Anesthesiologist's knowledge and attitudes about obstructive sleep apnea: a survey study

Wang, Chun Ling; Li, Xue Zhong; Xiao, Chengwen; Pan, Xin; Jun, Min

doi:10.1007/s11325-011-0482-4

Cited by 31 publications

(26 citation statements)

References 29 publications

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“…Moreover, less than 50% were aware of the fact that untreated OSA is a major cause of car accidents (27), indicating a lack of knowledge of the socioeconomic impact of this condition. Italian anaesthetists participating in this survey performed slightly better (66%) when compared to anaesthetists included in the recent Wang et al (19) (62%) and worse than physicians enrolled in other studies, with average of knowledge responses of 76% in selected physicians for the Schotland and Jeffe (15) 78% for family practitioners (16), 79% for Cardiologists and internists (17), and 67% for paediatricians (18). These results might reflect greater familiarity with OSA due to different post-graduate training programs and an increasing number of publications regarding OSA in different specialties other than anaesthesia (28)(29)(30).…”

Section: Discussionmentioning

confidence: 68%

Survey of Knowledge and Attitudes about Obstructive Sleep Apnoea Among Italian Anaesthetists

Corso¹,

Sorbello²,

Buccioli³

et al. 2017

Turk J Anaesth Reanim

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Objective: As the care of Obstructive Sleep Apnoea (OSA) patients remains heterogeneous, we hypothesized that it may reflect insufficient OSA knowledge/awareness among clinicians.Methods: OSA Knowledge/Attitude Questionnaire (OSAKA) was translated into Italian and distributed to anaesthetists attending SIAARTI National Congress and Airways courses and Handson Workshops from October 2012 to June 2013. Results:In total, 370 anaesthetists returned the questionnaires (response rate, 62%); the median (interquartile range [IQR]) knowledge score was 12 (10-14), and the range was 1-17 with no difference by gender, age, professional title or years of practice. The knowledge items achieved a mean rate of corrected response of 66%±0.14%. With regard to attitude items, median (IQR) score was 15 (13-17) and range was 0-20. Females and anaesthetists with >15 years of practice reached higher scores, while anaesthesia residents showed a lower attitude score. Gender and professional title were statistically associated with the attitude score (gender: F=14.6, p=0.0002; professional title: F=4.72, p=0.0099), whereas a weak association was observed within years in practice and attitude score (F=2.6, p=0.0519). Knowledge score correlated positively with attitude score (r=0.4, p<0.0001). For knowledge domains, there was a positive correlation between pathophysiology (mid-grade: r=0.3, p<0.0001), symptoms (low grade: r=0.2, p<0.0001), diagnosis (mid grade: r=0.3, p<0.0001) and the attitude score. Correlation close to zero was observed for epidemiology and treatment domains (r=0.09, p=0.06; r=−0.01, p=0.78, respectively). Conclusion:The results of our survey demonstrate lack of knowledge about OSA and its treatment, revealing the need to update the syllabus of teaching in medical practice and in national health care policies to improve perioperative care. (cinsiyet: F=14,6, p=0,0002; profesyonel unvan: F=4,72, p=0,0099) ile yaklaşım skoru arasında istatiksel olarak anlamlı bir ilişki bulundu, ancak uygulama yılı ile yaklaşım skoru arasında zayıf bir ilişki saptandı (F=2,6, p=0,0519). Bilgi skoru ile tutum skoru arasında pozitif bir korelasyon vardı (r=0,4, p<0,0001). Çalışma alanları açısından, patofizyoloji (orta derece: r=0,3, p<0,0001), semptomlar (düşük derece: r=0,2, p<0,0001), tanı (orta derece: r=0,3, p<0,0001) ve tutum skoru arasında pozitif bir korelasyon bulundu. Epidemiyoloji ve tedavi alanları açısından sıfıra yakın bir korelasyon gözlendi (sırasıyla r=0,09, p=0,06; r=−0,01, p=0,78). Sonuç:Çalışmamızın sonuçları OSA ve tedavisi hakkında bilgi eksikliği olduğunu göstermekte, perioperatif bakımın iyileştirilmesi için tıbbi uygulamada ve ulusal sağlık bakımı politikalarında eğitim müfredatının güncellenmesi gerektiğini ortaya koymaktadır.Anahtar Sözcükler: Obstrüktif uyku apnesi, perioperatif sonuç, uvulopalatoplasti, sürekli pozitif havayolu basıncı Abstract / Öz

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Section: Discussionmentioning

confidence: 68%

Survey of Knowledge and Attitudes about Obstructive Sleep Apnoea Among Italian Anaesthetists

