Assessment of Knowledge about Knee Osteoarthritis Diagnosis and Management among Primary Health Care Physicians in Jeddah 2017
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 1
Abstract
Background: Osteoarthritis (OA) is a degenerative joint disease caused by inflammation and eventually loss of the cartilage. It is the commonest form of arthritis and one of the leading causes of pain and disability worldwide. Several studies have documented discordance between the physicians’ practice and OA management recommendations around the world. In 2013 the Saudi ministry of health (MOH) issued National clinical practice guideline (CPG) for the management of OA in primary health care (PHC). This study is to assess the physicians’ knowledge about the guidelines and to assess physicians’ knowledge about the diagnosis and management of OA cases. Materials and Methods: A cross-sectional study conducted at PHC in Jeddah. We included a sample of 187 practicing physicians. A Self-administered questionnaire was handed to the physicians to assess their knowledge on OA diagnosis and management strategies. Results: Almost two thirds of the physicians (65.8%) had only MBBS qualification, and the rest were either certified family medicine Diploma (10.7%) or Board certified (23.5%). For OA diagnosis, two thirds of the physicians (63.1%) had above average level of knowledge, both board certified family medicine and specialists obtained significantly highest proportions of above average scores (P<0.001). Physicians with more than 10 years of experience got significantly highest proportion of above average scores (P<0.018). For OA management and advice, family medicine qualified with diploma has significantly highest proportion of above average scores (P<0.019). We obtained a description on the pattern of pharmacological, non-pharmacological prescriptions, and agreement on OA patient referral as well as other pain control strategies commonly advised by the PHC physicians. Conclusion: PHC physicians in Jeddah are challenged with making proper diagnosis and management for OA patients. Despite the alignment with the available evidence-based practice for non-pharmacological strategies, the pharmacological prescription pattern was widely variable.
Authors and Affiliations
M. S. Al-Shareef, S. T. Alqutub, A. M. Ibrahim
Keywords
Related Articles
- EP ID EP529609
- DOI 10.21276/ijmrp.2018.4.1.031
- Views 67
- Downloads 0
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