Knowledge and Practices of Family Medicine Residents in Saudi Arabia who are on Saudi Board of Family Medicine Regarding Chronic Kidney Disease and their Attitudes toward Referral
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 8
Abstract
Background: Chronic kidney disease (CKD) is a well-known cause of death worldwide, and recently prevalence of the condition increased dramatically. Many of non-diagnosed CKD patients are seen by family physicians and internists. Undetected and by far untreated CKD patients may end up with the end-stage renal disease, in which it’s associated with various comorbidity and mortality. Objectives: The objectives of the study were to assess the knowledge, attitude, and practices of family medicine (FM) residents regarding CKD and referral to nephrologists. Materials and Methods: A cross-sectional study was done using a self-administered anonymous online questionnaire, distributed among a convenient sample of FM residents who are currently on Saudi Board of FM from various regions of Kingdom of Saudi Arabia. The questionnaire used in this study is based on the Kidney Disease Outcome Quality Initiative Guidelines 2002. Results: A total of 315 physicians have participated in the study with a response rate of 92%. 68.9% of residents were able to define CKD correctly. However, only half of the participants (51.1%) recognized CKD classification correctly. Majority of participants were aware of common CKD risk factors (diabetes mellitus 99.4%, hypertension 97.8%, and certain drugs 95.9%). Most complications identified by participants were uremia and edema, followed by anemia (95.9%, 95.9%, and 95.6%, respectively). Most of the participants (90.5%) were able to identify hemodialysis, renal transplant, and peritoneal dialysis as forms of renal replacement therapy. 94.3% of physicians agreed that routine screening should be done for high-risk patients. More than one-third of physicians (38.4%) chose to refer at a late stage or did not know when to refer. Conclusion: Considerable lack of knowledge and late of referring CKD patients by FM residents were noted. Prevention and early detection are the cornerstones of CKD management. Our study helps to focus on demanding areas in CKD management, where we should work on to improve the outcome for our patients in Saudi Arabia.
Authors and Affiliations
Sadiq Al-Ali
Keywords
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