Digestive and Bariatric Surgery Unit, Hôpital Joseph Ducuing, Toulouse, France.
Department of Digestive Surgery, Centre Hospitalier Intercommunal de Créteil, Creteil, France.
Obes Surg. 2018 Jun;28(6):1754-1759. doi: 10.1007/s11695-017-3090-y.
The epidemic of obesity has determined an important rise in popularity for bariatric surgery (BS) in France. The role of general practitioners (GPs) in the decision-making process of candidates to BS as well as in their life-long follow-up after surgery is therefore destined to grow up. The aim of this survey was to provide a picture of the actual knowledge of GPs about BS.
The link to an e-questionnaire composed of 20 multiple choice questions was sent to all the 101 Departmental Councils of the French Medical Board, accompanied by a letter explaining the objectives of the study. Councils were asked to distribute the e-questionnaire to GPs in their department.
A total of 2224 GPs were solicited by e-mail in six departments and 288 surveys were completed, representing a 12.9% response rate. A proportion as high as 97.2% of GPs reported taking care of at least one patient operated on for BS and 88.5% declared having referred at least one patient for BS. Nevertheless, a considerable proportion of GPs declared not to have sufficient knowledge to manage BS patients. Moreover, 86.1% wished to receive more education and 83.7% declared to be available for participating in follow-up.
Academic institutions, scientific societies, and all physicians involved in obesity care should actively participate in the correction of the educational gap of GPs in order to obtain an effective help in the complex challenge of facing the obesity epidemic.
肥胖症的流行导致法国的减重手术（BS）需求大幅增加。因此，全科医生（GP）在 BS 候选者的决策过程中以及手术后的长期随访中的作用势必会增加。本调查旨在了解 GP 对 BS 的实际认知情况。
向法国医学委员会的 101 个部门委员会发送了一个包含 20 个多项选择题的电子问卷链接，并附有一封解释研究目的的信。要求委员会向其所在部门的 GP 分发电子问卷。
在六个部门中，通过电子邮件向 2224 名 GP 进行了调查，共完成了 288 份调查问卷，应答率为 12.9%。高达 97.2%的 GP 报告称至少照顾过一名接受 BS 手术的患者，88.5%的 GP 表示至少向一名患者推荐过 BS。然而，相当一部分 GP 表示他们没有足够的知识来管理 BS 患者。此外，86.1%的 GP 希望接受更多的教育，83.7%的 GP 表示愿意参与随访。
学术机构、科学协会以及所有参与肥胖症治疗的医生都应积极参与纠正 GP 教育差距，以便在应对肥胖症流行这一复杂挑战中获得有效的帮助。
