Patient-centric care in primary immune thrombocytopenia (ITP): shared decision-making and assessment of health-related quality of life.

IF 2 4区 医学 Q3 HEMATOLOGY
Hematology Pub Date : 2024-12-01 Epub Date: 2024-07-08 DOI:10.1080/16078454.2024.2375177
Hillary Maitland, Catherine Lambert, Waleed Ghanima
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引用次数: 0

Abstract

ABSTRACTImmune thrombocytopenia (ITP), an autoimmune disease characterized by low platelet counts and increased bleeding risk, can impair health-related quality of life (HRQoL), impacting patients' daily lives and mental health. A number of patient-reported outcome (PRO) measures (both generic and specific to ITP) can be used to understand the impact of ITP on HRQoL and generate evidence to guide disease management. As well-developed PRO tools could help in HRQoL assessment, their optimization could help to solidify a patient-centric approach to ITP management. Shared decision-making is a collaborative process between a patient and their healthcare professional in making decisions about care. Treatment decisions based on this shared process between physician and patient are recommended by clinical guidelines. The goal of this narrative review is to discuss treatment decisions with regards to patient-centric ITP management, with a focus on the impact of PRO measures and the process of shared decision-making in practice.

以患者为中心的原发性免疫性血小板减少症(ITP)护理:共同决策和健康相关生活质量评估。
摘要免疫性血小板减少症(ITP)是一种以血小板计数低和出血风险增加为特征的自身免疫性疾病,会损害与健康相关的生活质量(HRQoL),影响患者的日常生活和心理健康。一些患者报告的结果(PRO)测量方法(包括通用的和针对 ITP 的)可用于了解 ITP 对 HRQoL 的影响,并为指导疾病管理提供证据。由于完善的PRO工具有助于进行HRQoL评估,因此对其进行优化有助于巩固以患者为中心的ITP管理方法。共同决策是患者与医护人员在做出治疗决定时的一个合作过程。临床指南推荐在医患双方共同决策的基础上做出治疗决定。本综述旨在讨论以患者为中心的 ITP 管理方面的治疗决策,重点关注 PRO 测量和共同决策过程在实践中的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Hematology
Hematology 医学-血液学
CiteScore
2.60
自引率
5.30%
发文量
140
审稿时长
3 months
期刊介绍: Hematology is an international journal publishing original and review articles in the field of general hematology, including oncology, pathology, biology, clinical research and epidemiology. Of the fixed sections, annotations are accepted on any general or scientific field: technical annotations covering current laboratory practice in general hematology, blood transfusion and clinical trials, and current clinical practice reviews the consensus driven areas of care and management.
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