التفاصيل البيبلوغرافية
| العنوان: |
Vte treatment planning: A mixed-method analysis of clinical challenges, knowledge, and confidence gaps in selecting evidence-based treatment |
| المؤلفون: |
Spyropoulos, A., Lazure, P., Kaatz, Scott, Khorana, A., Zahabi, S., McCrae, K., Pollack, C., Peloquin, S. |
| المصدر: |
Hospital Medicine Meeting Abstracts |
| بيانات النشر: |
Henry Ford Health Scholarly Commons |
| سنة النشر: |
2021 |
| المجموعة: |
Henry Ford Health System Scholarly Commons |
| مصطلحات موضوعية: |
anticoagulant agent, adult, cancer patient, care behavior, comorbidity, complication, conference abstract, decision making, drug therapy, education, emergency ward, female, human, major clinical study, male, obesity, oncologist, pharmacokinetics, practice gap, practice guideline, primary medical care, quantitative analysis, secondary prevention, semi structured interview, treatment planning, uncertainty, venous thromboembolism |
| الوصف: |
Background : Studies have revealed underutilization of direct oral anticoagulants (DOACs) in the treatment of venous thromboembolism (VTE) despite being addressed in guidelines, including those specific to patients with cancer. Evidence identifies complexity of patient profiles as a potential barrier to the uptake of optimal VTE treatment. Aims : This study aimed to identify barriers, practice gaps, and causalities related to secondary prevention of VTE in patients with a first occurrence, as well prevention, treatment, and management of risks associated with VTE in cancer. Findings on underutilization of DOACs are presented here. Methods : A mixed-methods study (semi-structured interviews and quantitative survey) was conducted with physicians from 5 specialties in U.S. community practice settings. Qualitative data was thematically analyzed and survey data was analyzed using Chi-squares and Kruskal Wallis H tests. Results : A total of 262 healthcare providers (HCPs) participated in the study, 21 completed interviews and 241 completed surveys. Findings showed a conservative approach to treatment (avoiding DOACs), driven by lack of knowledge and perceived uncertainty of optimal management from guidelines among non-VTE specialists. Qualitative data clarified low knowledge and confidence levels, revealing HCPs' underlying doubts regarding: DOACs safety, clarity of antithrombotic guidelines, and applicability to cancer. HCPs lacked confidence using patient profile information to guide treatment decisions. Emergency Department (ED) physicians, community oncologists, and primary care providers lacked knowledge about new treatments compared with professionals specialized in VTE and weighed risks of complication heavily. HCPs' conservative approach regarding DOACs was prevalent when caring for patients with comorbidities or in ED settings. Conclusions : This study demonstrates the need for education supporting HCPs' decision-making using DOACs for treating VTE in cancer patients and in acute settings. While HCPs ... |
| نوع الوثيقة: |
text |
| اللغة: |
unknown |
| العلاقة: |
https://scholarlycommons.henryford.com/hospitalmedicine_mtgabstracts/40Test; http://sfxhosted.exlibrisgroup.com/hfhs?sid=EMBASE&issn=24750379&id=doi:10.1002%2Frth2.12589&atitle=Vte+treatment+planning%3A+A+mixed-method+analysis+of+clinical+challenges,+knowledge,+and+confidence+gaps+in+selecting+evidence-based+treatment&stitle=Res.+Pract.+Thromb.+Haemost.&title=Research+and+Practice+in+Thrombosis+and+Haemostasis&volume=5&issue=SUPPL+2&spage=&epage=&aulast=Spyropoulos&aufirst=A.&auinit=A.&aufull=Spyropoulos+A.&coden=&isbn=&pages=-&date=2021&auinit1=A&auinitmTest= |
| الإتاحة: |
https://scholarlycommons.henryford.com/hospitalmedicine_mtgabstracts/40Test |
| رقم الانضمام: |
edsbas.B0835BBB |
| قاعدة البيانات: |
BASE |
