Τίτλος:
A Global Survey of Physicians Knowledge About Nonalcoholic Fatty Liver Disease
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background & Aims: Despite rapidly increasing nonalcoholic fatty liver disease (NAFLD) prevalence, providers’ knowledge may be limited. We assessed NAFLD knowledge and associated factors among physicians of different specialties globally. Methods: NAFLD knowledge surveys containing 54 and 59 questions covering 3 domains (epidemiology/pathogenesis, diagnostics, and treatment) were completed electronically by hepatologists, gastroenterologists (GEs), endocrinologists (ENDOs), and primary care physicians (PCPs) from 40 countries comprising 5 Global Burden of Disease super-regions. Over 24 months, 2202 surveys were completed (488 hepatologists, 758 GEs, 148 ENDOs, and 808 PCPs; 50% high-income Global Burden of Disease super-region, 27% from North Africa and Middle East, 12% Southeast Asia, and 5% South Asian and Latin America). Results: Hepatologists saw the greatest number of NAFLD patients annually: median 150 (interquartile range, 60–300) vs 100 (interquartile range, 35–200) for GEs, 100 (interquartile range, 30–200) for ENDOs, and 10 (interquartile range, 4–50) for PCPs (all P <.0001). The primary sources of NAFLD knowledge acquisition for hepatologists were international conferences (33% vs 8%–26%) and practice guidelines for others (39%–44%). The Internet was the second most common source of NAFLD knowledge for PCPs (28%). NAFLD knowledge scores were higher for hepatologists than GEs: epidemiology, 62% vs 53%; diagnostics, 80% vs 73%; and treatment, 61% vs 58% (P <.0001), and ENDOs scores were higher than PCPs: epidemiology, 70% vs 60%; diagnostics, 71% vs 64%; and treatment, 79% vs 68% (P <.0001). Being a hepatologist or ENDO was associated with higher knowledge scores than a GE or PCP, respectively (P <.05). Higher NAFLD knowledge scores were associated independently with a greater number of NAFLD patients seen (P <.05). Conclusions: Despite the growing burden of NAFLD, a significant knowledge gap remains for the identification, diagnosis, and management of NAFLD. © 2021 AGA Institute
Συγγραφείς:
Younossi, Z.M.
Ong, J.P.
Takahashi, H.
Yilmaz, Y.
Eguc‘hi, Y.
El Kassas, M.
Buti, M.
Diago, M.
Zheng, M.-H.
Fan, J.-G.
Yu, M.-L.
Wai-Sun Wong, V.
Alswat, K.
Chan, W.-K.
Mendez-Sanchez, N.
Burra, P.
Bugianesi, E.
Duseja, A.K.
George, J.
Papatheodoridis, G.V.
Saeed, H.
Castera, L.
Arrese, M.
Kugelmas, M.
Romero-Gomez, M.
Alqahtani, S.
Ziayee, M.
Lam, B.
Younossi, I.
Racila, A.
Henry, L.
Stepanova, M.
Global Nonalcoholic Steatohepatitis Council
Περιοδικό:
Clinical Gastroenterology and Hepatology
DOI:
10.1016/j.cgh.2021.06.048
