학술논문
Clinical practice for sarcopenia in Asia: Online survey by the Asian Working Group for Sarcopenia.
Document Type
Academic Journal
Author
Yamada M; Faculty of Human Sciences, University of Tsukuba, Tsukuba, Japan.; Lee WJ; Aging and Health Research Center, National Yang Ming Chiao Tung University, No 155, Sec 2 Li-Nong Street, Taipei 112, Taiwan.; Akishita M; Department of Geriatric Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.; Yang M; Center of Gerontology and Geriatrics, West China Hospital of Sichuan University, Chengdu, China.; Kang L; Department of Geriatric Medicine, Peking Union Medical College Hospital, 1#ShuaiFuYuan, DongCheng District, Beijing, 100730, China.; Kim S; Department of Family Medicine, College of Medicine, Kyung Hee University, Hoegi 1 dong, Dongdaemungu, Seoul 02447, South Korea.; Lim JP; Department of Geriatric Medicine, Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Annex 2 Level 3, 11 Jalan Tan Tock Seng, 308433, Singapore.; Lim WS; Department of Geriatric Medicine, Institute of Geriatric Medicine, Tan Tock Seng Hospital, Lee Kong Chian School of Medicine, Nanyang Technological University, Annex 2 Level 3, 11 Jalan Tan Tock Seng, 308433, Singapore.; Merchant RA; Division of Geriatric Medicine, Department of Medicine, National University Hospital, Singapore.; Ong T; Department of Medicine, Faculty of Medicine, University Malaya, 50603 Kuala Lumpur, Malaysia.; Peng LN; Aging and Health Research Center, National YaE12:F13ng Ming Chiao Tung University, No. 155, Sec. 2, Linong St. Beitoou Dist., Taipei City, 112304, Taiwan.; Phannarus H; Department of Preventive and Social Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.; Tan MP; Department of Medicine, Faculty of Medicine, University Malaya, 50603 Kuala Lumpur, Malaysia.; Tay L; Department of General Medicine, Sengkang General Hospital, 110 Sengkang East Way, 544886, Singapore, Singapore.; Won CW; Department of Family Medicine, College of Medicine, Kyung Hee University, Hoegi 1 dong, Dongdaemungu, Seoul 02447, South Korea.; Woo J; Department of Medicine & Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Ngan Shing Street, Shatin NT, Hong Kong SAR, China.; Chen LK; Center for Healthy Longevity and Aging Sciences, National Yang Ming Chiao Tung University, Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, Taipei Municipal Gan-Dau Hospital, No. 201, Sec 2, Shih-Pai Road, Taipei, 11217, Taiwan.; Arai H; National Center for Geriatrics and Gerontology, 7-430 Morioka, Obu, Aichi, 474-8511, Japan. Electronic address: harai@ncgg.go.jp.
Source
Publisher: Elsevier Biomedical Press Country of Publication: Netherlands NLM ID: 8214379 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-6976 (Electronic) Linking ISSN: 01674943 NLM ISO Abbreviation: Arch Gerontol Geriatr Subsets: MEDLINE
Subject
Language
English
Abstract
Objective: This study aimed to (1) investigate the clinical practice for the management of sarcopenia among healthcare professionals in Asia, (2) determine the characteristics of clinical care provided by geriatricians versus by other healthcare professionals, and (3) clarify the awareness of sarcopenia.
Methods: From December 1 to 31, 2022, an online survey was completed by 1990 healthcare professionals in Asia. The survey comprises demographics and institutional characteristics, basic sarcopenia-related details, and sarcopenia-related assessment and treatment details.
Results: The mean respondent age was 44.2 ± 10.7 years, 36.4% of the respondents were women, and the mean years of experience in clinical practice were 19.0 ± 10.6 years. The percentages of respondents who were aware of the term "sarcopenia", its definition and the importance of its management were high, at 99.3%, 91.9%, and 97.2%, respectively. The percentages of respondents who had screened patients for, diagnosed patients with, and treated patients for sarcopenia were 42.4%, 42.9%, and 58.8%, respectively. Medical doctors had higher performance rates compared to allied health professionals (45.5% vs. 40.5% for screening, 56.8% vs. 34.5% for diagnosis, and 65.0% vs. 55.0% for treatment) (P < 0.001). Especially, among medical doctors, geriatricians had significantly higher rates compared to non-geriatricians (64.3% vs. 34.1% for screening; 76.7% vs. 44.8% for diagnosis; 82.7% vs. 54.4% for treatment, respectively) (P < 0.001).
Conclusion: Although the importance of the concept and management of sarcopenia is well recognized, there is a gap in its detection and management in clinical practice between medical doctors and allied health professionals, and also between geriatricians and non-geriatricians. Many geriatricians collaborate with other healthcare professionals to appropriately manage sarcopenia. In the future, educating all medical staff on the proper management of sarcopenia is necessary.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023. Published by Elsevier B.V.)
Methods: From December 1 to 31, 2022, an online survey was completed by 1990 healthcare professionals in Asia. The survey comprises demographics and institutional characteristics, basic sarcopenia-related details, and sarcopenia-related assessment and treatment details.
Results: The mean respondent age was 44.2 ± 10.7 years, 36.4% of the respondents were women, and the mean years of experience in clinical practice were 19.0 ± 10.6 years. The percentages of respondents who were aware of the term "sarcopenia", its definition and the importance of its management were high, at 99.3%, 91.9%, and 97.2%, respectively. The percentages of respondents who had screened patients for, diagnosed patients with, and treated patients for sarcopenia were 42.4%, 42.9%, and 58.8%, respectively. Medical doctors had higher performance rates compared to allied health professionals (45.5% vs. 40.5% for screening, 56.8% vs. 34.5% for diagnosis, and 65.0% vs. 55.0% for treatment) (P < 0.001). Especially, among medical doctors, geriatricians had significantly higher rates compared to non-geriatricians (64.3% vs. 34.1% for screening; 76.7% vs. 44.8% for diagnosis; 82.7% vs. 54.4% for treatment, respectively) (P < 0.001).
Conclusion: Although the importance of the concept and management of sarcopenia is well recognized, there is a gap in its detection and management in clinical practice between medical doctors and allied health professionals, and also between geriatricians and non-geriatricians. Many geriatricians collaborate with other healthcare professionals to appropriately manage sarcopenia. In the future, educating all medical staff on the proper management of sarcopenia is necessary.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023. Published by Elsevier B.V.)