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Knowledge, perceptions and attitudes of pediatric residents and pediatricians in Colombia about intestinal failure
Sofía Ortegón Ochoa1, Clara Eugenia Plata García2, Claudia Marcela Granados Rugeles3
1Specialist in Pediatrics, Pontificia Universidad Javeriana - Hospital, Universitario San Ignacio, Bogotá, D.C., Colombia.
Insights
Pediatric intestinal failure knowledge gaps exist among healthcare professionals in Colombia. Enhanced training is crucial for early diagnosis and improved patient outcomes.
Area of Science:
- Pediatric Gastroenterology
- Healthcare Professional Education
Background:
- Intestinal failure is a chronic, high-cost condition requiring early diagnosis and specialized care.
- Timely referral significantly impacts survival and reduces morbidity/mortality in pediatric patients.
Purpose of the Study:
- To evaluate knowledge, attitudes, and perceptions of pediatric intestinal failure among healthcare personnel in Colombia.
- To identify areas for improvement in the initial care of children with intestinal failure.
Main Methods:
- Descriptive, observational, cross-sectional, survey-type study.
- Non-probabilistic snowball sampling of pediatric residents and pediatricians in Colombia.
- Data collected between July 2023 and March 2024.
Main Results:
- Shortcomings identified in knowledge regarding diagnosis, management, and complications of pediatric intestinal failure.
- Pediatric residents demonstrated slightly better understanding than pediatricians.
- Similar attitudes and perceptions of institutional/regional impact were observed in both groups.
Conclusions:
- Despite national recognition, effective training strategies are needed for pediatricians and residents on intestinal failure.
- Understanding the pathology, management challenges, and referral importance is essential.
- Improved training can enhance prognosis and quality of life for patients and families.
Objective:
Intestinal failure is a high-cost pathology with a chronic course in which it is crucial to make an early diagnosis and timely referral to specialized centers in order to improve survival and reduce morbidity and mortality. The present study evaluated knowledge, attitudes, and perceptions about this diagnosis in health personnel who may be involved in the initial care of these children.
Methods:
This is a descriptive observational, cross-sectional, survey-type study with a non-probabilistic snowball sampling that took pediatrics residents and pediatricians in Colombia as the study population. The information was collected between July 2023 and March 2024.
Results:
There are shortcomings regarding the knowledge, diagnosis, management and complications of pediatric intestinal failure with a slightly higher proportion of correct concepts in pediatric residents. In both groups, the attitudes they take when facing a patient with this diagnosis are similar and in addition, both perceive that this pathology has an impact at the institutional, local and regional level.
Conclusions:
The present study shows that, despite being nationally recognized by health professionals, intestinal failure requires effective strategies to train pediatricians and pediatric residents. It is essential that they understand this pathology, the challenges involved in its management, and the importance of timely referral to multidisciplinary care centers to improve the prognosis and quality of life of both patients and their families.
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