The aim of this checklist is to help you assess whether your patient
with haemophilia needs further investigations and/or referral to
evaluate whether they could benefit from EOS. Use this checklist
regularly to assess the status of any joint that is causing concern to
you or your patient, and to monitor whether there has been a change in
the status. Please see overleaf for a description of this tool and
what it can – and cannot – do.
The checklist is for use by non-specialist healthcare professionals
as a starting point for further discussions with the wider specialist
multidisciplinary team.
Before and during initial consultaion
Getting the conversation started around EOS is a big hurdle for both
healthcare professional (HCP) and patient. The 'conversation starter
tool' has been developed to guide you through the initial EOS
discussion with your patient, to help them make an informed decision.
The tool will assist the MDT in initiating discussions with suitable
patients about surgery during routine follow-up appointments;
providing patients with an overview of EOS, any associated risks, as
well as providing information about the pre, peri and post-operative
period. The information is visual and can be downloaded.
Routine follow-up appointments
EOS, elective orthopaedic surgery; HCP, healthcare
professional; HTC, haemophilia treatment centre; MDT,
multidisciplinary team.
The materials within this toolkit are for educational and
informative purposes only. The materials are not intended to replace
any advice or information provided by a haemophilia specialist and/or
other healthcare professionals. Surgery in patients with haemophilia
(with or without inhibitors) can carry specific risks that should be
carefully assessed and discussed with patients. Surgery in patients
with haemophilia (with or without inhibitors) should always be done in
consultation with a specialised haemophilia treatment centre.1
