PurposeOptimal decision making regarding blood transfusion for patients with cancer
requires appropriate knowledge of transfusion medicine among physicians. We
assessed blood transfusion knowledge, attitudes, and reported practices
among physicians working at Uganda Cancer Institute (UCI).Materials and MethodsA cross-sectional self-administered survey of UCI physicians on their
knowledge, attitudes, and practices regarding blood transfusion was
conducted from June to September 2014. In consultation with transfusion
medicine experts, 30 questions were developed, including 10 questions for
each of the following three domains: knowledge, attitudes, and practices.
For the knowledge domain, we created a knowledge score equal to the number
of questions correctly answered out of 10.ResultsOf 31 physicians approached, 90% participated. The mean knowledge score was
5.3 (median, 5.5), and 32% correctly answered at least seven of 10
questions. Almost all (96%) understood the importance of proper patient
identification before transfusion and indicated identification error as the
most common cause of fatal transfusion reactions. More than 60% of
physicians acknowledged they lacked knowledge and needed training in
transfusion medicine. Most physicians reported sometimes changing their mind
about whether to provide a patient with a transfusion on the basis of
opinion of colleagues and sometimes administering unnecessary transfusions
because of influence from others.ConclusionAlthough UCI physicians have some basic knowledge in transfusion, most
reported gaps in their knowledge, and all expressed a need for additional
education in the basics of blood transfusion. Transfusion training and
evidence-based guidelines are needed to reduce inappropriate transfusions
and improve patient care. Greater understanding of peer influence in
transfusion decision making is required.