Sanja Zuzic Furlan1,2, Doris Rusic3, Josko Bozic4, Mirjana Rumboldt1, Zvonko Rumboldt5, Marko Rada1,2, Marion Tomicic1,2. 1. Department of Family Medicine, University of Split School of Medicine, 21000 Split, Croatia. 2. Department of Family Medicine, Split-Dalmatia County Health Center, 21000 Split, Croatia. 3. Department of Pharmacy, University of Split School of Medicine, 21000 Split, Croatia. 4. Department of Pathophysiology, University of Split School of Medicine, 21000 Split, Croatia. 5. Department of Internal Medicine, University of Split School of Medicine, 21000 Split, Croatia.
Abstract
BACKGROUND: Studies show that hyperuricemia is an element of the pathophysiology of many conditions. Therefore, the aim of this study was to assess primary care physicians' knowledge and attitudes toward asymptomatic hyperuricemia and gout management. METHODS: A survey-based cross-sectional study was conducted to assess the primary physicians' attitudes, knowledge, and patient management regarding hyperuricemia and gout. RESULTS: A total of 336 primary care physicians were included. Physicians who read at least one scientific paper covering the topic of hyperuricemia in the past year scored significantly higher in knowledge questions (N = 152, 6.5 ± 2.05 vs. N = 183, 7.04 ± 2.14, p = 0.019). Only around half of physicians correctly identified drugs that can lower or elevate serum uric acid levels. Furthermore, the analysis of correct answers to specific questions showed poor understanding of the pathophysiology of hyperuricemia and possible risk factors. CONCLUSIONS: This study identified gaps in primary care physicians' knowledge essential for the adequate management of patients with asymptomatic hyperuricemia and gout. As hyperuricemia and gout are among the fastest rising non-communicable diseases, greater awareness of the available guidelines and more education about the causes and risks of hyperuricemia among primary care physicians may reduce the development of diseases that have hyperuricemia as risk factors.
BACKGROUND: Studies show that hyperuricemia is an element of the pathophysiology of many conditions. Therefore, the aim of this study was to assess primary care physicians' knowledge and attitudes toward asymptomatic hyperuricemia and gout management. METHODS: A survey-based cross-sectional study was conducted to assess the primary physicians' attitudes, knowledge, and patient management regarding hyperuricemia and gout. RESULTS: A total of 336 primary care physicians were included. Physicians who read at least one scientific paper covering the topic of hyperuricemia in the past year scored significantly higher in knowledge questions (N = 152, 6.5 ± 2.05 vs. N = 183, 7.04 ± 2.14, p = 0.019). Only around half of physicians correctly identified drugs that can lower or elevate serum uric acid levels. Furthermore, the analysis of correct answers to specific questions showed poor understanding of the pathophysiology of hyperuricemia and possible risk factors. CONCLUSIONS: This study identified gaps in primary care physicians' knowledge essential for the adequate management of patients with asymptomatic hyperuricemia and gout. As hyperuricemia and gout are among the fastest rising non-communicable diseases, greater awareness of the available guidelines and more education about the causes and risks of hyperuricemia among primary care physicians may reduce the development of diseases that have hyperuricemia as risk factors.
Entities:
Keywords:
gout; knowledge; primary care physicians; survey
Authors: Mateusz Winder; Aleksander J Owczarek; Małgorzata Mossakowska; Katarzyna Broczek; Tomasz Grodzicki; Łukasz Wierucki; Jerzy Chudek Journal: Int J Environ Res Public Health Date: 2021-01-06 Impact factor: 3.390