Barriers to effective diagnosis and management of a bleeding patient with undiagnosed bleeding disorder across multiple specialties: results of a quantitative case-based survey.

Nevertheless, the consequences of failure to recognize promptly and treat properly a bleeding disorder may be significant. 18 In the case of acquired hemophilia, morbidity and mortality rates are particularly high: severe bleeding is experienced by up to 90% of affected patients, and mortality rates are as high as 22%. 11 This survey provided a step-wise methodology to tease out specialty-specific patterns of interpretation of clinical data to identify barriers to the diagnosis and treatment of underlying bleeding disorders.

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