Unmet needs and barriers in venous thromboembolism education and awareness among people living with cancer: A global survey Journal Article


Authors: Potere, N.; Mahé, I.; Angchaisuksiri, P.; Cesarman-Maus, G.; Tan, C. W.; Rashid, A.; AlGahtani, F. H.; Imbalzano, E.; van Es, N.; Leader, A.; Olayemi, E.; Porreca, E.; Ní Áinle, F.; Okoye, H. C.; Candeloro, M.; Mayeur, D.; Valerio, L.; Clark, R. C.; Castellucci, L. A.; Barco, S.; Di Nisio, M.; on behalf of the World Thrombosis Day Steering Committee and Collaborators
Article Title: Unmet needs and barriers in venous thromboembolism education and awareness among people living with cancer: A global survey
Abstract: 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. © 2024 International Society on Thrombosis and Haemostasis
Keywords: adult; cancer survival; aged; middle aged; major clinical study; neoplasm; neoplasms; quality of life; prevalence; risk factors; health behavior; patient education; psychology; patient education as topic; attitude to health; anticoagulant therapy; deep vein thrombosis; risk factor; lung embolism; health service; questionnaire; thorax pain; education; quantitative analysis; thromboembolism; health care system; cross-sectional study; cross-sectional studies; physical activity; anticoagulation; health knowledge, attitudes, practice; lifestyle modification; awareness; needs assessment; emotional stress; health services needs and demand; venous thromboembolism; qualitative analysis; patient preference; etiology; global health; complication; access; health care survey; very elderly; humans; human; male; female; article; surveys and questionnaires; malignant neoplasm; healthcare quality; value-based healthcare; and evaluation
Journal Title: Journal of Thrombosis and Haemostasis
Volume: 22
Issue: 7
ISSN: 1538-7933
Publisher: Wiley Blackwell  
Date Published: 2024-07-01
Start Page: 1973
End Page: 1983
Language: English
DOI: 10.1016/j.jtha.2024.03.019
PUBMED: 38582384
PROVIDER: scopus
DOI/URL:
Notes: Article -- Source: Scopus
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  1. Avi Philip Sendzul Leader
    23 Leader