{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:28:04Z","timestamp":1777879684313,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Public Health Research"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patient-reported outcomes (PROs) are increasingly recognized in hematology, yet clinician awareness remains limited. In immune thrombocytopenia (ITP), an autoimmune disease, symptoms like fatigue impact quality of life (QoL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and Methods:<\/jats:title>\n                    <jats:p>This Italian survey evaluated hematologists\u2019 knowledge of PROs within the Italian ITP NET network. Between April 4\u201320, 2023, 63 hematologists from 49 centers were invited to complete a 63-item online questionnaire on demographics, QoL understanding, and attitudes toward clinical use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Thirty-nine responded, treating a median of 50 ITP patients in the prior year. PROs were used in research by 51% and applied clinically by 56%. Greater PRO knowledge was found among hematologists with over 17 years\u2019 experience (72%) and extensive ITP exposure (64%) (p=0.033 and p=0.037). Larger centers reported more trial involvement (p=0.035) and regular QoL tool use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Results highlight knowledge gaps and emphasize how clinical experience and exposure support effective PRO implementation in ITP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/22799036251361377","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T01:20:32Z","timestamp":1755048032000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinician\u2019s knowledge and awareness of patient-reported outcomes in immune thrombocytopenia: Results of a national survey (ITP NET, GIMEMA Working Group Anemia and Thrombocytopenia)"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9238-5734","authenticated-orcid":false,"given":"Esther Natalie","family":"Oliva","sequence":"first","affiliation":[{"name":"Hematology Unit, Grande Ospedale Metropolitano Bianchi Melacrino Morelli, Reggio di Calabria, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Efficace","sequence":"additional","affiliation":[{"name":"Data Center and Health Outcomes Research Unit, Italian Group for Adult Haematologic Diseases (GIMEMA), Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Rosa","family":"Valvano","sequence":"additional","affiliation":[{"name":"Quality and Accreditation Unit, IRCCS \u201cCasa Sollievo della Sofferenza\u201d, Hospital, San Giovanni Rotondo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola","family":"Arcuri","sequence":"additional","affiliation":[{"name":"Hematology Section, Department of Radiological and Hematological Sciences, Catholic University of Sacred Heart, Fondazione Policlinico Gemelli IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberta","family":"Battistini","sequence":"additional","affiliation":[{"name":"Hematology and Hematopoietic Stem Cells Transplant Unit, Ospedale San Camillo Forlanini, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa","family":"Buzzatti","sequence":"additional","affiliation":[{"name":"Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Clissa","sequence":"additional","affiliation":[{"name":"Hematology Unit, AOU Integrata Di Verona, Policlinico G.B. Rossi, Verona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Danesin","sequence":"additional","affiliation":[{"name":"Hematology Unit, Ospedale Ca\u2019 Foncello, Treviso, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessia","family":"Salemme","sequence":"additional","affiliation":[{"name":"Hematology Unit, AOU-Federico II, Naples, Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Sparano","sequence":"additional","affiliation":[{"name":"Data Center and Health Outcomes Research Unit, Italian Group for Adult Haematologic Diseases (GIMEMA), Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Ramundo","sequence":"additional","affiliation":[{"name":"Hematology Section, Department of Radiological and Hematological Sciences, Catholic University of Sacred Heart, Fondazione Policlinico Gemelli IRCCS, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ugo","family":"Consoli","sequence":"additional","affiliation":[{"name":"Hematology Unit, ARNAS Garibaldi, Catania, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Chiurazzi","sequence":"additional","affiliation":[{"name":"Hematology Unit, AOU-Federico II, Naples, Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,12]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Pietras NM Gupta N Justiz Vaillant AA et al. Immune thrombocytopenia. In: StatPearls. StatPearls Publishing http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562282\/ (2024 accessed 30 November 2024)."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2017-03-754119"},{"key":"e_1_3_3_4_2","unstructured":"Orphanet. Orphanet - rare diseases and orphan drugs - immune thrombocytopenia estimates https:\/\/www.orpha.net\/en\/disease\/detail\/3002#:~:text=The%20annual%20incidence%20is%20estimated male%20ratio%20of%201.3%3A1 (accessed 10 October 2024)."},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/20016689.2023.2230663"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.26036"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.55.6407"},{"key":"e_1_3_3_8_2","article-title":"Identification of an unmet medical need: height of depression, hypersomnia, and sleep apnea positively correlate with the level of fatigue in patients with immune thrombocytopenia","volume":"15","author":"Alesci RS","year":"2023","unstructured":"Alesci RS, Hecking C, Weissmann MV. Identification of an unmet medical need: height of depression, hypersomnia, and sleep apnea positively correlate with the level of fatigue in patients with immune thrombocytopenia. Cureus 2023; 15: e47003.","journal-title":"Cureus"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.seminhematol.2013.03.007"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-024-03728-7"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-024-02312-4"},{"key":"e_1_3_3_12_2","first-page":"667","article-title":"Immune thrombocytopenia (ITP): current limitations in patient management","volume":"56","author":"Terrell DR","year":"2020","unstructured":"Terrell DR, Neunert CE, Cooper N, et al. Immune thrombocytopenia (ITP): current limitations in patient management. 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