Knowledge of General Practitioners in Cotonou about Systemic Lupus Erythematosus

Azon-Kouanou, Angèle; Aboué, Nonvignon Carrel Abdias; Missiho, Mahoutin Semassa Ghislain; Eugénie, Dansou; Sokadjo, Yves Morel; Agbodande, Kouessi Anthelme; Wanvoegbe, Armand Finagnon; Zannou, Djimon Marcel; Houngbe, Fabien

doi:10.4236/ojim.2020.104032

Cited by 4 publications

(7 citation statements)

References 9 publications

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“…According to Art et al, many GPs are concerned about their lack of expertise and experience in dealing with SLE, despite technological advancements in diagnosis, and hence tend to overestimate the disease's possible impact on patients [ 19 ]. A recent study done in Cotonou, Benin reported similar findings as our results where the majority of the GPs had limited knowledge about SLE [ 16 ]. In another study, cutaneous SLE was reported to be one of the most difficult diagnoses for GPs compared to other skin disorders [ 20 ].…”

Section: Discussionsupporting

confidence: 90%

“…It has been noted that general practitioners (GPs) correctly diagnosed only 11% of SLE cases presented in clinical scenarios, far fewer than rheumatologists [ 15 ]. Furthermore, SLE awareness research in Cotonou, Benin demonstrated that the majority of GPs had minimal comprehension and awareness of the clinical and diagnostic criteria for SLE, while another study in China discovered that more than half of them were unaware of SLE [ 16 , 17 ]. Despite several studies on the Saudi general population's comprehension of SLE, no studies on PHCPs' understanding of SLE have been conducted in the Kingdom of Saudi Arabia (KSA).…”

Section: Introductionmentioning

confidence: 99%

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Primary Healthcare Practitioners’ Knowledge, Attitude, and Practice Toward Systemic Lupus Erythematosus in the Qassim Region, Saudi Arabia

Alrashdi¹,

Alrasheedi²,

Alkhdairi³

et al. 2022

Cureus

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The study aims to evaluate the primary healthcare practitioner's (PHCP) knowledge, attitude, and practice toward systemic lupus erythematosus (SLE) and to explore the difficulties of early referral to specialized clinics. MethodThis is a cross-sectional study conducted between February and March 2022 targeting the PHCP among the primary healthcare centers in Qassim, Saudi Arabia. The study was conducted among 203 participants who enrolled via a cluster random sampling technique depending on the survey. Qualitative categorical variables are expressed as frequencies and percentages, while continuous variables are reported as means and standard deviations (SD). The one-way analysis of variance (ANOVA) test and the independent T-test have been used to explore the relationship between participants' knowledge scores and their socio-demographic characteristics. A P-value ≤0.05 was considered statistically significant. ResultThe study found that only 4.4% of participating PHCPs had good knowledge related to SLE, while 45.8% of them had fair knowledge, and nearly half of them (49.8%) had poor knowledge. It was noted that GPs who specialized in family medicine or saw more than 40 patients each week had comparably better knowledge than others, which was statistically significant (p<0.05). The difficulty in diagnosing SLE patients was mentioned by 48.3% of the PHCPs. Family medicine consultants (p<0.001), those who worked in a tertiary care facility for more than six months (p<0.001) and those who worked in a rheumatology department (p<0.05), reported considerably better levels of comfort when treating SLE patients. ConclusionThis study found that included participants' understanding of SLE, its diagnosis, and management was inadequate. Coordination between rheumatologists and experts from many disciplines at the primary, secondary, and tertiary levels of care is critical for overcoming ambiguities and obstacles in the diagnosis and therapy of SLE patients.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Primary Healthcare Practitioners’ Knowledge, Attitude, and Practice Toward Systemic Lupus Erythematosus in the Qassim Region, Saudi Arabia

Alrashdi¹,

Alrasheedi²,

Alkhdairi³

et al. 2022

Cureus

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“…A clear female predominance with a male to female sex ratio of 0.09 was found. This female predominance was also found by several other authors [5][6][7][8][9].…”

Section: Discussionsupporting

confidence: 88%

“…Systemic inflammatory diseases are little known and often difficult to diagnose in sub-Saharan Africa. In a study conducted in Cotonou in 2017, 91.4% of general practitioners were unaware of systemic lupus [6]. In this series, the mean age was 44 + 12 years with extremes from 24 to 64 years.…”

