Attitudes and knowledge about obstructive sleep apnea among Latin American primary care physicians

Chérrez-Ojeda, Iván; Jeffe, Donna B.; Guerrero, Thomas; Mantilla, Ricardo; Santoro, Ilka Lopes; Gabino, Gustavo; Calderón, J. H.; Caballero, Fernan; Mori, Jose; Chérrez, Annia

doi:10.1016/j.sleep.2013.06.005

Cited by 62 publications

(37 citation statements)

References 25 publications

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“…In a recent study conducted with PCPs in a few South American countries, the investigators assessed total OSA knowledge using the OSA Knowledge and Attitude (OSAKA) questionnaire and reported no differences among PCPs with varying years of practice 4. However, another study reported a negative correlation between years of practice and OSA knowledge using the OSAKA questionnaire 13.…”

Section: Discussionmentioning

confidence: 99%

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Primary care physicians’ knowledge of sleep medicine and barriers to transfer of patients with sleep disorders

Saleem

Rashed

Alkharboush

et al. 2017

SMJ

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Objectives:To assess primary care physicians’ (PCPs) knowledge and attitudes toward sleep disorders.Methods:In this cross-sectional quantitative study, we surveyed 88 primary care centers under the Ministry of Health during 2015 in Riyadh, Saudi Arabia, using a combination of pre-designed validated questionnaires. Knowledge was assessed using the Assessment of Sleep Knowledge in Medical Education (ASKME) questionnaire, and attitude was assessed using a pre-designed survey. For numerical variables, t-test was used, and for categorical variables, Chi-square test was used.Results:Data from 223 PCPs (males 50.2%) were analyzed. Among the participants, 44 (19.9%) did not know that sleep medicine is a distinct medical specialty, and 24 (10.9%) felt that sleep disorders are uncommon medical problems based on their daily practice. Only 87 (39%) of physicians stated that they referred patients with sleep disorders to specialized medical centers for further management. The mean score of the ASKME questionnaire was 14.4 ± 4 out of 30 (48%). The majority of physicians (78.5%) obtained a score between 11 and 20. Score results were not related to gender or years of practice.Conclusion:Primary care physicians’ have a low level of awareness and poor knowledge of sleep medicine and sleep disorders.

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Section: Discussionmentioning

confidence: 99%

“…The early detection of patients with sleep disorders largely depends on PCPs’ knowledge of sleep medicine. A limited number of studies have assessed PCPs’ knowledge of sleep and sleep disorders in different countries and have generally demonstrated that PCPs have poor knowledge 4-6. Most of those studies were conducted several years ago.…”

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confidence: 99%

Primary care physicians’ knowledge of sleep medicine and barriers to transfer of patients with sleep disorders

Saleem

Rashed

Alkharboush

et al. 2017

SMJ

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“…There are medical morbidities, including new-onset cardiovascular disease and hypertension [ 8 ]. In Latin American countries, use of these treatments for OSA is limited, not only due to cost, but also to lack of physicians’ knowledge about OSA [ 9 ], which impedes diagnosis and treatment of the disease.…”

Section: Introductionmentioning

confidence: 99%

Obstructive sleep apnea knowledge and attitudes among recent medical graduates training in Ecuador

Chérrez-Ojeda

Calderón

García

et al. 2018

Multidiscip Respir Med

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BackgroundWe aimed to assess recent Latin American medical school graduates’ knowledge and attitudes about OSA and examine whether their knowledge and attitudes about OSA differed from practicing physicians.MethodsRecent medical graduates completed the Spanish translation of the OSA Knowledge and Attitudes (OSAKA) questionnaire at the 2013 national primary-care residency-placement meeting in Ecuador. The OSAKA includes 18 knowledge and five attitudinal items about OSA. We compared recent graduates’ data with data collected in 2010–2011 from practicing physicians using chi-square tests of associations among categorical variables and analysis of variance of differences in mean knowledge and attitude scores. Unadjusted logistic regression models tested the odds that recent graduates (vs. practicing physicians) answered each item correctly.ResultsOf 265 recent graduates, 138 (52.1%) were male, and mean age was 25.9 years. Although mean knowledge was low overall, scores were lower for recent graduates than for the 367 practicing physicians (53.5% vs. 60.4%; p < 0.001). Practicing physicians were significantly more likely to answer specific items correctly with one exception—recent graduates were more likely to know that < 5 apneas-hypopneas/h is normal (OR 1.47, 1.03–2.07). Physicians in practice attributed greater importance to OSA as clinical disorder and the need for identifying patients with OSA; but recent graduates reported greater confidence in managing patients with OSA and CPAP.ConclusionsOSA-focused educational interventions during medical school should help to improve recent medical graduates’ abilities to diagnose and treat OSA. We recommend a greater number of hours of medical students’ exposure to sleep education.

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“…Studies referring to the primary care setting exploring these variables in the context of SDB management used data from questionnaires [13][14][15] which were basically computed as the percentage of correct answers or by means of a Likert scale or using some statistical technique, such as principal component analysis, for finding patterns in large batches of data. [16] However, rather than a variable-centred approach, the use of a person-centred statistical method like Latent Class Analysis (LCA) could offer an advantage for identifying latent class membership among participants with multivariate categorical data. Indeed, LCA is a method which assigns respondents to classes based on their responses to items in the questionnaire, rather than them being arbitrarily assigned to classes by the researchers.…”

Section: Introductionmentioning

confidence: 99%

Application of latent class analysis in assessing the awareness, attitude, practice and satisfaction of paediatricians on sleep disorder management in children in Italy

Nosetti

Paglietti

Brunetti³

et al. 2020

PLoS ONE

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AimTo identify subgroups regarding paediatricians' awareness, attitude, practice and satisfaction about management of Sleep-Disordered Breathing (SDB) in Italy using Latent Class Analysis (LCA). MethodsA cross-sectional study was conducted on a large sample of Italian paediatricians. Using a self-administered questionnaire, the study collected information on 420 Paediatric Hospital Paediatricians (PHPs) and 594 Family Care Paediatricians (FCPs). LCA was used to discover underlying response patterns, thus allowing identification of respondent groups with similar awareness, attitude, practice and satisfaction. A logistic regression model was used to investigate which independent variables influenced latent class membership. Analyses were performed using R 3.5.2 software. A p-value<0.05 was considered statistically significant. ResultsTwo classes were identified: Class 1 (n = 368, 36.29%) "Untrained and poorly satisfied" and Class 2 (n = 646, 63.71%) "Trained and satisfied." Involving paediatric pneumologists or otorhinolaryngologists in clinical practice was associated with an increased probability of Class 2 membership (OR = 5.88,]; OR = 15.95, 95%

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Attitudes and knowledge about obstructive sleep apnea among Latin American primary care physicians

Cited by 62 publications

References 25 publications

Primary care physicians’ knowledge of sleep medicine and barriers to transfer of patients with sleep disorders

Primary care physicians’ knowledge of sleep medicine and barriers to transfer of patients with sleep disorders

Obstructive sleep apnea knowledge and attitudes among recent medical graduates training in Ecuador

Application of latent class analysis in assessing the awareness, attitude, practice and satisfaction of paediatricians on sleep disorder management in children in Italy

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