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Knowledge on fibromyalgia among general practitioners, from Chiclayo-Peru, 2016. | LitMetric

Knowledge on fibromyalgia among general practitioners, from Chiclayo-Peru, 2016.

Reumatol Clin

Facultad de Medicina, Universidad Católica Santo Toribio de Mogrovejo, Chiclayo, Perú; Hospital Regional Lambayeque, Chiclayo, Perú.

Published: July 2018

AI Article Synopsis

  • - The study assessed the knowledge of fibromyalgia among general practitioners in Chiclayo, Peru, in 2016, using a validated questionnaire answered by 145 physicians.
  • - Results showed low accuracy in diagnosing (41.1%) and moderate understanding of treatment (65%), with physicians having limited ability to identify pain points and varying knowledge based on their age and institution type.
  • - A majority acknowledged effective treatments, like psychotherapy and medications like Pregabalin, but overall awareness about fibromyalgia's diagnosis and treatment was deemed poor among the practitioners.

Article Abstract

Objective: Knowledge about fibromyalgia in general practitioners in the province of Chiclayo, Peru, 2016.

Materials And Methods: Cross sectional descriptive study. Non-probability sampling, census type. In all, 145 physicians were evaluated through a questionnaire of 14 questions, validated by experts and a pilot. The analysis was performed using STATA v. 13.

Results: Accuracy in questions involving diagnosis was 41.1% and in questions about treatment: 65%; 75.1% 'had seen patients with fibromyalgia' previously. The average on locating pain points was 2.2±2.8. Only 2.8% identified 11 or more painful points; 54.5% answered that 'the diagnosis is clinical and exams are for the differential diagnosis'; 46.1% in Ministerio de Salud (MINSA) and 28.3% in Seguro Social de Salud (EsSalud) answered the item about diagnostic criteria (P=.021); 65.7% said that psychotherapy, pregabalin and aerobic exercise were the most effective therapeutic triad, with no differences between MINSA and EsSalud: 61.5% vs. 68.6% (P=.23); 59.3% responded that drugs that had proved to be useful were: Pregabalin, duloxetine and amitriptyline; 66.2% responded that the most effective physical therapy is aerobic exercise.

Conclusions: Knowledge of the diagnosis and treatment of fibromyalgia by general doctors in Chiclayo is poor. There are some differences in knowledge depending on the age and type of institution to which each belongs.

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Source
http://dx.doi.org/10.1016/j.reuma.2016.08.005DOI Listing

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