中东和北非地区国家医疗专业人员对代谢功能障碍相关脂肪肝的了解。

IF 3.7 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Annals of hepatology Pub Date : 2024-09-12 DOI:10.1016/j.aohep.2024.101569

Saleh A. Alqahtani , Yusuf Yilmaz , Mohamed El-Kassas , Khalid Alswat , Mohamed Mawardi , Faisal M. Sanai , Faisal Abaakhail , Saad Alghamdi , Waleed K. Al-Hamoudi , Fatema Nader , Maria Stepanova , Zobair M. Younossi , Global NASH Council

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引用次数: 0

摘要

引言和目的：鉴于代谢功能障碍相关性脂肪性肝病（MASLD）造成的巨大负担，迫切需要评估医生对该病的了解和认识水平。我们评估了沙特阿拉伯、埃及和土耳其医疗服务提供者对 MASLD 的了解程度：两项全球调查包含 54-59 个项目，评估了对 MASLD/NAFLD 的认识和了解程度--一项调查针对肝病专家和消化科专家，另一项针对非专业人士（如内分泌专家、初级保健提供者 (PCP)、其他医疗保健专业人士）。数据使用电子数据收集表收集。对所有专科医生的知识得分以及与较高知识得分相关的变量进行了比较：共有 584 名医生完成了调查（126 名肝病医生、178 名胃肠病医生 (GE)、38 名内分泌医生、242 名初级保健医生/其他）。在所有专科中，实践指南是知识的主要来源（43-51%），然后是会议（24-31%），但初级保健医生/其他医生选择互联网作为第二常见来源（25%）。各专科对社会指南的遵守情况各不相同（81-84% 的专科医生与 38-51% 的非专科医生）。肝病专家和普通医师的平均知识得分相似（三个知识领域的正确答案比例为 51-72% ，P > 0.05）；内分泌专家在所有知识领域的得分均高于初级保健医生/其他人员，包括流行病学/发病机制（72% 对 60%）、诊断（73% 对 67%）和治疗（78% 对 67%）（所有 P 均为结论）：尽管沙特阿拉伯、埃及和土耳其的 MASLD/NAFLD 负担日益加重，但在 MASLD/NAFLD 的识别、诊断和管理方面仍存在知识差距。需要通过教育来提高人们的认识。

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Knowledge about metabolic dysfunction-associated steatotic liver disease among the medical professionals from countries in the MENA region

Introduction and Objectives

Given the substantial burden of metabolic dysfunction-associated steatotic liver disease (MASLD), there is an urgent need to assess knowledge and awareness levels among physicians. We assessed MASLD knowledge among healthcare providers from Saudi Arabia, Egypt, and Türkiye.

Materials and Methods

Two global surveys containing 54–59 items assessed awareness and knowledge of MASLD/NAFLD- one was for hepatologists and gastroenterologists, and the second was for non-specialists (e.g. endocrinologists, primary care providers [PCPs], and other healthcare professionals). Data were collected using an electronic data collection form. Knowledge scores and variables associated with higher knowledge scores were compared across all specialties.

Results

A total of 584 physicians completed the survey (126 hepatologists, 178 gastroenterologists (GEs), 38 endocrinologists, 242 PCPs/others). Practice guidelines were the primary source for knowledge across all specialties (43–51%), then conferences (24–31%) except PCPs/others who selected the internet as the second common source (25%). Adherence to societal guidelines varied by specialty (81–84% of specialists vs 38–51% of non-specialists). Hepatologists and GEs showed similar mean knowledge scores (51–72% correct answers across three knowledge domains, p > 0.05); endocrinologists outperformed PCPs/others in knowledge scores in all knowledge domains, including Epidemiology/Pathogenesis (72% vs. 60%), Diagnostics (73% vs. 67%), and Treatment (78% vs. 67%) (all p < 0.01). Hospital-based practice and seeing a greater number of patients with MASLD/NAFLD were identified as independent predictors of higher knowledge scores among specialists (both p < 0.05).

Conclusions

A knowledge gap in the identification, diagnosis, and management of MASLD/NAFLD was found despite the growing burden of MASLD/NAFLD in Saudi Arabia, Egypt, and Türkiye. Education to increase awareness is needed.

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来源期刊

Annals of hepatology 医学-胃肠肝病学

CiteScore

7.90

自引率

2.60%

发文量

183

审稿时长

4-8 weeks

期刊介绍： Annals of Hepatology publishes original research on the biology and diseases of the liver in both humans and experimental models. Contributions may be submitted as regular articles. The journal also publishes concise reviews of both basic and clinical topics.