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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Specialist physician knowledge of chronic kidney disease: A comparison of internists and family physicians in West Africa
African Journal of Primary Health Care and Family Medicine, Volume 4, No. 1, Article 319, Year 2012
Notification
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Description
Background: Postgraduate training is aimed at equipping the trainee with the necessary skills to practise as an expert. Non-nephrology specialist physicians render the bulk of pre-end-stage renal disease care for patients with chronic kidney disease (CKD). We sought to ascertain the knowledge of CKD amongst non-nephrology specialist physicians who serve as trainers and examiners for a training, accrediting and certifying body in postgraduate medicine in West Africa. We also compared the knowledge of family physicians and non-nephrology internists. Methods: Self-administered questionnaires were distributed to non-nephrology specialist physicians who serve as examiners for the West African College of Physicians. Results: Only 19 (27.5%) of the respondents were aware of the Kidney Disease Outcomes Quality Initiatives guidelines for CKD management. Twenty five (36.2%) of the respondents had adequate knowledge of CKD. There was no significant difference in the proportion of family physicians and non-nephrology internists who had adequate knowledge of CKD (27.3% vs. 40.4% respectively; p = 0.28). Hypertension and diabetes mellitus were identified by all of the physicians as risk factors for CKD. Non-nephrology internists more frequently identified systemic lupus erythematosus as a risk factor for CKD, urinalysis with microscopy as a laboratory test for CKD evaluation, and bone disease as a complication of CKD than family physicians. Conclusion: There is a lack of adequate CKD knowledge amongst non-nephrology specialist physicians, since many of them are unaware of the CKD management guidelines. Educational efforts are needed to improve the knowledge of CKD amongst non-nephrology specialist physicians. Guidelines on CKD need to be widely disseminated amongst these physicians. © 2012. The Authors.
Authors & Co-Authors
Agaba, Emmanuel Idoko
Nigeria, Jos
University of Jos
Aladi Agaba, Patricia A.
Nigeria, Jos
University of Jos
Dankyau, Musa
Nigeria, Karu
Bingham University
Akanbi, Maxwell O.
Nigeria, Jos
University of Jos
Daniyam, Comfort A.
Nigeria, Jos
University of Jos
Okeke, Edith Nonyelum
Nigeria, Jos
University of Jos
Tzamaloukas, Antonios Helias
United States, Albuquerque
New Mexico Veterans Affairs Health Care System
United States, Albuquerque
Unm School of Medicine
Statistics
Citations: 15
Authors: 7
Affiliations: 4
Identifiers
Doi:
10.4102/phcfm.v4i1.319
ISSN:
20712928
e-ISSN:
20712936
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Locations
Multi-countries