A support group for patients who have recovered from thrombotic thrombocytopenic purpura-hemolytic uremic syndrome (TTP-HUS): The six-year experience of the Oklahoma TTP-HUS Study Group

被引:29
|
作者
Howard, MA
Duvall, D
Terrell, DR
Christopher, AT
Thomas, I
Holloway, N
Vesely, SK
George, JN
机构
[1] Univ Oklahoma, Hlth Sci Ctr, Hematol Oncol Sect, Dept Med,Coll Med, Oklahoma City, OK 73190 USA
[2] Univ Oklahoma, Hlth Sci Ctr, Dept Biostat & Epidemiol, Coll Publ Hlth, Oklahoma City, OK USA
[3] Oklahoma Blood Inst, Oklahoma City, OK USA
[4] Pain Evaluat & Treatment Ctr, Tulsa, OK USA
关键词
thrombotic thrombocytopenic purpura (TTP); hemolytic-uremic syndrome (HUS); support group;
D O I
10.1002/jca.10045
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A support group for patients who have recovered from thrombotic thrombocytopenic purpura-hemolytic uremic syndrome (TTP-HUS), named The Oklahoma TTP-HUS Study Group, has been a successful program for 6 years. This group has met 3 times each year with an average attendance of 16 former patients; in addition, an average of 14 family members and friends have attended each meeting. Eighty-four percent of patients who attended a meeting were women as compared to 68% women among those who did not attend (P=0.016). Twenty-three percent of patients who attended a meeting have relapsed as compared to 8% among those who did not attend (P=0.006). There was also a difference in the rates of attendance among the different clinical categories of patients (P<0.001). A survey of former patients, as well as their families and friends, documented that interest in learning more about TTP-HUS and talking with other people who have had TTP-HUS were principal motivations for attending the meetings. The meetings of The Oklahoma TTP-HUS Study Group have been successful not only for support of former patients but also for research. Long-term patient follow-up has been facilitated and the group discussions have revealed previously unreported persistent problems with cognitive ability and endurance. A survey of member centers of the American Association of Blood Banks and America's Blood Centers revealed no similar programs for patients who have recovered from TTP-HUS. The absence of a support group for TTP-HUS in the national survey contrasts to the 274 patient support groups and related wellness/education classes, including some for rare disorders, currently active in the Oklahoma City metropolitan area. The experience of The Oklahoma TTP-HUS Study Group suggests that it serves a previously unmet need.
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页码:16 / 20
页数:5
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