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Awareness of chronic liver diseases, a comparison between diabetologists and general practitioners

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  • معلومة اضافية
    • Contributors:
      Hémodynamique, Interaction Fibrose et Invasivité tumorales Hépatiques (HIFIH); Université d'Angers (UA); Centre Hospitalier Universitaire d'Angers (CHU Angers); PRES Université Nantes Angers Le Mans (UNAM); ToxAlim (ToxAlim); Université Toulouse III - Paul Sabatier (UT3); Université de Toulouse (UT)-Université de Toulouse (UT)-Ecole Nationale Vétérinaire de Toulouse (ENVT); Institut National Polytechnique (Toulouse) (Toulouse INP); Université de Toulouse (UT)-Université de Toulouse (UT)-Institut National Polytechnique (Toulouse) (Toulouse INP); Université de Toulouse (UT)-Ecole d'Ingénieurs de Purpan (INP - PURPAN); Université de Toulouse (UT)-Université de Toulouse (UT)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE); Institut des Maladies Métaboliques et Casdiovasculaires (UPS/Inserm U1297 - I2MC); Université de Toulouse (UT)-Université de Toulouse (UT)-Institut National de la Santé et de la Recherche Médicale (INSERM); ITX-lab unité de recherche de l'institut du thorax UMR1087 UMR6291 (ITX-lab); Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Nantes Université - UFR de Médecine et des Techniques Médicales (Nantes Univ - UFR MEDECINE); Nantes Université - pôle Santé; Nantes Université (Nantes Univ)-Nantes Université (Nantes Univ)-Nantes Université - pôle Santé; Nantes Université (Nantes Univ)-Nantes Université (Nantes Univ); Université Côte d'Azur (UniCA); Centre Hospitalier Universitaire de Nantes = Nantes University Hospital (CHU Nantes); Service d'Endocrinologie - Diabète - Nutrition CHRU Nancy; Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)
    • بيانات النشر:
      HAL CCSD
      Elsevier
    • الموضوع:
      2022
    • Collection:
      HAL Université Côte d'Azur
    • نبذة مختصرة :
      International audience ; Backgrounds and aimsBecause of the high prevalence of chronic liver disease (CLD), it is crucial that general practitioners (GPs, in contact with the general population) and diabetologists (in contact with the most at-risk non-alcoholic fatty liver disease population) identify patients with advanced CLD requiring specialized management. The aim of this study was to evaluate CLD and CLD management awareness among diabetologists and GPs.Material and methodsA questionnaire was sent to diabetologists within the Francophone Diabetes Society and to GPs in southern and western France. The questionnaire sounded participant characteristics and knowledge of CLD and its management.Results678 questionnaires were completed by 500 GPs and 178 diabetologists. CLD prevalence was underestimated by 90% of GPs and 59% of diabetologists (p<0.001). For biological CLD follow-up, liver injury explorations (transaminases) were systematically included whereas severity explorations (prothrombin time, bilirubin) were prescribed for less than 50% of blood samples; GPs were more likely to prescribe severity explorations than diabetologists were (p<0.001). 74% of GPs and 97% of diabetologists (p<0.001) were familiar with non-invasive tests, Fibroscan and Fibrotest being the two most-frequently mentioned of them. In contrast, the simple blood test Fibrosis-4 was cited by less than 15% of GPs and 30% of diabetologists (p<0.001).ConclusionGPs and diabetologists have limited knowledge of CLD, despite its high prevalence. Continuing medical education among GPs and diabetologists is therefore necessary to enable the discovery of patients with advanced fibrosis and early management for them so as to avoid liver-related complications.
    • الرقم المعرف:
      10.1016/j.clinre.2021.101848
    • الدخول الالكتروني :
      https://univ-angers.hal.science/hal-04016377
      https://univ-angers.hal.science/hal-04016377v1/document
      https://univ-angers.hal.science/hal-04016377v1/file/S2210740121002266.pdf
      https://doi.org/10.1016/j.clinre.2021.101848
    • Rights:
      http://creativecommons.org/licenses/by-nc/ ; info:eu-repo/semantics/OpenAccess
    • الرقم المعرف:
      edsbas.10C803B9