PMID- 30270092
OWN - NLM
STAT- MEDLINE
DCOM- 20191101
LR  - 20191101
IS  - 1879-1484 (Electronic)
IS  - 0021-9150 (Linking)
VI  - 277
DP  - 2018 Oct
TI  - Knowledge, awareness and practice regarding familial hypercholesterolaemia among 
      primary care physicians in Malaysia: The importance of professional training.
PG  - 508-516
LID - S0021-9150(18)31322-4 [pii]
LID - 10.1016/j.atherosclerosis.2018.08.018 [doi]
AB  - BACKGROUND AND AIMS: This study aimed to determine knowledge, awareness and 
      practice (KAP) regarding familial hypercholesterolaemia (FH) among Malaysian 
      primary care physicians (PCP), and to compare KAP between PCP with postgraduate 
      qualification (PCP-PG-Qual) and PCP without PG qualification (PCP-noPG-Qual). 
      METHODS: This was a cross-sectional study involving PCP with >/=1-year working 
      experience in Malaysian primary care settings. An adapted and validated 25-item 
      FH-KAP questionnaire was disseminated during primary care courses. Total score 
      for each domain was calculated by summing-up the correct responses, converted 
      into percentage scores. Normality distribution was examined and comparisons of 
      mean/median percentage scores were made between the two groups of PCP. RESULTS: A 
      total of 372 PCP completed the questionnaire. Regarding knowledge, 77.7% 
      correctly defined FH. However, only 8.3% correctly identified coronary artery 
      disease risk in untreated FH. The mean percentage knowledge score was 
      significantly higher in PCP-PG-Qual compared to PCP-noPG-Qual (48.9, SD +/- 13.92 
      vs. 35.2, SD +/- 14.13), t(370) = 8.66, p < 0.001. Regarding awareness, 39% were 
      aware of the NICE FH guideline and only 27.2% were aware of FH diagnostic 
      criteria. The median percentage awareness score was significantly higher in 
      PCP-PG-Qual compared to PCP-noPG-Qual (15.4, IqR +/- 23.08 vs. 7.7, IqR +/- 11.54), 
      p = 0.013. Regarding practice, only 19.1% stratified FH patients as high risk 
      irrespective of other risk factors. The mean percentage practice score was 
      significantly higher in PCP-PG-Qual compared to PCP-noPG-Qual (52.4, SD +/- 12.92 
      vs. 42.7, SD +/- 16.63), t(370) = 9.65, p < 0.001. CONCLUSIONS: Substantial gaps in 
      FH-KAP among Malaysian PCP were identified, with PCP-PG-Qual having better 
      knowledge, awareness and practice than PCP-noPG-Qual, emphasising the importance 
      of professional training and certification.
CI  - Crown Copyright (c) 2018. Published by Elsevier B.V. All rights reserved.
FAU - Azraii, Ahmad Baihaqi
AU  - Azraii AB
AD  - Department of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi 
      MARA (UiTM), Selayang Campus, Jalan Prima Selayang 7, 68100 Batu Caves, Selangor, 
      Malaysia.
FAU - Ramli, Anis Safura
AU  - Ramli AS
AD  - Department of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi 
      MARA (UiTM), Selayang Campus, Jalan Prima Selayang 7, 68100 Batu Caves, Selangor, 
      Malaysia; Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), 
      Universiti Teknologi MARA (UiTM), Sungai Buloh Campus, Jalan Hospital, 47000 
      Sungai Buloh, Selangor, Malaysia. Electronic address: anis014@salam.uitm.edu.my.
FAU - Ismail, Zaliha
AU  - Ismail Z
AD  - Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi 
      MARA (UiTM), Sungai Buloh Campus, Jalan Hospital, 47000 Sungai Buloh, Selangor, 
      Malaysia.
FAU - Abdul-Razak, Suraya
AU  - Abdul-Razak S
AD  - Department of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi 
      MARA (UiTM), Selayang Campus, Jalan Prima Selayang 7, 68100 Batu Caves, Selangor, 
      Malaysia.
FAU - Mohd-Kasim, Noor Alicezah
AU  - Mohd-Kasim NA
AD  - Department of Pathology, Faculty of Medicine, Universiti Teknologi MARA (UiTM), 
      Sungai Buloh Campus, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia.
FAU - Ali, Norsiah
AU  - Ali N
AD  - Klinik Kesihatan Masjid Tanah, 78300 Masjid Tanah, Melaka, Malaysia.
FAU - Watts, Gerald F
AU  - Watts GF
AD  - Royal Perth Hospital and School of Medicine, University of Western Australia, GPO 
      Box X2213, WA 6827, Australia.
FAU - Nawawi, Hapizah
AU  - Nawawi H
AD  - Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti 
      Teknologi MARA (UiTM), Sungai Buloh Campus, Jalan Hospital, 47000 Sungai Buloh, 
      Selangor, Malaysia.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Ireland
TA  - Atherosclerosis
JT  - Atherosclerosis
JID - 0242543
SB  - IM
MH  - *Attitude of Health Personnel
MH  - *Clinical Competence
MH  - Clinical Decision-Making
MH  - Cross-Sectional Studies
MH  - *Education, Medical, Continuing
MH  - *Education, Medical, Graduate
MH  - Female
MH  - Health Care Surveys
MH  - *Health Knowledge, Attitudes, Practice
MH  - Healthcare Disparities
MH  - Humans
MH  - Hyperlipoproteinemia Type II/blood/diagnosis/genetics/*therapy
MH  - Malaysia
MH  - Male
MH  - Physicians, Primary Care/*education
MH  - Predictive Value of Tests
MH  - *Primary Health Care
MH  - Professional Practice Gaps
MH  - Risk Assessment
MH  - Risk Factors
OTO - NOTNLM
OT  - Awareness
OT  - Familial hypercholesterolaemia
OT  - Knowledge
OT  - Malaysia
OT  - Practice
OT  - Primary care
EDAT- 2018/10/03 06:00
MHDA- 2019/11/02 06:00
CRDT- 2018/10/02 06:00
PHST- 2018/03/30 00:00 [received]
PHST- 2018/07/23 00:00 [revised]
PHST- 2018/08/21 00:00 [accepted]
PHST- 2018/10/02 06:00 [entrez]
PHST- 2018/10/03 06:00 [pubmed]
PHST- 2019/11/02 06:00 [medline]
AID - S0021-9150(18)31322-4 [pii]
AID - 10.1016/j.atherosclerosis.2018.08.018 [doi]
PST - ppublish
SO  - Atherosclerosis. 2018 Oct;277:508-516. doi: 
      10.1016/j.atherosclerosis.2018.08.018.