Lipedema awareness and knowledge level among medical doctors in Turkey: A cross-sectional study highlighting the diagnosis and treatment gap.

Nazire Bagatir, Cigdem Cinar, Aysun Akansel, Mucahit Atasoy, Omer Faruk Bucak, Pinar Oztop, Evrim Coskun
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Abstract

IntroductionLipedema is a chronic and progressive adipose tissue disorder that predominantly affects women. However, despite its high prevalence and severe negative impact on quality of life, it remains significantly underdiagnosed. The aim of this study was to assess the knowledge and awareness of medical doctors in Turkey regarding lipedema.MethodsA cross-sectional study was conducted among 508 medical doctors working in different clinical specialties in Turkey. A questionnaire was designed and validated by a panel of physical medicine and rehabilitation specialists. A total of 22 questions were asked to assess physicians' age, specialty, clinical experience, and institutional characteristics, as well as their knowledge of the clinical features, diagnostic criteria, and treatment modalities of lipedema.Results47.6% of the physicians were between 31 and 40 years of age. 29.3% of the participants had been practicing medicine for 0-5 years. 51% were familiar with the term "lipedema", but only 29.9% had seen or referred patients with lipedema. 51.4% of the participants answered "no idea" when asked about the lipoedema clinic and 50.9% answered "no idea" when asked about lipoedema treatment.ConclusionThis study identifies significant gaps in medical professionals' knowledge and awareness of lipedema in Turkey. The findings emphasize the necessity to incorporate lipedema-specific content in medical education and continuing professional development programs. Moreover, the establishment of multidisciplinary models of care, the dissemination of standardized clinical guidelines, and the promotion of public awareness campaigns are imperative to enhance early recognition and effective management of lipedema, which is often overlooked.

导言:脂肪性水肿是一种慢性进行性脂肪组织疾病,主要影响女性。然而,尽管脂肪性水肿发病率高且对生活质量有严重的负面影响,但其诊断率仍明显偏低。这项研究旨在评估土耳其医生对脂肪性水肿的了解和认识。由物理医学和康复专家小组设计并验证了一份调查问卷。共提出了 22 个问题,以评估医生的年龄、专业、临床经验和机构特点,以及他们对脂肪性水肿的临床特征、诊断标准和治疗方法的了解程度。29.3%的参与者行医时间为 0-5 年。51%的参与者熟悉 "脂肪性水肿 "这一术语,但只有29.9%的参与者看过或转诊过脂肪性水肿患者。当被问及脂肪性水肿诊所时,51.4%的参与者回答 "不知道";当被问及脂肪性水肿治疗时,50.9%的参与者回答 "不知道"。研究结果表明,有必要在医学教育和继续职业发展计划中加入针对脂肪性水肿的内容。此外,建立多学科护理模式、传播标准化临床指南和推广提高公众认识的运动,对于加强脂肪性水肿的早期识别和有效管理也是势在必行的,因为脂肪性水肿常常被忽视。
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