Özgüç Halil, Narmanlı Mustafa, Çırnaz Hakan
Clinic of General Surgery, Private Medicabil Hospital, Bursa, Turkey.
Turk J Surg. 2021 Sep 28;37(3):266-276. doi: 10.47717/turkjsurg.2021.5149. eCollection 2021 Sep.
This survey study attempted to determine Turkish primary care physicians' (PCP) knowledge, attitudes, and perceptions of obesity treatment and bariatric surgery. Moreover, the relationship between the duration of practice as a physician, and especially the indications for bariatric surgery and referral to surgery were investigated.
A survey of 27 questions was administered via social media and the internet using the SurveyMonkey platform. The physicians who responded to the survey were grouped based on the duration of working life. Among these groups, the responses to the questions about bariatric surgery were compared using univariate analysis.
A total of 1044 physicians responded to the survey. The number of physicians who strongly agreed that a PCP should play role in the treatment of obesity was 743 (71.1%). The most important reason for not undertaking this treatment was reported as the requirement for a multidisciplinary approach to obesity treatment (51.5%, n= 537). The percentage of those who thought that patients with a body mass index (BMI) above 40 kg/m2 should be referred to surgery was 72.3%,while the percentage of those referring patients with a BMI of 35-40 kg/m2 and comorbidities to surgery was 53.3%, and the percentage of those referring patients with a BMI of 35-40 kg/m2 and uncontrolled diabetes to surgery was 35.9%. Physicians who were new to the profession were found to evaluate surgical indications more positively (p <0.05).
This study found that PCPs in Turkey had a basic knowledge of obesity treatment and were willing to treat and follow up these patients. However, it was observed that they could not adequately focus on this issue due to the requirement for a multidisciplinary approach to the disease and the workload. It was found that the young physiciansð level of knowledge of bariatric surgery was higher, but their attitudes towards patient referral were similar.
本调查研究旨在确定土耳其初级保健医生（PCP）对肥胖治疗和减重手术的知识、态度及看法。此外，还研究了医生的执业年限与减重手术指征及转诊至手术治疗之间的关系。
通过社交媒体和互联网，使用SurveyMonkey平台进行了一项包含27个问题的调查。根据工作年限对回复调查的医生进行分组。在这些组中，使用单因素分析比较了关于减重手术问题的回答。
共有1044名医生回复了调查。强烈同意初级保健医生应在肥胖治疗中发挥作用的医生有743名（71.1%）。报告称不进行这种治疗的最重要原因是肥胖治疗需要多学科方法（51.5%，n = 537）。认为体重指数（BMI）高于40 kg/m²的患者应转诊至手术治疗的比例为72.3%，而将BMI为35 - 40 kg/m²且伴有合并症的患者转诊至手术治疗的比例为53.3%，将BMI为35 - 40 kg/m²且糖尿病未得到控制的患者转诊至手术治疗的比例为35.9%。发现刚进入该行业的医生对手术指征的评估更为积极（p <0.05）。
本研究发现，土耳其的初级保健医生对肥胖治疗有基本的知识，并且愿意治疗和随访这些患者。然而，由于该疾病需要多学科方法以及工作量的原因，观察到他们无法充分关注这个问题。发现年轻医生对减重手术的知识水平较高，但他们对患者转诊的态度相似。
