Mishra Samarth, Klok Frederikus A, Le Gal Grégoire, de Wit Kerstin, Schwartz Aviva, Luijten Dieuwke, Sadeghipour Parham, Bayley Julie, Woller Scott C
Medical College of Georgia, Augusta, Georgia, USA.
Department of Medicine - Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.
Res Pract Thromb Haemost. 2025 Mar 23;9(3):102835. doi: 10.1016/j.rpth.2025.102835. eCollection 2025 Mar.
Physician communication with patients is a key aspect of excellent care. Scant evidence exists to inform best practice for physician communication in patients diagnosed with pulmonary embolism and deep vein thrombosis, collectively referred to as venous thromboembolism (VTE).
The aim of this study was to summarize the existing literature on best practices for communication between healthcare providers and patients newly diagnosed with VTE.
We performed a scoping review to report existing literature on best practices for physician-patient communication and the diagnosis and management of acute VTE. Manuscripts on communication between healthcare professionals and patients presenting with acute VTE and acute vascular disease presentations that included atrial fibrillation and acute coronary syndrome were identified. Two authors independently reviewed studies for eligibility and a consensus determined article inclusion. The manuscripts were further categorized into 2 categories: best practices in communication and unmet needs in communication. Data aggregation was achieved by a modified thematic synthesis.
Among 345 initial publications, 22 manuscripts met inclusion criteria, with 11 addressing VTE, 5 pulmonary embolism, 4 deep vein thrombosis, 1 atrial fibrillation, and 1 acute coronary syndrome. Eleven manuscripts addressed communication of VTE diagnosis, while 12 focused on communication of VTE treatment. Eleven manuscripts identified unmet communication needs, and 14 addressed best practices. Our review showed that good communication enhanced satisfaction, while suboptimal communication was associated with emotional, cognitive, behavioral, social, and health systems adverse effects.
Scant literature guides best practices for communicating VTE diagnosis and treatment. Further research is necessary to establish practices for improving communication with VTE patients.
医生与患者的沟通是优质医疗的关键环节。对于诊断为肺栓塞和深静脉血栓形成（统称为静脉血栓栓塞症，VTE）的患者，几乎没有证据可指导医生沟通的最佳实践。
本研究的目的是总结关于医疗服务提供者与新诊断为VTE的患者之间沟通最佳实践的现有文献。
我们进行了一项范围综述，以报告关于医患沟通以及急性VTE诊断和管理最佳实践的现有文献。确定了关于医疗专业人员与患有急性VTE以及包括心房颤动和急性冠状动脉综合征在内的急性血管疾病的患者之间沟通的手稿。两位作者独立审查研究的 eligibility，并通过共识确定文章纳入。手稿进一步分为两类：沟通的最佳实践和沟通中未满足的需求。通过改进的主题综合实现数据汇总。
在345篇初始出版物中，22篇手稿符合纳入标准，其中11篇涉及VTE，5篇涉及肺栓塞，4篇涉及深静脉血栓形成，1篇涉及心房颤动，1篇涉及急性冠状动脉综合征。11篇手稿涉及VTE诊断的沟通，而12篇关注VTE治疗的沟通。11篇手稿确定了未满足的沟通需求，14篇涉及最佳实践。我们的综述表明，良好的沟通可提高满意度，而沟通不佳与情绪、认知、行为、社会和卫生系统的不良影响相关。
几乎没有文献指导VTE诊断和治疗沟通的最佳实践。有必要进行进一步研究以确立改善与VTE患者沟通的实践。
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