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癌症患者对静脉血栓栓塞症的认识:世界血栓日全球倡议的初步发现。

Awareness of venous thromboembolism among patients with cancer: Preliminary findings from a global initiative for World Thrombosis Day.

机构信息

Department of Medicine and Ageing Sciences, "G. D'Annunzio" University, Chieti, Italy.

Department of Angiology, University Hospital Zurich, Zurich, Switzerland.

出版信息

J Thromb Haemost. 2022 Dec;20(12):2964-2971. doi: 10.1111/jth.15902. Epub 2022 Oct 21.

Abstract

BACKGROUND

Cancer-associated venous thromboembolism (CAT) has detrimental impact on patients' clinical outcomes and quality of life. Data on CAT education, communication, and awareness among the general cancer population are scanty.

METHODS

We present the preliminary results of an ongoing patient-centered survey including 27 items covering major spheres of CAT. The survey, available in 14 languages, was promoted and disseminated online through social networks, email newsletters, websites, and media.

RESULTS

As of September 20, 2022, 749 participants from 27 countries completed the survey. Overall, 61.8% (n = 460) of responders were not aware of their risk of CAT. Among those who received information on CAT, 26.2% (n = 56) were informed only at the time of CAT diagnosis. Over two thirds (69.1%, n = 501) of participants received no education on signs and symptoms of venous thromboembolism (VTE); among those who were educated about the possible clinical manifestations, 58.9% (n = 119) were given instructions to seek consultation in case of VTE suspicion. Two hundred twenty-four respondents (30.9%) had a chance to discuss the potential use of primary thromboprophylaxis with health-care providers. Just over half (58.7%, n = 309) were unaware of the risks of bleeding associated with anticoagulation, despite being involved in anticoagulant-related discussions or exposed to anticoagulants. Most responders (85%, n = 612) valued receiving CAT education as highly relevant; however, 51.7% (n = 375) expressed concerns about insufficient time spent and clarity of education received.

CONCLUSIONS

This ongoing survey involving cancer patients with diverse ethnic, cultural, and geographical backgrounds highlights important patient knowledge gaps. These findings warrant urgent interventions to improve education and awareness, and reduce CAT burden.

摘要

背景

癌症相关静脉血栓栓塞症(CAT)对患者的临床结局和生活质量有不利影响。关于普通癌症患者中 CAT 教育、沟通和认知的数据很少。

方法

我们展示了一项正在进行的以患者为中心的调查的初步结果,该调查包括 27 个项目,涵盖 CAT 的主要领域。该调查有 14 种语言版本,通过社交网络、电子邮件新闻通讯、网站和媒体在线宣传和传播。

结果

截至 2022 年 9 月 20 日,来自 27 个国家的 749 名参与者完成了调查。总体而言,61.8%(n=460)的应答者不知道自己患 CAT 的风险。在那些获得 CAT 信息的人中,26.2%(n=56)仅在 CAT 诊断时获得信息。超过三分之二(69.1%,n=501)的参与者未接受关于静脉血栓栓塞症(VTE)症状和体征的教育;在那些接受过可能临床表现教育的人中,58.9%(n=119)在怀疑 VTE 时接受了咨询的指导。224 名应答者(30.9%)有机会与医疗保健提供者讨论潜在使用初级血栓预防。尽管参与了抗凝相关讨论或接触了抗凝剂,但只有一半略多(58.7%,n=309)不知道与抗凝相关的出血风险。大多数应答者(85%,n=612)认为接受 CAT 教育非常重要;然而,51.7%(n=375)表示担心接受的教育时间不够和清晰度不够。

结论

这项涉及具有不同种族、文化和地理背景的癌症患者的正在进行的调查突出了重要的患者知识差距。这些发现需要紧急干预,以改善教育和意识,并降低 CAT 负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b732/9828201/a33bb79ab193/JTH-20-2964-g001.jpg

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