Section: Discussionmentioning

confidence: 67%

Cardiac Diseases During Systemic Inflammatory Diseases in the Internal Medicine and Medical Oncology Department of NTHC-HKM of Cotonou

Angèle¹,

Armand²,

Anthelme³

et al. 2021

AJIM

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Systemic inflammatory diseases are characterized by multivisceral involvement at some point in their evolution.This involvement can concern almost all organs, including the heart. Each systemic condition has a unique cardiac expression. The target of this study is to determine the frequency of cardiac involvement in systemic inflammatory diseases. This study is a cross-sectional, descriptive, and analytical study that was conducted within 07 months. The aim was to screen 23 patients followed for systemic inflammatory diseases for cardiac involvement. The mean age was 44 (±12) years old with a minimum of 24 and a maximum 64 years. Most of patients were women with a sex ratio (M/F) of 0.09. An echocardiographic abnormality was found in 26.1% of patients and 73.1% had an ECG abnormality. They included left atrial hypertrophy (43.4%), left ventricular hypertrophy (30.4%), right axial deviation (26.1%), low voltage (21.7%), right atrial hypertrophy (8.6%), S1Q3 appearance (8, 6%), pulmonary hypertension (8.6%), repolarization disorders (8.6%), sinus tachycardia (8.6%), middle tricuspid insufficiency (4.3%), middle pulmonary insufficiency (4.3%), and pericarditis (4.3%). Patients with systemic inflammatory diseases had cardiac disorders with rare clinical manifestations but with an incidental discovery either on ECG or on cardiac echodoppler. Hence, a systematic cardiac exploration in these patients was essential.

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“…Awareness must be raised among patients and primary care physicians for early consultation and referral to an appropriate health center at the first sign of symptoms. Azon-Kouanou's study on general practitioners' knowledge of SLE in Cotonou (Benin), noted the lack of knowledge of the disease among primary care physicians [14].…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Itinerary of Patients Followed for Connectivitis in the Internal Medicine Department of the CNHU-HKM of Cotonou (Benin)

Azon-Kouanou¹,

Agbodande²,

Dansou³

et al. 2021

OJIM

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Introduction: In black Africa, connectivites have been for a long time a source of diagnostic erraticity because of their clinical polymorphism. This study aims to determine the therapeutic itinerary of patients followed for connectivitis in the Internal Medicine Department of the CNHU HKM of Cotonou. Methodology: This is a cross-sectional study that included patients followed for connectivitis in the HKM-Cotonou Internal Medicine Department from January 2010 to October 2018. Results: Out of 3600 patients hospitalized in the study period, 21 had connectivitis, i.e. a hospital frequency of 0.58%. Of the 21 patients collected, 18 met the inclusion criteria. The mean age was 40 (±11) years old and the youngest was of 21 and the oldest 58. The sex ratio was 17.9. The "Fon" ethnic group was the most represented (33.3%) and 15 (83.3%) subjects were Christians. Systemic lupus erythematosus was the most frequent connectivitis (55.6%). The average time of consultation was 38 months. Witchcraft was the most incriminating cause (78%). Ten (55.5%) patients had resorted to self-medication as their first choice of treatment, 5 (27.8%) to traditional medicine treatment and 3 (16.7%) to prayer for healing. The reasons for the first choice of treatment were satisfaction (44.4%), financial problems (27.8%), trivialization of the disease (16.7%), and advice from family and friends (11.1%). The consultation at the CNHU followed a referral from a first contact health structure (61%) or an initiative of the patient (27.8%). Conclusion: Connectivitis

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Knowledge of General Practitioners in Cotonou about Systemic Lupus Erythematosus

Cited by 4 publications

References 9 publications

Primary Healthcare Practitioners’ Knowledge, Attitude, and Practice Toward Systemic Lupus Erythematosus in the Qassim Region, Saudi Arabia

Primary Healthcare Practitioners’ Knowledge, Attitude, and Practice Toward Systemic Lupus Erythematosus in the Qassim Region, Saudi Arabia

Cardiac Diseases During Systemic Inflammatory Diseases in the Internal Medicine and Medical Oncology Department of NTHC-HKM of Cotonou

Therapeutic Itinerary of Patients Followed for Connectivitis in the Internal Medicine Department of the CNHU-HKM of Cotonou (Benin)

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