A Preliminary Survey of Physicians' Knowledge of Gout Diagnosis and Treatments in Anning City，Yunnan Province

Xixi ZHOU; Changyong KANG; Yannan YANG; Caihong GAO; Linan ZHAO; Fang FANG

doi:10.12259/j.issn.2095-610X.S20240915

Volume 45 Issue 9

Sep. 2024

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Xixi ZHOU, Changyong KANG, Yannan YANG, Caihong GAO, Linan ZHAO, Fang FANG. A Preliminary Survey of Physicians' Knowledge of Gout Diagnosis and Treatments in Anning City，Yunnan Province[J]. Journal of Kunming Medical University, 2024, 45(9): 97-102. doi: 10.12259/j.issn.2095-610X.S20240915

Citation:

Xixi ZHOU, Changyong KANG, Yannan YANG, Caihong GAO, Linan ZHAO, Fang FANG. A Preliminary Survey of Physicians' Knowledge of Gout Diagnosis and Treatments in Anning City，Yunnan Province[J]. Journal of Kunming Medical University, 2024, 45(9): 97-102. doi: 10.12259/j.issn.2095-610X.S20240915

Citation:

Xixi ZHOU, Changyong KANG, Yannan YANG, Caihong GAO, Linan ZHAO, Fang FANG. A Preliminary Survey of Physicians' Knowledge of Gout Diagnosis and Treatments in Anning City，Yunnan Province[J]. Journal of Kunming Medical University, 2024, 45(9): 97-102. doi: 10.12259/j.issn.2095-610X.S20240915

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A Preliminary Survey of Physicians' Knowledge of Gout Diagnosis and Treatments in Anning City，Yunnan Province

doi: 10.12259/j.issn.2095-610X.S20240915

1.
Dept. of No.6 Convalesce，Unit 32261 of The People’s Liberation Army，Yunnan Kunming 650031
2.
Dept. of Outpatient，Unit 31638 of The People’s Liberation Army，Yunnan Kunming 650031
3.
Dept. of Neurosurgery，No.920 Hospital of Joint Logistics Support Force，Yunnan Kunming 650032，China

Received Date: 2024-04-18
Available Online: 2024-09-04
Publish Date: 2024-09-25

Abstract

Abstract

Objective To investigate the knowledge and awareness of physicians in Anning City regarding the diagnosis and treatment of gout, and explore the influencing factors. Methods From January to April 2024, a questionnaire survey was conducted among general practitioners and physicians in 3 sanatoriums and 3 tertiary hospitals in Anning City to assess their knowledge of gout. Personal information of the participants was also collected. Chi-square test and binary logistic regression analysis were used to explore the differences between participants in two medical institutions and the factors influencing their awareness of the standardized diagnosis and treatment of gout. Results In Anning City, participants in sanatoriums had lower educational backgrounds （χ² = 49.093, P < 0.05） and professional titles （χ² = 23.896, P < 0.05）, with a higher proportion of general practitioners （64.10% vs 35.90%, P < 0.05）. In addition, participants in sanatoriums had fewer annual cases of hyperuricemia （χ² = 16.643, P < 0.05） and gout （χ² = 18.479, P < 0.05）. Furthermore, participants in sanatoriums had lower overall awareness of the standardized diagnosis and treatment of gout （χ² = 5.193, P < 0.05）, especially in the management of acute gout attacks and the selection of medications. Educational background （OR = 2.044, 95%CI = 1.055-3.960, P < 0.05） and the number of annual cases of hyperuricemia （OR = 3.706, 95%CI = 1.952-7.038, P < 0.05） were positively associated with the awareness of standardized diagnosis and treatment of gout among physicians in Anning City. Conclusions Physicians in Anning City have certain blind spots in their knowledge of gout management, especially in the management of acute gout attacks and the selection of urate-lowering medications for patients with complex comorbidities by physicians in sanatoriums. Improving the gout management capabilities of physicians in Anning City should not only focus on their educational backgrounds but also provide more opportunities for specialized clinical practice.
- Gout,
- Diagnostic and therapeutic knowledge,
- Anning City,
- Sanatoriums,
- Physicians

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References(20)

