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首页> 外文期刊>Journal of the advanced practitioner in oncology >Findings from the Bone Health Education Needs (BEACON) Assessment Study; A Survey of Multiple Myeloma and Bone Metastatic Solid Tumor Patients at Risk for Skeletal-Related Events
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Findings from the Bone Health Education Needs (BEACON) Assessment Study; A Survey of Multiple Myeloma and Bone Metastatic Solid Tumor Patients at Risk for Skeletal-Related Events

机译：骨骼健康教育需求（信标）评估研究的调查结果; 对骨骼相关事件风险的多发性骨髓瘤和骨转移实体肿瘤患者的调查

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Background: Patients diagnosed with solid tumors (STs) with bone metastasis and patients with multiple myeloma are at an elevated risk for painful and irreversible skeletal-related events (SREs) including bone fractures, spinal cord compression, and radiation and surgery to the bonel. Recent improvements in cancer therapies mean that patients are living longer with the risk of SREs, yet real world data suggest that only about half of eligible patients ever receive treatment with a bone targeting agent 2,3. In this study, we aimed to understand the current state of awareness regarding bone health in cancer patients at risk of bone complications to identify potential gaps in education for these patients. Methods: The BonE heAlth eduCatiOn Needs assessment (BEACON) survey was developed through a partnership between GRYT Health, LLC and Amgen, Inc. A unique direct-to-patient approach was used to collect patient survey data utilizing GRYT Health's digital platform and cancer community. Four patient populations at risk of SREs were recruited: multiple myeloma (MM) and bone metastatic (BM) breast cancer (BrC), prostate cancer (PrC), and lung cancer (LC). Both SRE-na-ive and patients who had experienced an SRE prior to participation were recruited. The survey included questions about demographics, cancer diagnosis and treatment (timing of cancer diagnosis, prior treatments, frequency of interaction with care providers), and cancer-related bone health education (knowledge of general cancer bone health and bone health protection, sources and timing of education, treatments discussed and/or received, and overall satisfaction with bone health education). Patients were also given the opportunity to elaborate on their experiences with bone health and related education in open-ended questions. Survey responses were described for patients overall and by primary cancer type. Results: A total of 28 patients completed the survey. Overall, 61% (n = 17) had experienced at least one SRE (bone fracture: 43%, spinal cord compression: 29%, radiation to the bone: 50%, surgery to the bone: 29%). Levels of bone health knowledge were moderate to low, with patients on average reporting knowledge of 3 (of 6 total) educational messages related to general cancer bone health, and only 2 (of 4) educational messages related to bone health protection. MM patients specifically reported the lowest levels of bone health knowledge (25% reported knowledge of at least 3 educational messages), and BrC patients reported highest levels (71% reported knowledge of at least 3 messages). Nurse practitioners and oncologists were most commonly reported as the source of bone health information, with similar findings for all subgroups. Patient-reported satisfaction with the amount of information received about bone health since cancer diagnosis was low, with 71% of patients reporting receiving either no information or less information than desired related to cancer bone health. Conclusion: In this survey of cancer patients at risk of SREs, substantial gaps in knowledge and education related to bone health were observed. The gaps in education identified here should be addressed through patient- and provider-oriented educational interventions to increase opportunities for communicating ways to prevent painful and irreversible SREs.
机译：背景技术患者患有骨转移的固体肿瘤（STS）和多发性骨髓瘤的患者处于疼痛和不可逆转的骨骼相关事件（SRES）的危险风险升高，包括骨折，脊髓压缩，辐射和辐射和手术到BONEL。癌症疗法的最新改善意味着患者患有SRE的风险的患者更长时间，但现实世界数据表明，只有大约一半的符合条件的患者接受骨靶向剂2,3治疗。在这项研究中，我们旨在了解有关癌症患者骨骼健康的意识状态，患者对这些患者的教育中的潜在差距造成巨大态度。方法：通过Gryt Health，LLC和Amgen，Inc的伙伴关系开发了骨骼健康教育需求评估。招募了四种患者风险的患者：多发性骨髓瘤（mm）和骨转移性（BM）乳腺癌（BRC），前列腺癌（PRC）和肺癌（LC）。招募了SRE-NA-IVE和在参加之前经历过SRE的患者。该调查包括关于人口统计数据，癌症诊断和治疗的问题（癌症诊断，事先治疗，与护理提供者的互动频率）以及与癌症相关的骨骼健康教育（通用癌症骨骼健康和骨骼健康保护，来源和时序的知识教育，讨论和/或接受的治疗，与骨骼健康教育的总体满意度）。患者还有机会在开放式问题中详细阐述他们对骨骼健康和相关教育的经验。整体癌症类型和原发性癌症类型描述了调查响应。结果：共28名患者完成了调查。总体而言，61％（n = 17）经历了至少一个SRE（骨折：43％，脊髓压缩：29％，辐射到骨：50％，手术到骨：29％）。骨骼健康知识的水平适度至低位，患者平均报告知识为3（共6个）教育信息与一般癌症骨骼健康有关，只有2（4）个教育信息与骨骼健康保护有关。 MM患者特别报告了最低水平的骨骼健康知识（25％报告的至少3条教育信息的知识），BRC患者报告了最高水平（报告的至少3条消息的71％的知识）。护士从业者和肿瘤科医师最常被报告为骨骼健康信息的来源，所有子组的结果都有类似的结果。患者报告的满意度与癌症诊断低的骨骼健康所接受的信息量，71％的患者报告没有信息或更少的信息，而不是与癌症骨骼健康有关的信息。结论：在本次癌症患者的调查中，观察到与骨骼健康有关的知识和教育的实质性差距。在此确定的教育差距应通过患者和提供者导向的教育干预措施来解决，以增加传播方法以防止痛苦和不可逆转的SRES的机会。

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