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奥地利的儿科血管异常。我们目前的情况如何?一项针对基层儿科医生的调查。

Pediatric vascular anomalies in Austria. Where are we at? A survey among primary care pediatricians.

作者信息

Gasparella Paolo, Senica Simone O, Singer Georg, Banfi Chiara, Flucher Christina, Beqo Besiana P, Till Holger, Haxhija Emir Q

机构信息

Department of Pediatric and Adolescent Surgery, VASCERN VASCA European Reference Centre, Medical University of Graz, Graz, Austria.

Faculty of Medicine, Riga Stradins University, Riga, Latvia.

出版信息

Front Pediatr. 2023 Aug 17;11:1216460. doi: 10.3389/fped.2023.1216460. eCollection 2023.

Abstract

INTRODUCTION

Vascular anomalies (VAs) are rare conditions and affected patients often experience a difficult patient journey. Timely diagnosis is only possible if primary caregivers are aware of the anomalies and are connected with dedicated specialists. Aim of our survey was to investigate the knowledge about diagnostic and therapeutic possibilities for children with VAs, and the existing networking among primary pediatric caregivers in Austria.

METHODS

Primary care pediatricians in Austria were invited to complete an online questionnaire consisting of 28 questions focusing on pediatric VAs.

RESULTS

Out of 373 invited pediatricians 93 (25%) returned the questionnaires, 86 of which were complete. Most physicians (39/93 42%) answered that they see between 15 and 30 patients with infantile hemangiomas per year. Vascular malformations are rarely treated in the primary care setting; most primary care pediatricians (58/86, 67%) reported that they currently treat fewer than 5 patients with such type of VAs. There was unequivocal agreement among the participants (84/86, 98%) on the need to establish a network of specialists and a registry dedicated to pediatric VAs.

CONCLUSIONS

This survey represents the first study shedding light on the awareness of VAs among Austrian pediatricians and can serve as a basis for future investigations and advances in the management of these conditions in Austria and other countries with a similar healthcare setting.

摘要

引言

血管异常(VAs)是罕见病症,患病患者通常经历艰难的就医过程。只有当初级护理人员了解这些异常情况并与专业专科医生建立联系时,才能实现及时诊断。我们此次调查的目的是研究奥地利初级儿科护理人员对儿童血管异常的诊断和治疗可能性的了解程度,以及他们之间现有的联系网络。

方法

邀请奥地利的初级护理儿科医生完成一份包含28个关于儿科血管异常问题的在线问卷。

结果

在373名受邀儿科医生中,93名(25%)返回了问卷,其中86份完整。大多数医生(39/93,42%)回答说他们每年诊治15至30例患有婴儿血管瘤的患者。血管畸形在初级护理环境中很少得到治疗;大多数初级护理儿科医生(58/86,67%)报告说他们目前治疗此类血管异常的患者不到5例。参与者中(84/86,98%)明确一致认为有必要建立一个专门针对儿科血管异常的专家网络和登记处。

结论

这项调查是第一项揭示奥地利儿科医生对血管异常认识的研究,可为奥地利及其他医疗环境类似国家未来对这些病症的调查和管理进展提供依据。

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