Table 4.

Results of multivariate analysis of independent risk factors for AJBR in a cohort of males with severe hemophilia

CharacteristicHemophilia AHemophilia B
AJBR differenceP valueAJBR differenceP value
Treatment product     
Recombinant SHL Ref  Ref  
FVIII mimetics −1.0037 <.0001   
Plasma-derived −0.2084 .2808 0.8864 .0064 
Recombinant EHL −0.258 .0037 −0.0811 .7122 
Missed doses     
<10% Ref  Ref  
10%-20% 0.6757 <.0001 0.2881 .1122 
21%-50% 0.6395 <.0001 1.2397 <.0001 
>50% 0.638 .0003 −0.0503 .9198 
Health insurance     
Commercial Ref  Ref  
Government 0.3983 .0001 −0.0763 .6805 
Other 0.1835 .2759 0.4594 .1209 
Employment status     
Employed, full or part-time Ref  Ref  
Not employed, with disability 0.5204 .011 0.2546 .5533 
Not employed, without disability 0.2902 .2057 0.9796 .0386 
Educational level     
Preelementary Ref  Ref  
Primary/secondary −0.3904 .1125 −0.7259 .0243 
4-y/advanced college degree −0.4933 .01 0.0722 .8264 
High school/technical/some college −0.0778 .6239 0.0895 .6784 
Age, y     
2-9 Ref  Ref  
10-19 0.3548 .0131 0.7533 .0015 
20-44 1.0105 <.0001 1.7186 <.0001 
Region     
Northeast Ref  Ref  
Midwest 0.3377 .0067 0.7266 .0039 
Southeast 0.3335 .0113 0.5389 .04 
West 0.4779 .0049 0.6144 .0441 
CharacteristicHemophilia AHemophilia B
AJBR differenceP valueAJBR differenceP value
Treatment product     
Recombinant SHL Ref  Ref  
FVIII mimetics −1.0037 <.0001   
Plasma-derived −0.2084 .2808 0.8864 .0064 
Recombinant EHL −0.258 .0037 −0.0811 .7122 
Missed doses     
<10% Ref  Ref  
10%-20% 0.6757 <.0001 0.2881 .1122 
21%-50% 0.6395 <.0001 1.2397 <.0001 
>50% 0.638 .0003 −0.0503 .9198 
Health insurance     
Commercial Ref  Ref  
Government 0.3983 .0001 −0.0763 .6805 
Other 0.1835 .2759 0.4594 .1209 
Employment status     
Employed, full or part-time Ref  Ref  
Not employed, with disability 0.5204 .011 0.2546 .5533 
Not employed, without disability 0.2902 .2057 0.9796 .0386 
Educational level     
Preelementary Ref  Ref  
Primary/secondary −0.3904 .1125 −0.7259 .0243 
4-y/advanced college degree −0.4933 .01 0.0722 .8264 
High school/technical/some college −0.0778 .6239 0.0895 .6784 
Age, y     
2-9 Ref  Ref  
10-19 0.3548 .0131 0.7533 .0015 
20-44 1.0105 <.0001 1.7186 <.0001 
Region     
Northeast Ref  Ref  
Midwest 0.3377 .0067 0.7266 .0039 
Southeast 0.3335 .0113 0.5389 .04 
West 0.4779 .0049 0.6144 .0441 

The findings presented in the table are for those factors that were independently associated with AJBR in hemophilia A and B in multivariable models. Race, ethnicity, and BMI were included in the models but are not shown in the table because the associations between these factors and AJBR were not statistically significant.

AJBR difference is the average number of annual bleeds less (negative value) or more (positive value) than the reference group.

FVIII, factor VIII; Ref, reference group.

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