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Published on: February 14, 2019
Knowledge of Rare Respiratory Diseases among Paediatricians and Medical School Students
María Ángeles Requena-Fernández1, Francisco Dasí2,3, Silvia Castillo2,4
1Paediatrics Unit, Hellín Hospital, 02400 Albacete, Spain.
Insights
Healthcare professionals and medical students show a significant knowledge gap regarding Alpha-1-antitrypsin deficiency (AATD) and primary ciliary dyskinesia (PCD). Increased training is crucial for early diagnosis and improved patient outcomes in these rare respiratory diseases.
Area of Science:
- Pulmonology
- Rare Diseases
- Medical Education
Background:
- Alpha-1-antitrypsin deficiency (AATD) and primary ciliary dyskinesia (PCD) are rare respiratory diseases often underdiagnosed.
- Diagnostic delays of 5-10 years negatively impact patient prognosis.
- Lack of awareness among healthcare professionals is a suspected cause.
Purpose of the Study:
- To assess the knowledge of AATD and PCD among pediatricians and medical students.
- To identify specific knowledge deficits in the diagnosis and treatment of these rare diseases.
- To inform educational strategies for improving rare respiratory disease awareness.
Main Methods:
- A survey was developed to evaluate fundamental knowledge of AATD and PCD diagnosis and treatment.
- Participants included pediatricians and medical students.
- A minimum score of 50% was set to indicate adequate knowledge.
Main Results:
- Profound lack of knowledge regarding AATD and PCD was observed in both pediatric professionals and medical students.
- Significant deficiencies were identified in understanding key diagnostic and treatment aspects.
- The study highlights a critical need for enhanced education on rare respiratory diseases.
Conclusions:
- Increased training in rare respiratory diseases is necessary for physicians involved in diagnosis.
- Early diagnosis and intervention can be facilitated by improved healthcare professional knowledge.
- Integrating rare respiratory disease content into medical curricula is a vital first step.
Abstract:
Alpha-1-antitrypsin deficiency (AATD) and primary ciliary dyskinesia (PCD) are underdiagnosed rare diseases showing a median diagnostic delay of five to ten years, which has negative effects on patient prognosis. Lack of awareness and education among healthcare professionals involved in the management of these patients have been suggested as possible causes. Our aim was to assess knowledge of these diseases among paediatricians and medical school students to determine which knowledge areas are most deficient. A survey was designed with questions testing fundamental aspects of the diagnosis and treatment of AATD and PCD. A score equal to or greater than 50% of the maximum score was set as the level necessary to ensure a good knowledge of both diseases. Our results indicate a profound lack of knowledge of rare respiratory diseases among paediatric professionals and medical students, suggesting that it is necessary to increase rare respiratory diseases training among all physicians responsible for suspecting and diagnosing them; this will allow early diagnosis and the setup of preventive measures and appropriate early-stage treatment. The first step in closing this knowledge gap could be to include relevant material in the medical syllabus.
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