Knowledge Attitude and Practice of General Physicians for Early Detection of Diabetic Nephropathy in Cotonou

Vigan, Jacques; Mauriac, Akoha T.; Leopold, Agboton B.; Sabi, K.A.; Ubald, Assogba-Gbindou; Vénérand, Attolou; Djrolo, F.

doi:10.4236/ojneph.2016.64015

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…Physicians’ practices in diabetic nephropathy can be affected by multiple factors related to the training of physicians working in primary healthcare. This study found that physicians who had received training had high adherence to the guidelines on practice in diabetic nephropathy; this finding agrees with that of a similar cross-sectional study conducted among general physicians between 1 March 2015 and 30 September 2015, in Cotonou; it found a positive impact of continuing medical training focusing on attitudes and practices in diabetic nephropathy [ 12 ].…”

Section: Discussionsupporting

confidence: 90%

Physicians’ Practices in Diabetic Nephropathy in Primary Healthcare Centers in Jazan City, Saudi Arabia, 2023

Alfaifi,

Abdaly,

Ghazwani

et al. 2024

Medicina

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Background and Objectives: Diabetes is one of the most common diseases dealt with by physicians in primary healthcare centers (PHCs). The disease is associated with macrovascular and microvascular complications, especially in those with long disease duration and uncontrolled diabetic nephropathy, which is one of the most common microvascular complications among diabetic patients. This investigation assessed the practices of physicians working at PHCs in terms of diabetic nephropathy screening, management, and referral. Materials and Methods: This study is a cross-sectional investigation targeting physicians working at PHCs in the Jazan region of Saudi Arabia between March and August of 2023. Data were collected via a self-administered questionnaire, which was distributed via online platforms. The questionnaire included sections measuring physicians’ demographic data and associated factors regarding training, the availability of resources, and practices in diabetic nephropathy, including screening, management, and referral. Chi-squared tests were used to assess associations between the practices of physicians and the measured demographics. Result: A total of 234 physicians participated in the investigation. The median age of the participants was 35 years. The adherence level of practice toward diabetic nephropathy according to American Diabetes Association (ADA) guidelines ranged from 40 points (the highest adherence level of participants) to 19 points (the lowest adherence level of participants), with a median of 33 points. Higher adherence levels were noted among physicians in Saudi Arabia, physicians with higher education levels, physicians specializing as family physicians or diabetologists, physicians who reported attending online and on-site training at diabetic centers, physicians who reported continuous access to urine and serum creatinine tests, and physicians who reported continuous access to the American Diabetes Association guidelines (p < 0.05). Conclusions: There are several factors associated with the level of adherence in diabetic nephropathy practice, such as physicians’ education level, specialty, training, and access to guidelines. The findings suggest the need for more training for PHC physicians in the care of patients affected by or at risk of diabetic nephropathy.

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Section: Discussionsupporting

confidence: 90%

Physicians’ Practices in Diabetic Nephropathy in Primary Healthcare Centers in Jazan City, Saudi Arabia, 2023

Alfaifi,

Abdaly,

Ghazwani

et al. 2024

Medicina

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“…Skin: Diabetes may make the patient bound to have yeast contaminations, tingling, or earthy colored or layered patches. Men with diabetes could likewise be in peril for sexual issues, since high blood glucose can hurt blood stream and harm nerves that the body must get and keep an erection [13].…”

Section: Diabetic Complicationsmentioning

confidence: 99%

Knowledge, Attitude and Practice on Common Diabetic Patients among Diabetic Complications at Egyptian Hospital in Mogadishu, Somalia