Corso¹,

Sorbello²,

Buccioli³

et al. 2017

Turk J Anaesth Reanim

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“…In various studies using OSAKA questionnaire in adults, the knowledge score in cardiologists, anesthetists and primary care physicians was 76, 62 and 60%, respectively [17][18][19]. Similarly knowledge score (regarding pediatric OSA by using OSAKA kids) of Chinese pediatricians and ENT specialists was 64.1 ± 19.1% [20].…”

Section: Discussionmentioning

confidence: 99%

Poor Knowledge and Attitude Regarding Obstructive Sleep Apnea (OSA) Among Medical Students in India: A Call for MBBS Curriculum Change

2017

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Context and AimsSleep disorders are one of the most common disorders but are not given enough importance in medical teaching. This study was done to find the knowledge of medical students about the most common sleep disorders. Design Cross-sectional study. Methods and Materials A total of 232 final-year medical students from four medical colleges filled up OSAKA and OSAKAkids questionnaire. Statistical Analysis Used Demographic variables were summarized by descriptive statistic measures like counts and percentages. Continuous variables like knowledge scores were summarized as mean and standard deviation. Knowledge scores and perceived importance were compared using t test; p value less than 0.05 was considered as statistically significant. Results Knowledge score of students for OSAKA adults and OSAKA-kids questionnaire was 37.93 ± 16.31 and 42.1 ± 20.27%. 91.47, and 86.21% of students rated OSA in adults and kids, respectively, as important to extremely important clinical disorder. Conclusions Although majority of medical students think OSA is significant medical disorder, their knowledge regarding OSA is very poor. Dedicated sleep medicine training covering main sleep disorders should be done in all medical colleges.

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“…[23][24][25][26][27] Moreover, these studies focused on specific areas of medicine including cardiology and pulmonology. It is likely that increased awareness of OSA might have generally led to an increase in referral rates for OSA evaluation in the United States.…”

Section: Discussionmentioning

confidence: 99%

“…However, recent studies have not reported any significant knowledge and attitudinal changes, nor has there been improvement in referrals for OSA evaluation among physicians. 23,28,29 Indeed, much has been gained since OSA was first described in the literature. While understanding the physiological mechanisms of this condition has important clinical implications, the education and attitudes of providers should be considered in any intervention that aims to increase awareness of OSA.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Referrals for Obstructive Sleep Apnea Evaluation among Community Physicians

Williams¹,

Nunes

Zizi³

et al. 2015

Journal of Clinical Sleep Medicine

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Study Objectives: This study assessed knowledge and attitudes toward obstructive sleep apnea (OSA) among community physicians and explored factors that are associated with referrals for OSA evaluation. Methods: Medical students and residents collected data from a convenience sample of 105 physicians practicing at communitybased clinics in a large metropolitan area. Average age was 48 ± 14 years; 68% were male, 70% black, 24% white, and 6% identifi ed as "other." Physicians completed the Obstructive Sleep Apnea Knowledge and Attitudes questionnaire. Results: The average year in physician practice was 18 ± 19 years. Of the sample, 90% reported providing care to black patients. The overall OSA referral rate made by physicians was 75%. OSA knowledge and attitudes scores ranged from 5 to 18 (mean = 14 ± 2) and from 7 to 20 (mean = 13 ± 3), respectively. OSA knowledge was associated with white race/ ethnicity (r p = 0.26, p < 0.05), fewer years in practice (r p = -0.38, p < 0.01), patients inquiring about OSA (r p = 0.31, p < 0.01), and number of OSA referrals made for OSA evaluation (r p = 0.30, p < 0.01). Positive attitude toward OSA was associated with patients inquiring about OSA (r p = 0.20, p < 0.05). Adjusting for OSA knowledge and attitudes showed that physicians whose patients inquired about OSA were nearly 10 times as likely to make a referral for OSA evaluation (OR = 9.38, 95% CI: 2.32-38.01, p < 0.01). Conclusion: Independent of physicians' knowledge and attitudes toward obstructive sleep apnea, the likelihood of making a referral for obstructive sleep apnea evaluation was infl uenced by whether patients inquired about the condition.

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Anesthesiologist's knowledge and attitudes about obstructive sleep apnea: a survey study

Cited by 31 publications

References 29 publications

Survey of Knowledge and Attitudes about Obstructive Sleep Apnoea Among Italian Anaesthetists

Survey of Knowledge and Attitudes about Obstructive Sleep Apnoea Among Italian Anaesthetists

Poor Knowledge and Attitude Regarding Obstructive Sleep Apnea (OSA) Among Medical Students in India: A Call for MBBS Curriculum Change

Factors Associated with Referrals for Obstructive Sleep Apnea Evaluation among Community Physicians

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