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[法布里病的筛查:法国首次关于肾病学家习惯的调查结果]

[Fabry disease's screening: Results from the first French survey on nephrologists habits].

作者信息

Muller Clotilde, Delion Alexandra, Hogan Julien, Bertocchio Jean-Philippe

机构信息

Service de néphrologie, clinique Sainte-Anne, 182, route de la Wantzenau, 67000 Strasbourg, France; Club des jeunes néphrologues, 2, rue du bourg l'abbé, 75003 Paris, France.

Club des jeunes néphrologues, 2, rue du bourg l'abbé, 75003 Paris, France; Service de néphrologie, hôpital Saint-Louis, 1, avenue Claude Vellefaux, 75010 Paris, France.

出版信息

Nephrol Ther. 2019 Jul;15(4):226-232. doi: 10.1016/j.nephro.2018.10.007. Epub 2019 May 1.

Abstract

Fabry disease is a systemic and genetic disorder resulting from an α-galactosidase A enzymatic deficiency leading to sphingolipid accumulation in lysosomes: it remains a rare and poorly-known disease. This study aimed to know the formation of nephrologists, their knowledge, and their habits both in terms of screening and management in this field. Answers form 152 nephrologists have been analyzed: few doctors directly managed Fabry disease patient (22 %) and 18 % have already made the diagnosis by their own. Formation seems to be insufficient and most of them did not fully know symptoms, as resources already available (associations, collecting database, etc.). Some indications for the treatment are also poorly known (mainly regarding end stage renal disease). Information is mainly provided by of firms' staff. A knowledge score was calculated: the kidney injury is also poorly known (less than 50 % of correct answers) even if 50 % of nephrologists performed appropriate testing and confirmation, around 65 % knew the symptoms, treatment indication and the main key points of the disease. Fabry disease is still an unknown disorder, unless early diagnosis tools and therapeutics exist to reduce its complications. Nephrology community has to invest more formation about symptoms, testing, and medical care.

摘要

法布里病是一种全身性遗传疾病,由α-半乳糖苷酶A酶缺乏导致鞘脂在溶酶体中蓄积:它仍然是一种罕见且鲜为人知的疾病。本研究旨在了解肾脏病学家在该领域的形成过程、他们的知识以及他们在筛查和管理方面的习惯。对152名肾脏病学家的回答进行了分析:很少有医生直接管理法布里病患者(22%),18%的医生已经自行做出诊断。培训似乎不足,他们中的大多数人并不完全了解症状,也不了解现有的资源(协会、收集数据库等)。一些治疗指征也鲜为人知(主要是关于终末期肾病)。信息主要由公司员工提供。计算了一个知识得分:即使50%的肾脏病学家进行了适当的检测和确诊,但对肾脏损伤的了解仍然很少(正确答案不到50%),约65%的人知道症状、治疗指征和该疾病的主要关键点。法布里病仍然是一种未知的疾病,除非有早期诊断工具和治疗方法来减少其并发症。肾脏病学界必须在症状、检测和医疗护理方面投入更多的培训。

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