Department of Orthodontics, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Student Research Committee, School of Dentistry, Kerman University of Medical Sciences and Health Services, Kerman, Iran.
Eur Endod J. 2023 Jan;8(1):90-95. doi: 10.14744/eej.2022.27247.
The high prevalence of chronic kidney disease in the community, especially in older patients, makes their management an important aspect of clinical practice. The aim of this study was to evaluate the knowledge attitudes and performance of Iranian endodontists regarding patients with chronic kidney disease (CKD).
This cross-sectional, descriptive-analytical study involved 100 Iranian endodontists (41 M, 59 F), who completed questionnaires with 21 items on CKD. Responses were analyzed by SPSS, using Chi-square or Fisher's exact tests.
Overall levels of knowledge were rated as optimal in 55% of subjects, while attitudes to care were favourable in 83%. This cohort of specialist clinicians had strong scores for optimal attitude and performance. Awareness of issues around prescribed analgesics, antibiotic cover, bleeding risk and hypertension was high. Proximity to specialist training (younger specialists, and less years in practice) and female gender were associated with significantly higher scores across the three domains measured.
Most specialists were aware of requirements for safe care of dental patients with CKD. Continuing professional education should target older clinicians who may have had less exposure to formal training in this topic during their clinical training. (EEJ-2022-04-059).
社区中慢性肾脏病（CKD）的高发率，尤其是在老年患者中，使其成为临床实践的一个重要方面。本研究旨在评估伊朗牙髓病学家对慢性肾脏病（CKD）患者的知识、态度和行为。
本横断面描述性分析研究纳入了 100 名伊朗牙髓病学家（41 名男性，59 名女性），他们填写了 21 项关于 CKD 的问卷。使用 SPSS 对数据进行分析，采用卡方检验或 Fisher 确切概率法。
总体而言，55%的受试者知识水平被评为最佳，而 83%的受试者对护理的态度是积极的。这群专科临床医生在最佳态度和表现方面得分很高。对处方止痛药、抗生素覆盖、出血风险和高血压等问题的认识程度较高。接近专科培训（年轻的专家，以及从业年限较短）和女性与三个测量领域的得分显著更高有关。
大多数专家都意识到需要为 CKD 牙科患者提供安全的护理。继续教育应针对年龄较大的临床医生，因为他们在临床培训期间可能较少接触该主题的正规培训。
