Yousef Yacoub A, AlNawaiseh Tamara, AlJabari Reem, Muhsen Sana', Al-Nawaiseh Ibrahim
a Department of Surgery (Ophthalmology) , King Hussein Cancer Center , Amman , Jordan.
b Jordan University Hospital , The University of Jordan , Amman , Jordan.
Ophthalmic Genet. 2019 Jun;40(3):191-195. doi: 10.1080/13816810.2019.1605387. Epub 2019 May 28.
: Early diagnosis and timely management of Retinoblastoma (RB) patients are essential to improve eye salvage and survival rates. The objective of this study is to evaluate the level of knowledge regarding retinoblastoma among first-contact physicians, namely students in last year of medical school, pediatricians, and ophthalmologists. : A questionnaire about RB, preluded by a photograph of a child with leukocoria was completed by 138 medical students, 65 pediatricians, and 65 ophthalmologists. Descriptive statistics from the population were obtained and all answers were analyzed. : The majority (n = 253, 94%) of participants in the 3 groups recognized leukocoria as an abnormal sign. However, 62 (45%) medical students did not recognize it as a sign of a life-threatening disease. Only 3 (2%) medical students, 1(2%) pediatrician, and 9 (14%) ophthalmologists achieved a proficiency grade, compared to 136 (67%) medical students and pediatricians who failed to achieve the sufficiency score (70%) in this questionnaire. Ophthalmologists showed a better level of knowledge about RB than medical students and pediatricians, however, 27(42%) of them failed to achieve the sufficiency score. Of interest, only 72 (52%) of medical students, 41 (63%) of pediatricians, and 46 (71%) of ophthalmologists knew that RB needs urgent management. : Most medical students and pediatricians involved in this study lack the sufficient knowledge to detect and timely-refer patients with signs of RB. It is necessary to develop continuous medical education programs for first-contact physicians.
视网膜母细胞瘤(RB)患者的早期诊断和及时治疗对于提高眼球保留率和生存率至关重要。本研究的目的是评估初次接诊医生,即医学院校最后一年的学生、儿科医生和眼科医生,对视网膜母细胞瘤的认知水平。:138名医学生、65名儿科医生和65名眼科医生完成了一份关于RB的问卷,问卷之前附有一张患有白瞳症儿童的照片。获得了该人群的描述性统计数据,并对所有答案进行了分析。:三组中的大多数参与者(n = 253,94%)认识到白瞳症是一种异常体征。然而,62名(45%)医学生没有认识到它是一种危及生命疾病的体征。在这份问卷中,只有3名(2%)医学生、1名(2%)儿科医生和9名(14%)眼科医生达到了熟练水平,相比之下,有136名(67%)医学生和儿科医生未达到足够分数(70%)。眼科医生对白瞳症的认知水平高于医学生和儿科医生,然而,其中27名(42%)未达到足够分数。有趣的是,只有72名(52%)医学生、41名(63%)儿科医生和46名(71%)眼科医生知道视网膜母细胞瘤需要紧急治疗。:参与本研究的大多数医学生和儿科医生缺乏足够的知识来检测并及时转诊有视网膜母细胞瘤体征的患者。有必要为初次接诊医生开展持续医学教育项目。