학술논문
Knowledge, Attitudes and Performance of Iranian Endodontists to Patients with Kidney Diseases
ORIGINAL ARTICLE
ORIGINAL ARTICLE
Document Type
Academic Journal
Source
European Endodontic Journal. January 2023, Vol. 8 Issue 1, p90, 6 p.
Subject
Language
English
Abstract
INTRODUCTION Chronic kidney disease (CKD) is a common medical condition in most parts of the world, especially in older adults, with strong causal links to hypertension and diabetes mellitus. The [...]
Objective: The high prevalence of chronic kidney disease in the community, especially in older patients, makes their management an important aspect of clinical practice. The aim of this study was to evaluate the knowledge attitudes and performance of Iranian endodontists regarding patients with chronic kidney disease (CKD). Methods: This cross-sectional, descriptive-analytical study involved 100 Iranian endodontists (41 M, 59 F), who completed questionnaires with 21 items on CKD. Responses were analyzed by SPSS, using Chi-square or Fisher's exact tests. Results: Overall levels of knowledge were rated as optimal in 55% of subjects, while attitudes to care were favourable in 83%. This cohort of specialist clinicians had strong scores for optimal attitude and performance. Awareness of issues around prescribed analgesics, antibiotic cover, bleeding risk and hypertension was high. Proximity to specialist training (younger specialists, and less years in practice) and female gender were associated with significantly higher scores across the three domains measured. Conclusion: Most specialists were aware of requirements for safe care of dental patients with CKD. Continuing professional education should target older clinicians who may have had less exposure to formal training in this topic during their clinical training. Keywords: Chronic kidney disease, clinical performance, dialysis, endodontics, renal failure HIGHLIGHTS * Management of patients with CKD by this cohort of endodontists was generally done well, with sufficient knowledge of basics of CKD, as well as a positive attitude to their care, and performance in line with current literature. * More recent specialist training gave higher scores across the three domains measured, indicating that younger specialists were better informed of current CKD management issues than older specialists. Care of patients with CKD should be included in continuing professional development programs for endodontists. * Clinicians need to be aware of the many impacts of CKD on clinical endodontic care, including issues with hypertension, diabetes mellitus, and bony pathology, as well the importance of medical advice for anticoagulated patients, and the need to monitor blood pressure and coagulation status.
Objective: The high prevalence of chronic kidney disease in the community, especially in older patients, makes their management an important aspect of clinical practice. The aim of this study was to evaluate the knowledge attitudes and performance of Iranian endodontists regarding patients with chronic kidney disease (CKD). Methods: This cross-sectional, descriptive-analytical study involved 100 Iranian endodontists (41 M, 59 F), who completed questionnaires with 21 items on CKD. Responses were analyzed by SPSS, using Chi-square or Fisher's exact tests. Results: Overall levels of knowledge were rated as optimal in 55% of subjects, while attitudes to care were favourable in 83%. This cohort of specialist clinicians had strong scores for optimal attitude and performance. Awareness of issues around prescribed analgesics, antibiotic cover, bleeding risk and hypertension was high. Proximity to specialist training (younger specialists, and less years in practice) and female gender were associated with significantly higher scores across the three domains measured. Conclusion: Most specialists were aware of requirements for safe care of dental patients with CKD. Continuing professional education should target older clinicians who may have had less exposure to formal training in this topic during their clinical training. Keywords: Chronic kidney disease, clinical performance, dialysis, endodontics, renal failure HIGHLIGHTS * Management of patients with CKD by this cohort of endodontists was generally done well, with sufficient knowledge of basics of CKD, as well as a positive attitude to their care, and performance in line with current literature. * More recent specialist training gave higher scores across the three domains measured, indicating that younger specialists were better informed of current CKD management issues than older specialists. Care of patients with CKD should be included in continuing professional development programs for endodontists. * Clinicians need to be aware of the many impacts of CKD on clinical endodontic care, including issues with hypertension, diabetes mellitus, and bony pathology, as well the importance of medical advice for anticoagulated patients, and the need to monitor blood pressure and coagulation status.