TY - JOUR
T1 - Unmet needs and barriers in venous thromboembolism education and awareness among people living with cancer
T2 - a global survey
AU - World Thrombosis Day Steering Committee and Collaborators
AU - Potere, Nicola
AU - Mahé, Isabelle
AU - Angchaisuksiri, Pantep
AU - Cesarman-Maus, Gabriela
AU - Tan, Chee Wee
AU - Rashid, Anila
AU - AlGahtani, Farjah H.
AU - Imbalzano, Egidio
AU - van Es, Nick
AU - Leader, Avi
AU - Olayemi, Edeghonghon
AU - Porreca, Ettore
AU - Ní Áinle, Fionnuala
AU - Okoye, Helen C.
AU - Candeloro, Matteo
AU - Mayeur, Didier
AU - Valerio, Luca
AU - Clark, R. Cary
AU - Castellucci, Lana A.
AU - Barco, Stefano
AU - Di Nisio, Marcello
N1 - Publisher Copyright:
© 2024 International Society on Thrombosis and Haemostasis
PY - 2024
Y1 - 2024
N2 - Background: Venous thromboembolism (VTE) is a major preventable cause of morbidity, disability, and mortality in subjects with cancer. A global appraisal of cancer-associated VTE education and awareness is not available. Objectives: To evaluate VTE-related education, awareness, and unmet needs from the perspective of people living with cancer using a quantitative and qualitative approach. Methods: This cross-sectional study used data from an online-based survey covering multidimensional domains of cancer-associated VTE. Data are presented descriptively. Potential differences across participant subgroups were explored. Results: Among 2262 patients with cancer from 42 countries worldwide, 55.3% received no VTE education throughout their cancer journey, and an additional 8.2% received education at the time of VTE diagnosis only, leading to 63.5% receiving no or inappropriately delayed education. When education was delivered, only 67.8% received instructions to seek medical attention in case of VTE suspicion, and 36.9% reported scarce understanding. One-third of participants (32.4%) felt psychologically distressed when becoming aware of the potential risks and implications connected with cancer-associated VTE. Most responders (78.8%) deemed VTE awareness highly relevant, but almost half expressed concerns about the quality of education received. While overall consistent, findings in selected survey domains appeared to numerically differ across age group, ethnicity, continent of residence, educational level, metastatic status, and VTE history. Conclusion: This study involving a large and diverse population of individuals living with cancer identifies important unmet needs in VTE-related education, awareness, and support across healthcare systems globally. These findings unveil multilevel opportunities to expedite patient-centered care in cancer-associated VTE prevention and management.
AB - Background: Venous thromboembolism (VTE) is a major preventable cause of morbidity, disability, and mortality in subjects with cancer. A global appraisal of cancer-associated VTE education and awareness is not available. Objectives: To evaluate VTE-related education, awareness, and unmet needs from the perspective of people living with cancer using a quantitative and qualitative approach. Methods: This cross-sectional study used data from an online-based survey covering multidimensional domains of cancer-associated VTE. Data are presented descriptively. Potential differences across participant subgroups were explored. Results: Among 2262 patients with cancer from 42 countries worldwide, 55.3% received no VTE education throughout their cancer journey, and an additional 8.2% received education at the time of VTE diagnosis only, leading to 63.5% receiving no or inappropriately delayed education. When education was delivered, only 67.8% received instructions to seek medical attention in case of VTE suspicion, and 36.9% reported scarce understanding. One-third of participants (32.4%) felt psychologically distressed when becoming aware of the potential risks and implications connected with cancer-associated VTE. Most responders (78.8%) deemed VTE awareness highly relevant, but almost half expressed concerns about the quality of education received. While overall consistent, findings in selected survey domains appeared to numerically differ across age group, ethnicity, continent of residence, educational level, metastatic status, and VTE history. Conclusion: This study involving a large and diverse population of individuals living with cancer identifies important unmet needs in VTE-related education, awareness, and support across healthcare systems globally. These findings unveil multilevel opportunities to expedite patient-centered care in cancer-associated VTE prevention and management.
KW - access
KW - and evaluation
KW - healthcare quality
KW - neoplasms
KW - patient preference
KW - surveys and questionnaires
KW - value-based healthcare
KW - venous thromboembolism
UR - http://www.scopus.com/inward/record.url?scp=85191332542&partnerID=8YFLogxK
U2 - 10.1016/j.jtha.2024.03.019
DO - 10.1016/j.jtha.2024.03.019
M3 - Article
C2 - 38582384
AN - SCOPUS:85191332542
SN - 1538-7933
JO - Journal of Thrombosis and Haemostasis
JF - Journal of Thrombosis and Haemostasis
ER -