ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 337
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
A
B
C
Evaluation of primary care physicians’ approaches to
haemophilia and bleeding disorders: A questionnaire survey
Dr Ömer Kiliç1,7
D
E
F
G
H
I
J
K
1
Family Medicine Department, School of Medicine, Marmara University, Istanbul, 2Department of
Pediatrics, Faculty of Medicine, Erciyes University, Kayseri, 3Arapgir Ali Özge County Hospital, Arapgir,
Malatya, 4Division of Pediatric Hematology, Oncology & HSCT Center, Department of Pediatrics,
5
Department of Biostatistics, Faculty of Medicine, Erciyes University, Kayseri, 6Division of Pediatric
Hematology, Losante Hospital, Ankara, 7Faculty of Medicine, Gevher Nesibe Genom and Stem Cell
Institution, Betul Ziya Eren Genome and Stem Cell Center (GENKOK), 8Faculty of Medicine, Erciyes
University, Kayseri
Bleeding disorders are causes of great concern and panic for parents and primary care providers.
Lack of knowledge and awareness on appropriate screening tests and factor product preparation
contributed to potential diagnostic delays, increased complications and economic costs. This
study aimed to determine and compare the approach of primary care physicians (including general
practitioners) and emergency physicians with a questionnaire including simulation-based cases on
haemophilia. This simulation and two-stage questionnaire study was conducted with 244 participants.
Before–after questionnaires, two case simulations, a brief presentation and statistical analysis were
performed. Participants mostly preferred tests, such as prothrombin time (PT) or partial thromboplastin
time (PTT) to bleeding time for primary haemostasis (PT/PTT n = 192, 84.2%; bleeding time n = 94,
41.2%). Similar results were found for secondary haemostasis (bleeding time n = 144, 63.4%). There
was a lack of knowledge in the management of simulation-based cases of acute haemorrhagic
complications and factor product preparation (complication case: correct n = 100, 55.2%; initial doses
correct n = 56, 43.4%; factor preparing correct n = 37, 49.3%; factor admission correct n = 36, 24.3%).
All changed significantly, after the presentation (P = 0.000). Our study shows that there is probably
a lack of knowledge of diagnostic investigations and appropriate factor product preparation with
possible consequences for patients and economics.
335