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Corticosteroid side-effects and risk for bleeding in immune thrombocytopenic purpura: patient and hematologist perspectives
- Source :
- European Journal of Haematology. 83:175-182
- Publication Year :
- 2009
- Publisher :
- Wiley, 2009.
-
Abstract
- Objectives: The purpose of this study was to examine hematologist and patient perspectives about the side-effects of the corticosteroid treatment of immune thrombocytopenic purpura (ITP) and their perspectives about the patient’s risk for bleeding. The specific aim was to compare patient and hematologist perspectives and, if a difference was documented, the implications of that difference. We hypothesized that patients with ITP may have more concern about corticosteroid side-effects and less concern about serious bleeding than hematologists. Methods: We surveyed 80 patients in the Oklahoma ITP Registry and all 83 hematologists in Oklahoma about the occurrence and severity of 18 corticosteroid side-effects and risks for serious bleeding. Results: Response rates were 80% (patients) and 71% (hematologists). Responses of patients and hematologists were significantly different from each other regarding both the frequency of severe corticosteroid side-effects and the risk of serious bleeding. For 13 of the 18 corticosteroid side-effects, patients reported more frequent occurrence of severe symptoms than hematologists (P
- Subjects :
- Adult
Male
medicine.medical_specialty
Pediatrics
medicine.drug_class
Corticosteroid treatment
Hemorrhage
Patient satisfaction
Immune system
Adrenal Cortex Hormones
Surveys and Questionnaires
medicine
Humans
Platelet
Hematologist
Aged
Aged, 80 and over
Purpura, Thrombocytopenic, Idiopathic
Platelet Count
business.industry
Oklahoma
Hematology
General Medicine
Middle Aged
medicine.disease
Thrombocytopenic purpura
Surgery
Purpura
Patient Satisfaction
Corticosteroid
Female
medicine.symptom
business
Subjects
Details
- ISSN :
- 16000609 and 09024441
- Volume :
- 83
- Database :
- OpenAIRE
- Journal :
- European Journal of Haematology
- Accession number :
- edsair.doi.dedup.....a2d99ccafd5d64a92721e584b6d48b6e