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Knowledge Attitude and Practice of General Physicians for Early Detection of Diabetic Nephropathy in Cotonou

DOI: 10.4236/ojneph.2016.64015, PP. 122-131

Keywords: Attitude, Benin, Knowledge, Early Detection, Practice, Diabetic Nephropathy

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Abstract:

Introduction: General physicians can play an important role in the early detection of diabetic nephropathy (DN). Purpose: To assess the levels of general physicians’ knowledge, attitude and practice in terms of early detection of DN in Cotonou. Method: It was a cross-sectional, analytical and descriptive study which was conducted from 1st March 2015 to 30th September 2015. Every general physician working in a health structure in Cotonou who consented to participate in the study was included. We did not included medical specialists and general physicians working in nephrology department. Data were collected through a survey form designed with a score to assess the various items such as: knowledge, attitude and practice. The significance threshold is set to below 0.05. Results: In total, 202 general physicians were included. The average age was 30.9 ± 6.9 years ranging from 24 to 68 years. A male predominance was observed with 2.2 sex ratio. The majority of respondent medical physicians had poor knowledge in 76.2% cases, bad attitudes (61%) and bad practices (64.9%) in terms of early detection of diabetic nephropathy. There was positive impact of continuing medical training focused on diabetic nephropathy on attitudes (p = 0.016) and practices (p = 0.001) of these physicians. Conclusion: Diabetic nephropathy requires particular attention. General physicians’ continuous training is a principal solution.

References

[1]  Noubiap, J.J.N., Naidoo, J. and Kengne, A.P. (2015) Diabetic Nephropathy in Africa: A Systematic Review. World Journal of Diabetes, 5, 759-773.
http://dx.doi.org/10.4239/wjd.v6.i5.759
[2]  Ritz, E. (2011) Limitations and Future Treatment Options in Type 2 Diabetes with Renal Impairment. Diabetes Care, 34, 330-334.
http://dx.doi.org/10.2337/dc11-s242
[3]  Abdesselem, H., Chaari, C., Fennira, E., Htira, Y., Sallem, O.K., Berriche, O., et al. (2014) L’évolution à long terme de l’albuminurie sous IEC dans une population de diabétiques tunisiens. Annales d’Endocrinologie, 75, 389.
http://dx.doi.org/10.1016/j.ando.2014.07.400
[4]  United Kingdom Prospective Diabetes Study (UKPDS) Group (1998) Intensive Blood-Glucose Control with Sulphonylureas or Insulin Compared with Conventional Treatment and Risk of Complications in Patients with Type 2 Diabetes (UKPDS 33). The Lancet, 352, 837-853.
http://dx.doi.org/10.1016/S0140-6736(98)07019-6
[5]  Diabetes Control and Complication Trial (DCCT) Group (1993) The Effect of Intensive Treatment of Diabetes on the Development and Progression of Long-Term Complications in Insulin-Dependent Diabetes Mellitus. The New England Journal of Medicine, 329, 977-986.
http://dx.doi.org/10.1056/NEJM199309303291401
[6]  Hwadmin (1998) Tight Blood Pressure Control and Risk of Macrovascular and Microvascular Complications in Type 2 Diabetes: UKPDS 38. BMJ, 317, 703-713.
http://dx.doi.org/10.1136/bmj.317.7160.703
[7]  Djrolo, F., Amoussou Guenou, D.K., Zannou, D.M., Houinato, D., Ahouandogbo, F. and Houngbé, F. (2003) Prévalence du diabète au Bénin. Louvain médical, 122, S256-S260.
[8]  Houinato, D., Segnon-Agueh, J., Djrolo, F. and Djigbennoudé, O. (2008) Rapport final de l’enquête STEPS au Bénin. Cotonou (Bénin): Ministère de la santé, Direction nationale de la protection sanitaire (DNPS), Programme national de lutte contre les maladies non transmissibles (PNLMNT). 69 p.
[9]  Agboton, B.L., Wanvoegbe, A., Vigan, J., Hazoume, R., Agbodande, A., Mousse, L., Amoussou-Guenou, D. and Djrolo, F. (2015) Microalbuminurie chez les patients diabétiques de type 2 au sud du Bénin: Aspects cliniques et paracliniques. Néphrologie et thérapeutique, 11, 360-361.
http://dx.doi.org/10.1016/j.nephro.2015.07.305
[10]  Bouenizabila, E., Loumingou, R., Motoula, M., Andzouana, N. and Monabeka, H.-G. (2015) La néphropathie diabétique au CHU de Brazzaville, Congo: Aspects épidémiologiques, cliniques, et facteurs de risque. Médecine Mal Métaboliques, 9, 220-226.
http://dx.doi.org/10.1016/S1957-2557(15)30048-1
[11]  Katulanda, P., Constantine, G.R., Weerakkody, M., Perera, Y.S., Jayawardena, M.G., Wijegoonawardena, P., et al. (2011) Can We Bridge the Gap? Knowledge and Practices Related to Diabetes Mellitus among General Practitioners in a Developing Country: A Cross Sectional Study. Asia Pacific Family Medicine, 10, 10-15.
http://dx.doi.org/10.1186/1447-056X-10-15
[12]  Wong, T., Foote, E.F., Lefavour, G.S., Cody, R.P., Brown, C.J. and Sherman, R.A. (1999) Physician Knowledge and Practice Patterns Relating to Diabetic Nephropathy. Journal of the American Pharmacists Association, 39, 785-790.
[13]  Bathaei, S., Vitry, J., Noel, C., Vambergue, A., Lemaire, C. and Romon, M. (2012) P44 évaluation des connaissances des médecins généralistes (MG) sur la microalbuminurie (MA). Diabetes & Metabolism, 38, A42.
http://dx.doi.org/10.1016/S1262-3636(12)71146-1
[14]  Khandekar, R., Deshmukh, R., Vora, U. and Al Harby, S. (2011) Knowledge of Primary Prevention of Diabetic Retinopathy among General Ophthalmologists, Mid Level Eye Care Personnel and General Physicians in Oman. Middle East African Journal of Ophthalmology, 18, 204-208.
http://dx.doi.org/10.4103/0974-9233.84045
[15]  Adams, O.P. and Carter, A.O. (2011) Knowledge, Attitudes, Practices, and Barriers Reported by Patients Receiving Diabetes and Hypertension Primary Health Care in Barbados: A Focus Group Study. BMC Family Practice, 12, 135.
http://dx.doi.org/10.1186/1471-2296-12-135
[16]  Eilat-Tsanani, S., Reitman, A., Dayan, M., Mualem, Y. and Shostak, A. (2014) Management of Kidney Disease in Patients with Diabetes in the Primary Care Setting. Primary Care Diabetes, 8, 159-163.
http://dx.doi.org/10.1016/j.pcd.2013.11.004
[17]  Kraft, S.K., Lazaridis, E.N., Qiu, C., Clark, C.M. and Marrero, D.G. (1999) Screening and Treatment of Diabetic Nephropathy by Primary Care Physicians. Journal of General Internal Medicine, 14, 88-97.
http://dx.doi.org/10.1046/j.1525-1497.1999.00292.x
[18]  Shera, A.S., Jawad, F. and Basit, A. (2002) Diabetes Related Knowledge, Attitude and Practices of Family Physicians in Pakistan. Journal of Pakistan Medical Association, 52, 465-470.

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