Knowledge, attitude, and practice regarding obstructive sleep apnea among primary care physicians

Purpose: Obstructive sleep apnea (OSA) has been linked with inflammation, hypertension, and higher cardiovascular risk which cause substantial morbidity and mortality worldwide. However, OSA is underdiagnosed and its prevalence is increasing. Primary care doctors are the first contact for most patie...

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Main Author: Devaraj, Navin Kumar
Format: Article
Language:English
Published: Springer 2020
Online Access:http://psasir.upm.edu.my/id/eprint/89529/
http://psasir.upm.edu.my/id/eprint/89529/1/KAP.pdf
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author Devaraj, Navin Kumar
author_facet Devaraj, Navin Kumar
author_sort Devaraj, Navin Kumar
building UPM Institutional Repository
collection Online Access
description Purpose: Obstructive sleep apnea (OSA) has been linked with inflammation, hypertension, and higher cardiovascular risk which cause substantial morbidity and mortality worldwide. However, OSA is underdiagnosed and its prevalence is increasing. Primary care doctors are the first contact for most patients and primary care providers play an important role in promoting, screening, and educating patients regarding OSA. This study aims to determine the knowledge, attitudes, and practices regarding OSA among primary care doctors in Kuala Lumpur, Malaysia. Methods: A cross-sectional survey was conducted among physicians who were currently working in primary care clinics in the capital state of Kuala Lumpur. The validated "Obstructive Sleep Apnea Knowledge and Attitudes Questionnaire" (OSAKA) and nine additional practice questions were used as the survey instrument. Results: Of 207 physicians queried, the response rate was 100%. The mean (± SD) total knowledge score was 11.6 (± 2.8) (range 1-18). The majority of respondents had a positive attitude towards the importance of OSA but lacked confidence in managing OSA. Primary care doctors' most common practice for patients with suspected OSA was referral to the ear, nose, and throat (ENT) clinic. Conclusions: The study shows that primary care doctors demonstrated adequate knowledge about OSA and were aware of the importance of OSA as a core clinical problem. However, only a minority felt confident in managing patients with OSA. The results of the study may encourage improvement of primary care doctors' efforts to prevent and manage OSA.
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spelling upm-895292021-08-16T01:00:59Z http://psasir.upm.edu.my/id/eprint/89529/ Knowledge, attitude, and practice regarding obstructive sleep apnea among primary care physicians Devaraj, Navin Kumar Purpose: Obstructive sleep apnea (OSA) has been linked with inflammation, hypertension, and higher cardiovascular risk which cause substantial morbidity and mortality worldwide. However, OSA is underdiagnosed and its prevalence is increasing. Primary care doctors are the first contact for most patients and primary care providers play an important role in promoting, screening, and educating patients regarding OSA. This study aims to determine the knowledge, attitudes, and practices regarding OSA among primary care doctors in Kuala Lumpur, Malaysia. Methods: A cross-sectional survey was conducted among physicians who were currently working in primary care clinics in the capital state of Kuala Lumpur. The validated "Obstructive Sleep Apnea Knowledge and Attitudes Questionnaire" (OSAKA) and nine additional practice questions were used as the survey instrument. Results: Of 207 physicians queried, the response rate was 100%. The mean (± SD) total knowledge score was 11.6 (± 2.8) (range 1-18). The majority of respondents had a positive attitude towards the importance of OSA but lacked confidence in managing OSA. Primary care doctors' most common practice for patients with suspected OSA was referral to the ear, nose, and throat (ENT) clinic. Conclusions: The study shows that primary care doctors demonstrated adequate knowledge about OSA and were aware of the importance of OSA as a core clinical problem. However, only a minority felt confident in managing patients with OSA. The results of the study may encourage improvement of primary care doctors' efforts to prevent and manage OSA. Springer 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/89529/1/KAP.pdf Devaraj, Navin Kumar (2020) Knowledge, attitude, and practice regarding obstructive sleep apnea among primary care physicians. Sleep and Breathing, 24 (4). pp. 1581-1590. ISSN 1520-9512; ESSN: 1522-1709 https://link.springer.com/article/10.1007%2Fs11325-020-02040-1 10.1007/s11325-020-02040-1
spellingShingle Devaraj, Navin Kumar
Knowledge, attitude, and practice regarding obstructive sleep apnea among primary care physicians
title Knowledge, attitude, and practice regarding obstructive sleep apnea among primary care physicians
title_full Knowledge, attitude, and practice regarding obstructive sleep apnea among primary care physicians
title_fullStr Knowledge, attitude, and practice regarding obstructive sleep apnea among primary care physicians
title_full_unstemmed Knowledge, attitude, and practice regarding obstructive sleep apnea among primary care physicians
title_short Knowledge, attitude, and practice regarding obstructive sleep apnea among primary care physicians
title_sort knowledge, attitude, and practice regarding obstructive sleep apnea among primary care physicians
url http://psasir.upm.edu.my/id/eprint/89529/
http://psasir.upm.edu.my/id/eprint/89529/
http://psasir.upm.edu.my/id/eprint/89529/
http://psasir.upm.edu.my/id/eprint/89529/1/KAP.pdf