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Pregled bibliografske jedinice broj: 465966

Significance of continuous medical education of general practitioners about common diseases--iron deficiency anemia


Batinac, Tanja; Petranović, Duška; Duletić-Načinović, Antica; Trošelj-Vukić, Biserka; Jelovčić-Barbić, Badema
Significance of continuous medical education of general practitioners about common diseases--iron deficiency anemia // Collegium antropologicum, 33 (2009), 4; 1191-1196 (međunarodna recenzija, članak, znanstveni)


Naslov
Significance of continuous medical education of general practitioners about common diseases--iron deficiency anemia

Autori
Batinac, Tanja ; Petranović, Duška ; Duletić-Načinović, Antica ; Trošelj-Vukić, Biserka ; Jelovčić-Barbić, Badema

Izvornik
Collegium antropologicum (0350-6134) 33 (2009), 4; 1191-1196

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Continuous medical education; general practice; education; iron deficiency anemia; IDA

Sažetak
Three years long, prospective study was performed in order to evaluate a possible influence of continuing medical education of general practitioners on managing the patients with common diseases such as iron deficiency anemia (IDA). Altogether 1586 patients that were referred to Hematology Outpatient Clinic, University Hospital Center Rtjeka, Croatia due to diagnosis of IDA were examined by clinical hematologist during the first visit and follow up period, were questioned by the means of questionnaire and complete laboratory analyzes were performed in order to: evaluate physical condition and laboratory findings, to assess duration of anemia, possible other specialists' consultation, iron supplementation therapy, and finally, determine the type of anemia present. Initial group of 983 patients was examined during one year period. Following the education campaign the same parameters were analyzed in comparable (final) group of 603 patients during next one year period. Following the education, the number of patients referred to Outpatient Clinic due to diagnosis of IDA was significantly decreased from 983 (61.97%) to 603 (38.02%) (p < 0.05) as was the number of patients referred as having IDA but finally established to have a different type of anemia, from 661 (97.24%) to 149 (24.71%) (p < 0.001). The number of patients started on iron supplementation therapy before establishing the type of anemia was significantly decreased from 543 (55.24%) to 76 (12.60%) (p < 0.001) as well as duration of iron supplementation therapy administered in these cases (21 +/- 9.8 vs. 6 +/- 8.7 weeks) (p < 0.001). We have detected a significant decrease in: time necessary for definitive diagnosis (49 +/- 19.2 vs. 28 +/- 9.1 weeks) (p < 0.001), number of visits to other specialists (2.9 +/- 1.35 vs. 1.1 +/- 0.94) (p < 0.05), duration of anemia before treatment initialization (41 +/- 29.8 vs. 26 +/- 18.7 weeks) (p < 0.001). Average hemoglobin (Hg) level in patients referred to hematologist was significantly lower following education (98.9 +/- 15.5 vs. 82.6 +/- 14.2) (p < 0.05). Continuing medical education of primary care physicians has significant role in diagnosis and treatment of patients with IDA. Education programs result in benefits for the patients and physicians.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti



POVEZANOST RADA


Projekt / tema
143-1080116-2315 - HIV zaraza, spolno prenosive infekcije i rizično ponašanje u hrvatskih pomoraca (Davorka Lukas, )

Ustanove
Klinika za infektivne bolesti "Dr Fran Mihaljević",
Klinički bolnički centar Rijeka

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Social Science Citation Index (SSCI)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE