亚洲肌少症临床实践：亚洲肌少症工作组在线调查。
Clinical practice for sarcopenia in Asia: Online survey by the Asian Working Group for Sarcopenia.
机构信息
Faculty of Human Sciences, University of Tsukuba, Tsukuba, Japan.
Aging and Health Research Center, National Yang Ming Chiao Tung University, No 155, Sec 2 Li-Nong Street, Taipei 112, Taiwan.
出版信息
Arch Gerontol Geriatr. 2023 Dec;115:105132. doi: 10.1016/j.archger.2023.105132. Epub 2023 Jul 17.
OBJECTIVE
This study aimed to (1) investigate the clinical practice for the management of sarcopenia among healthcare professionals in Asia, (2) determine the characteristics of clinical care provided by geriatricians versus by other healthcare professionals, and (3) clarify the awareness of sarcopenia.
METHODS
From December 1 to 31, 2022, an online survey was completed by 1990 healthcare professionals in Asia. The survey comprises demographics and institutional characteristics, basic sarcopenia-related details, and sarcopenia-related assessment and treatment details.
RESULTS
The mean respondent age was 44.2 ± 10.7 years, 36.4% of the respondents were women, and the mean years of experience in clinical practice were 19.0 ± 10.6 years. The percentages of respondents who were aware of the term "sarcopenia", its definition and the importance of its management were high, at 99.3%, 91.9%, and 97.2%, respectively. The percentages of respondents who had screened patients for, diagnosed patients with, and treated patients for sarcopenia were 42.4%, 42.9%, and 58.8%, respectively. Medical doctors had higher performance rates compared to allied health professionals (45.5% vs. 40.5% for screening, 56.8% vs. 34.5% for diagnosis, and 65.0% vs. 55.0% for treatment) (P < 0.001). Especially, among medical doctors, geriatricians had significantly higher rates compared to non-geriatricians (64.3% vs. 34.1% for screening; 76.7% vs. 44.8% for diagnosis; 82.7% vs. 54.4% for treatment, respectively) (P < 0.001).
CONCLUSION
Although the importance of the concept and management of sarcopenia is well recognized, there is a gap in its detection and management in clinical practice between medical doctors and allied health professionals, and also between geriatricians and non-geriatricians. Many geriatricians collaborate with other healthcare professionals to appropriately manage sarcopenia. In the future, educating all medical staff on the proper management of sarcopenia is necessary.
目的
本研究旨在：(1) 调查亚洲医护人员在管理肌少症方面的临床实践；(2) 确定老年科医生与其他医护人员提供的临床护理特点；(3) 阐明对肌少症的认识。
方法
2022 年 12 月 1 日至 31 日，亚洲的 1990 名医护人员在线完成了一项调查。该调查包括人口统计学和机构特征、基本肌少症相关细节以及肌少症相关评估和治疗细节。
结果
受访者的平均年龄为 44.2±10.7 岁，36.4%为女性，临床实践经验的平均年限为 19.0±10.6 年。分别有 99.3%、91.9%和 97.2%的受访者知晓“肌少症”一词、其定义以及管理的重要性。分别有 42.4%、42.9%和 58.8%的受访者筛查过患者、诊断过患者和治疗过患者的肌少症。与联合保健专业人员相比，医生的表现率更高（筛查为 45.5% vs. 40.5%；诊断为 56.8% vs. 34.5%；治疗为 65.0% vs. 55.0%）（P<0.001）。特别是，在医生中，老年科医生与非老年科医生相比，筛查率显著更高（64.3% vs. 34.1%；诊断率为 76.7% vs. 44.8%；治疗率为 82.7% vs. 54.4%）（P<0.001）。
结论
尽管肌少症概念和管理的重要性得到了广泛认可，但在医生和联合保健专业人员之间，以及在老年科医生和非老年科医生之间，在临床实践中检测和管理肌少症方面仍存在差距。许多老年科医生与其他医护人员合作，以适当管理肌少症。未来，有必要对所有医务人员进行肌少症适当管理的教育。
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