-10760296211070002","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13699"},{"key":"bibr10-10760296211070002","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2010.02249.x"},{"key":"bibr11-10760296211070002","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13549"},{"key":"bibr12-10760296211070002","doi-asserted-by":"publisher","DOI":"10.1177\/2040620718784834"},{"key":"bibr13-10760296211070002","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13201"},{"key":"bibr14-10760296211070002","doi-asserted-by":"publisher","DOI":"10.1080\/10245332.2018.1505225"},{"key":"bibr15-10760296211070002","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2014.02.015"},{"key":"bibr16-10760296211070002","doi-asserted-by":"publisher","DOI":"10.1111\/hae.12637"}],"container-title":["Clinical and Applied Thrombosis\/Hemostasis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10760296211070002","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10760296211070002","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10760296211070002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:03:12Z","timestamp":1777384992000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10760296211070002"}},"subtitle":["Canada\/UK: MDT Practices for Hemophilia"],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":16,"alternative-id":["10.1177\/10760296211070002"],"URL":"https:\/\/doi.org\/10.1177\/10760296211070002","relation":{},"ISSN":["1076-0296","1938-2723"],"issn-type":[{"value":"1076-0296","type":"print"},{"value":"1938-2723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"10760296211070002"}}