Abstract
Chronic kidney disease (CKD) is frequently unrecognized by non-nephrology physicians. There is an ongoing governmental program to create hemodialysis centers in the ten regions of Cameroon, where a previous study reported high levels of late referral to nephrologists. We aimed to assess the knowledge of physicians on CKD and their attitudes regarding referral. A questionnaire based on the Kidney Disease Outcome Quality Initiative Guidelines of 2002 was self-administered to general practitioners and non-nephrology specialists working in two Cameroon cities that have hemodialysis centers (Douala and Bamenda). Of the 174 general practitioners and non-nephrology specialists approached, 114 (65.5%) returned answered questionnaires. Only 58.8% of doctors identified the correct definition of CKD. Most physicians were aware of the major risk factors of CKD (hypertension, 97.4% and diabetes mellitus, 95.6%). Most physicians were also aware of complications such as anemia (93.0%), hypertension (90.4%), uremia (85.1%) and hyperkalemia (85.1%). Only 44% knew that CKD had five stages, with general practitioners 3.4 times more likely to know than specialists (p = 0.004). Even though 61.4% of the physicians knew that the estimated glomerular ...Continue Reading
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May 21, 2019·Renal Failure·Halle Marie PatriceAshuntantang Enow Gloria
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