Let's start the Elective Orthopaedic Surgery (EOS) conversation


EOS eligibility checklist

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.

Who is this material for?

The checklist is for use by non-specialist healthcare professionals as a starting point for further discussions with the wider specialist multidisciplinary team.

When should it be used?

Before and during initial consultaion

The conversation starter tool

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.

Who is this material for?

HTC-HCP and surgeons

When should it be used?

Routine follow-up appointments

Related pages


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


1. Escobar MA, et al. Haemophilia 2018;24:693–702.