Cardiac amyloidosis awareness among residents/specialists in Geriatrics: an Italian national survey

IF 0.4 Q4 GERONTOLOGY Journal of Gerontology and Geriatrics Pub Date : 2021-06-15 DOI:10.36150/2499-6564-n374
Diana Lelli, C. Pedone, D. Leosco, R. Incalzi
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Abstract

Objective. Cardiac amyloidosis (CA) among older adults is less infrequent than usually considered, and often underdiagnosed. Geriatricians’ awareness and knowledge of CA is unknown. Objectives of the study are to assess actual CA knowledge among residents/specialists in Geriatrics, and their usual clinical practice in managing suspected CA. Methods. In this Nation-wide survey carried out by the Italian Society of Gerontology and Geriatrics in April-August 2020, we administered to residents/specialists in Geriatrics a questionnaire divided in three sections: socio-demographical, procedural and knowledge. Results were stratified by qualification (resident/specialist) and by performance (best/worst performers). Results. 289 residents and 104 specialists participated. The overall proportion of correct answers was 57.9% (58.4% residents, 56.1% specialists); knowledge about clinical (89% of correct answers, 91% residents and 84% specialists, P = 0.062), ECG (72% of correct answers, no differences between groups), and echocardiographic (86% of correct answers, no differences between groups) signs of CA was good. However, only 8% participants knew how to diagnose ATTRwt CA (no differences between groups), and 19% which diuretic is indicated in CA (22% residents, 13% specialists, P = 0.069). Only 25% of the participants knew the natural history of ATTRwt (19% residents, 41% specialists, P < 0.001), and 37% was aware of the target of the ATTR treatment. Prevalence of CA was underestimated by 57% specialists and 37% residents (P = 0.001). Conclusions. Knowledge of CA among residents/specialists in Geriatrics is uncomplete. Education campaigns on this topic are desirable, to improve physicians’ awareness of CA, thus reducing the number of potential misdiagnosis/delay in correct diagnoses.
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老年病学居民/专家对心脏淀粉样变性的认识:一项意大利全国调查
客观的老年人心脏淀粉样变性(CA)的发病率比通常认为的要低,而且往往诊断不足。老年医生对CA的认识和知识尚不清楚。本研究的目的是评估老年医学住院医师/专家的实际CA知识,以及他们在管理疑似CA方面的常规临床实践。方法。在意大利老年病学和老年医学学会于2020年4月至8月进行的这项全国性调查中,我们向居民/老年医学专家发放了一份问卷,问卷分为三个部分:社会人口学、程序学和知识。结果按资格(住院医师/专家)和表现(表现最好/最差)进行分层。后果289名居民和104名专家参加了会议。正确答案的总体比例为57.9%(58.4%为居民,56.1%为专家);对CA的临床(89%的正确答案,91%的住院医生和84%的专家,P=0.062)、心电图(72%的正确答案、组间无差异)和超声心动图(86%的正确答案和组间无差别)体征的了解良好。然而,只有8%的参与者知道如何诊断ATTRwt CA(各组之间没有差异),19%的参与者知道哪种利尿剂适用于CA(22%的居民,13%的专家,P=0.069)。只有25%的参与者知道ATTRwt的自然病史(19%的居民,41%的专家,P<0.001),37%的参与者知道ATTR治疗的目标。57%的专家和37%的居民低估了CA的患病率(P=0.001)。居民/老年医学专家对CA的了解并不全面。这一主题的教育活动是可取的,以提高医生对CA的认识,从而减少潜在的误诊/正确诊断延迟的数量。
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
31
期刊介绍: The Journal of Gerontology and Geriatrics (JGG) is the official journal of the Italian Society of Gerontology and Geriatrics (SIGG), which will be an international, interdisciplinary, peer-reviewed journal concerning frontiers and advances in the field of aging. The aim of the journal is to provide a forum for original research papers, reviews, clinical case reports, and commentaries on the most relevant areas pertaining to aging. JGG publishes relevant articles covering the full range of disciplines pertaining to aging. Appropriate areas include (but are not limited to) Physiology and Pathology of Aging, Biogerontology, Epidemiology, Clinical Geriatrics, Pharmacology, Ethics, Psychology, Sociology and Geriatric Nursing.
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