An assessment of evidence to inform best practice for the communication of acute venous thromboembolism diagnosis: a scoping review

Abstract

Background Physician communication with patients is a key aspect of excellent care. Scant evidence exists to inform best practice for physician communication in patients diagnosed with pulmonary embolism and deep vein thrombosis, collectively referred to as venous thromboembolism (VTE). The aim of this study was to summarize the existing literature on best practices for communication between healthcare providers and patients newly diagnosed with VTE. Methods We performed a scoping review to report existing literature on best practice for physician-patient communication and the diagnosis and management of acute VTE. Manuscripts on communication between healthcare professionals and patients presenting with acute VTE, and acute vascular disease presentations that included atrial fibrillation and ACS were identified. Two authors independently reviewed studies for eligibility, and consensus determined article inclusion. The manuscripts were further categorized into two categories: best practice in communication and unmet needs in communication. Data aggregation was achieved by a modified thematic synthesis. Results Among 345 initial publications, 22 manuscripts met inclusion criteria with 11 that addressed VTE, five pulmonary embolism, four deep vein thrombosis, one atrial fibrillation, and one acute coronary syndrome. Eleven manuscripts addressed communication of VTE diagnosis, while 12 focused on communication of VTE treatment. Eleven manuscripts identified unmet communication needs, and 14 addressed best practice. Our review showed that good communication enhanced satisfaction while suboptimal communication was associated with emotional, cognitive, behavioral, social, and health-systems adverse effects. Conclusion Scant literature guides best practices for communicating VTE diagnosis and treatment. Further research is necessary to establish practices for improving communication with VTE patients