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Revista de la Facultad de Medicina Humana
versión impresa ISSN 1814-5469versión On-line ISSN 2308-0531
Resumen
LONGA-LOPEZ, John. Physicians' attitudes towards the approach to diabetic neuropathy in public and private health facilities, 2023. Rev. Fac. Med. Hum. [online]. 2023, vol.23, n.4, pp.54-61. Epub 30-Nov-2023. ISSN 1814-5469. http://dx.doi.org/10.25176/rfmh.v23i4.6109.
Objective:
To describe the attitudes of doctors towards the approach to diabetic neuropathy.
Methods:
Descriptive, observational, cross-sectional and prospective study, sample of 143 doctors, non-probabilistic convenience sampling. The variables: years of professional practice, specialty, proportion of patients in the medical consultation with a diagnosis of diabetes mellitus (type 1 or 2), proportion of patients with diabetes mellitus with a diagnosis of diabetic neuropathy, attitudes towards the approach to diabetic neuropathy. A 5-category Likert scale was used to evaluate attitudes in 3 dimensions: prioritization, diagnosis and treatment. Descriptive statistics were used.
Results:
In the prioritization dimension, 57.4% prioritize metabolic control over the evaluation of complications. Diagnostic dimension: 80.5% of doctors surveyed rely on symptoms and signs reported by the patient to make the diagnosis of said complication, 66.5% recognize that they do not use an instrument for the evaluation of neuropathy and 39.9% would not use it either. had it. In the treatment dimension, 73.5% recognize that analgesic treatment for diabetic neuropathy is frustrating and 50.4% feel “afraid” to titrate the dose of anti-neuropathic analgesic medication due to adverse effects.
Conclusions:
The attitudes of doctors compromise different areas of the approach to diabetic neuropathy such as prioritization, diagnosis and treatment with a tendency to prioritize metabolic control and other microvascular complications, to under-diagnosis, to “under-treatment”. ” and the need to refer patients for specialized management.
Palabras clave : Attitudes; diabetic neuropathy; (source: DeCS BIREME).