References

[1]	方宁远,吕力为,吕晓希,等. 中国高尿酸血症相关疾病诊疗多学科专家共识(2023年版)[J]. 中国实用内科杂志,2023,43(6):461-480.
[2]	Si K,Wei C,Xu L,et al. Hyperuricemia and the risk of heart failure: Pathophysiology and therapeutic implications[J]. Front Endocrinol (Lausanne),2021,12:770815. doi: 10.3389/fendo.2021.770815
[3]	Jiang J,Zhang T,Liu Y,et al. Prevalence of diabetes in patients with hyperuricemia and gout: A systematic review and Meta-analysis[J]. Curr Diab Rep,2023,23(6):103-117. doi: 10.1007/s11892-023-01506-2
[4]	Kim J H,Kwon M J,Choi H G,et al. The association between hyperuricemia and cardiovascular disease history: A cross-sectional study using KoGES HEXA data[J]. Medicine (Baltimore),2022,101(51):e32338.
[5]	Afinogenova Y,Danve A,Neogi T. Update on gout management: what is old and what is new[J]. Curr Opin Rheumatol,2022,34(2):118-124. doi: 10.1097/BOR.0000000000000861
[6]	熊洋洋. 北京地区医生痛风诊疗认知现状的初步研究[D]. 北京:协和医学院,2017.
[7]	左必军,夏琳,沈丽. 浦东远郊地区社区医生痛风诊疗认知现状的初步调查[J]. 中华养生保健,2024,42(13):96-99.
[8]	Zhang M,Zhu X,Wu J,et al. Prevalence of hyperuricemia among Chinese adults: Findings from two nationally representative cross-sectional surveys in 2015-16 and 2018-19[J]. Front Immunol,2021,12:791983.
[9]	刘伟,兰由玉,陶蓓. 泸州地区高尿酸血症和痛风患者健康教育及管理平台的构建及应用[J]. 临床医学研究与实践,2024,9(23):29-33.
[10]	刘东杰,唐迪,李月,等. 新形势下部队康复疗养中心的职能定位[J]. 武警医学,2024,35(2):165-166.
[11]	吴娜威,申玉兰,贺立娟. 基层医生对痛风的认知情况调查与分析[J]. 中国医药科学,2020,10(10):169-171. doi: 10.3969/j.issn.2095-0616.2020.10.049
[12]	武蓉,刘沧桑,肖婷. 长沙市岳麓区医师对痛风诊疗认知情况的调查[J]. 湖南师范大学学报(医学版),2022,19(2):245-249. doi: 10.3969/j.issn.1673-016X.2022.02.068
[13]	杨媛,胡鹏,黄艳. 社区医护人员高尿酸血症健康管理知信行现状分析[J]. 实用医学杂志,2024,40(14):2015-2020.
[14]	Kostka-Jeziorny K,Widecka K,Tykarski A. Study of epidemiological aspects of hyperuricemia in Poland[J]. Cardiol J,2019,26(3):241-252. doi: 10.5603/CJ.a2019.0034
[15]	何娅东. 唐山地区医生(非本专业)高尿酸血症认知现状的调查[D]. 唐山:华北理工大学,2023.
[16]	周英达,卓书雄,金花,等. 上海市社区全科医生对未分化疾病认知度和诊疗能力的自我评价研究[J]. 中国全科医学,2021,24(31):3979-3985.
[17]	铁宁,艾日松,李静,等. 内蒙古地区风湿免疫专科医生对高尿酸血症、原发性痛风认知现状调查[J]. 内蒙古医科大学学报,2021,43(5):504-507.
[18]	陈文姬,孙瑞琪,谢波. 基于结构性问题培养全科医生深度思考能力的方法研究[J]. 中国全科医学,2024,27(16):1971-1976.
[19]	Zuzic F S,Rusic D,Bozic J,et al. How are we managing patients with hyperuricemia and gout: A cross sectional study assessing knowledge and attitudes of primary care physicians?[J]. Int J Environ Res Public Health,2021,18(3):1234.
[20]	Keller S F,Mandell B F. Management and cure of gouty arthritis[J]. Rheum Dis Clin North Am,2022,48(2):479-492. doi: 10.1016/j.rdc.2022.03.001

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