Giaro Marcin, Wyleżoł Mariusz, Truszczyński Olaf, Lewandowski Tomasz
Department of Surgery, Military Institute of Aviation Medicine in Warsaw.
Pol Przegl Chir. 2012 Aug;84(8):383-9. doi: 10.2478/v10035-012-0065-5.
Bariatric surgery is currently the only effective treatment option for morbidly obese patients. There has been observed a considerable disproportion between the number of procedures conducted in Poland and the number of patients requiring such treatment. There are no studies assessing bariatric knowledge among general practitioners who play crucial role in polish health care system. The aim of the study was to assess the knowledge of general practitioners regarding bariatric surgery.
An anonymous questionnaire conducted among 282 general practitioners in 2010-2011 during local educational conferences. The questionnaire consisted of 10 questions relating to fundamental issues of bariatric surgery.
Only one twelfth (8.1%) of the general practitioners questioned knows the indications for bariatric surgery, can apply them, and has epidemiological awareness. 61.5% of general practitioners know the surgical procedures used for the treatment of obesity, whereas 58% of them show the knowledge of surgical technique in which they are performed. Only 23% of general practitioners were aware that bariatric surgery decreases cancer risk. 92% of the participants noticed a necessity of education regarding the surgical treatment of obesity.
Bariatric knowledge among general practitioners is not adequate to scientific research results published during the last years. Most general practitioners who participated in our study are aware of that and are awaiting for educational programmes focused on this issue.
减肥手术目前是病态肥胖患者唯一有效的治疗选择。在波兰,实施的手术数量与需要此类治疗的患者数量之间存在相当大的差距。在波兰医疗保健系统中发挥关键作用的全科医生中,尚无评估减肥知识的研究。本研究的目的是评估全科医生对减肥手术的了解情况。
2010 - 2011年在当地教育会议期间,对282名全科医生进行了匿名问卷调查。问卷由10个与减肥手术基本问题相关的问题组成。
接受调查的全科医生中,只有十二分之一(8.1%)了解减肥手术的适应症,能够应用这些适应症,并且具有流行病学意识。61.5%的全科医生知道用于治疗肥胖的手术程序,而其中58%了解实施这些手术的技术知识。只有23%的全科医生意识到减肥手术可降低癌症风险。92%的参与者注意到有必要开展关于肥胖手术治疗的教育。
全科医生的减肥知识与过去几年发表的科研成果不相称。参与我们研究的大多数全科医生意识到了这一点,并期待针对此问题的教育项目。