Mohamed¹,

Farah²,

Ali³

et al. 2021

JBM

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Diabetes is a chronic illness that occurs when the pancreas stops producing insulin or when the body cannot use the produced insulin. Insulin is a hormone produced by the pancreas that helps glucose from meals enters the body's cells for energy. The overall goal is to assess diabetes patients' knowledge, attitudes, and behaviors about prevalent diabetic complications. This research used a descriptive qualitative methodology to assess diabetes complication knowledge, attitude, and practice. Ninety-eight diabetic patients were visiting the Egyptian Hospital in Mogadishu for four weeks. The data was collected using questionnaires. Finally, SPSS 20 was utilized for analysis. The research was performed from May to July 2020 with a non-probability sample size of 98 diabetics. The bulk of responders were aged 40 -60 (36.7%). Type 2 was the most common (47.96%). 44.9% of respondents had diabetes for more than ten years. 60.2% had regular checkups, and 54.1 percent had therapy. 52% of participants were on a diet. 63.3% of respondents do not exercise often. However, most responders know the common issues (75%). Less than half of those polled had problems (41.8%). 22% incidence of Diabetic ketoacidosis. 78.6% of respondents know variables that decrease diabetes complications, whereas 22.4% do not. 37.8% of respondents saw a doctor for diabetes problems, whereas 62.2% did not. Diabetic patients' knowledge, attitude, and practice were satisfactory for fundamental illness entanglements and self-testing. These findings may also be due to patient notification and, therefore, long-term illness that leads them to get acquainted with things alone.

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“…This aligns with Vigan et al's findings, which pointed out similar deficiencies in DKD understanding among general practitioners, particularly in defining and diagnosing DKD, as well as the importance of albuminuria in cardiovascular risk assessment and treatment modification for diabetic patients. 33 Albuminuria not only serves as a critical indicator for cardiovascular risk but also guides the necessity for customized anti-hyperglycemic therapy to prevent micro/macrovascular complications, underscoring its dual role in patient care and outcome improvement. 34 The disparity in DKD diagnosis accuracy is alarming, as early and precise identification is crucial for effective intervention, key to managing disease progression and avoiding complications.…”

Section: Discussionmentioning

confidence: 99%

Chinese Healthcare Workers’ Knowledge, Attitudes, and Practices in Diabetic Kidney Management: A Multi-Centered Cross-Sectional Study

Duan,

Wen,

Yan

et al. 2024

RMHP

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Background Given the importance of diabetic kidney disease (DKD) management, this study aims to explore the knowledge, attitudes, and practices in disease management demonstrated by healthcare workers from the nephrology department. Materials and Methods This study is a multi-centered cross-sectional study, and adopts snowball sampling, with 530 healthcare workers being recruited to complete a questionnaire covering areas such as demographic characteristics, knowledge, attitude, and practices (KAP) of DKD management. This data was analyzed using descriptive statistics and binary logistics analysis. Results In this study, 530 healthcare workers were studied, including 94 doctors and 436 nurses. The participants were mainly from general tertiary hospitals in 14 provinces. For Chinese nurse, the results indicate that both poor knowledge level (Odds Ratio (OR) =0.63, 95% Confidence Interval (CI): 0.42–0.94) and having experience in further medical training in nephrology (OR=1.92, 95% CI: 1.20–3.08) are associated with the practice levels. For Chinese doctors, having not experience in further medical training in nephrology (OR=0.36, 95% CI: 0.15–0.83) are associated with their practice levels. Conclusion In summary, Chinese doctors and nurses in this study showed positive attitudes towards DKD management, but their knowledge and practical skills were lacking. This underscores a notable gap in achieving optimal DKD care. Notably, nurses’ knowledge influenced their management practices, and additional nephrology training correlated with better engagement. To improve patient care, enhancing nephrology healthcare professional training and addressing knowledge-practice disparities are recommended.

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Knowledge Attitude and Practice of General Physicians for Early Detection of Diabetic Nephropathy in Cotonou

Cited by 4 publications

References 15 publications

Physicians’ Practices in Diabetic Nephropathy in Primary Healthcare Centers in Jazan City, Saudi Arabia, 2023

Physicians’ Practices in Diabetic Nephropathy in Primary Healthcare Centers in Jazan City, Saudi Arabia, 2023

Knowledge, Attitude and Practice on Common Diabetic Patients among Diabetic Complications at Egyptian Hospital in Mogadishu, Somalia

Chinese Healthcare Workers’ Knowledge, Attitudes, and Practices in Diabetic Kidney Management: A Multi-Centered Cross-Sectional Study

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