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Knowledge, attitude, and practice regarding obstructive sleep apnea among primary care physicians.

Navin Kumar Devaraj1

  • 1Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Serdang, Selangor Darul Ehsan, Malaysia. knavin59@yahoo.com.

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|February 26, 2020
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Summary

Primary care doctors in Kuala Lumpur have adequate knowledge of obstructive sleep apnea (OSA) but lack confidence in managing it. Most refer suspected OSA cases to specialists, highlighting a need for improved primary care management strategies.

Keywords:
Knowledge, attitude, and practice (KAP)Obstructive sleep apnea (OSA)Primary care physicians

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Area of Science:

  • Sleep Medicine
  • Primary Care Research
  • Public Health

Background:

  • Obstructive sleep apnea (OSA) is a growing global health concern linked to serious cardiovascular risks.
  • Despite its prevalence, OSA remains underdiagnosed, emphasizing the critical role of primary care in detection and management.
  • Primary care physicians are pivotal in patient education, screening, and early intervention for OSA.

Purpose of the Study:

  • To assess the knowledge, attitudes, and practices of primary care doctors concerning obstructive sleep apnea (OSA).
  • To identify potential gaps in primary care physician understanding and management of OSA in Kuala Lumpur, Malaysia.

Main Methods:

  • A cross-sectional survey was administered to primary care physicians in Kuala Lumpur.
  • The validated "Obstructive Sleep Apnea Knowledge and Attitudes Questionnaire" (OSAKA) and custom practice questions were utilized.
  • A 100% response rate was achieved from 207 queried physicians.

Main Results:

  • Physicians demonstrated adequate knowledge of OSA, with a mean score of 11.6 (±2.8).
  • A majority held positive attitudes regarding OSA's importance but expressed low confidence in managing the condition.
  • The predominant practice for suspected OSA was referral to Ear, Nose, and Throat (ENT) specialists.

Conclusions:

  • Primary care doctors in Kuala Lumpur possess sufficient knowledge and recognize the clinical significance of OSA.
  • A significant gap exists in primary care physicians' confidence and capability to manage OSA patients independently.
  • Findings suggest a need for enhanced training and support for primary care providers to improve OSA prevention and management efforts.