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Limited knowledge of chronic kidney disease among primary care patients – a cross-sectional survey

机译:基层医疗人员对慢性肾脏病的了解有限–横断面调查

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Background Kidney disease is the 9th leading cause of death in Singapore. While preventive effects have focused on early detection and education, little is known about the knowledge level of chronic kidney disease (CKD) locally. We seek to evaluate the knowledge of CKD among primary care patients. Methods We conducted a cross-sectional survey of a convenience sample of 1520 patients from 3 primary care centers. Those with existing CKD or on dialysis were excluded. Knowledge was assessed based on 7 questions on CKD in the self-administered questionnaire. One point was given for each correct answer with a maximum of 7 points. Results 1435 completed all 7 questions on CKD. Mean age was 48.9 ±15.0 (SD) years. 50.9% were male. 62.3% had a secondary and below education and 52.4% had a monthly household income of?≤?$2000. 43.7% had chronic diseases. Mean score was 3.44?±?1.53 (out of a maximum of 7). Median score was 4. In multivariate logistic regression, being older {>60?years [Odds Ratio (OR) 0.50, 95% Confidence Interval (CI) 0.32-0.79]; 40–60?years (OR 0.62, 95% CI 0.43,0.89)}, less educated [up to primary education (OR 0.33, 95% CI 0.22-0.49)], having a lower monthly household income [ Conclusion This suggests that CKD education should be targeted at older patients with lower education and lower socioeconomic status.
机译:背景肾脏疾病是新加坡第9大死亡原因。尽管预防效果已集中在早期发现和教育上,但对本地慢性肾脏病(CKD)的知识水平知之甚少。我们试图评估初级保健患者对CKD的了解。方法我们对来自3个初级保健中心的1520名患者的便利性样本进行了横断面调查。有CKD或接受透析治疗的患者被排除在外。根据自我管理问卷中有关CKD的7个问题评估知识。每个正确答案得1分,最多7分。结果1435完成了关于CKD的所有7个问题。平均年龄为48.9±15.0(SD)岁。男性占50.9%。 62.3%的人具有中学及以下学历,52.4%的家庭月收入≤2000美元。 43.7%患有慢性疾病。平均得分为3.44±1.53(满分为7分)。中位数为4。在多因素logistic回归中,年龄大于{> 60?岁[赔率(OR)0.50,95%置信区间(CI)0.32-0.79]; 40–60岁(OR 0.62,95%CI 0.43,0.89)},受教育程度较低[直到初等教育(OR 0.33,95%CI 0.22-0.49)],家庭月收入较低[结论这表明CKD教育应针对受过较低教育和较低社会经济地位的老年患者。

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