Knowledge, attitude, and practice in managing asymptomatic hyperuricemia among primary care doctors in Malaysia / Mohamad Faris Rusydi Rusly

Introduction: The prevalence of hyperuricemia is increasing worldwide, especially in developing countries. Hyperuricemia is associated with many comorbidities; however, the quality of care is suboptimal. Primary care doctors (PCDs) play an essential role in identifying and managing asymptomatic hype...

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Main Author:	Rusly, Mohamad Faris Rusydi
Format:	Thesis
Language:	English
Published:	2023
Subjects:	Metabolic diseases
Online Access:	https://ir.uitm.edu.my/id/eprint/94102/1/94102.pdf
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spelling	my-uitm-ir.941022024-04-29T04:08:54Z Knowledge, attitude, and practice in managing asymptomatic hyperuricemia among primary care doctors in Malaysia / Mohamad Faris Rusydi Rusly 2023 Rusly, Mohamad Faris Rusydi Metabolic diseases Introduction: The prevalence of hyperuricemia is increasing worldwide, especially in developing countries. Hyperuricemia is associated with many comorbidities; however, the quality of care is suboptimal. Primary care doctors (PCDs) play an essential role in identifying and managing asymptomatic hyperuricemia (AH). This study aimed to determine the level of knowledge, attitude (perceived barrier), and practice in managing AH among PCDs in Malaysia, and whether there is a significant difference between PCDs with or without postgraduate qualifications in Malaysia. It also aimed to determine the sociodemographic characteristics, professional background, personal experience, knowledge, attitude (perceived barrier), and its association with adequate AH practice among PCDs in Malaysia. Methodology: A cross-sectional study was conducted online using a validated questionnaire via Google Forms TM . The adequacy rate (AR) for knowledge and practice is set at a score of ≥50%, and attitude (perceived barrier) is described in percentage. Multiple logistic regression was used to examine the relationship between sociodemographic characteristics, professional background, knowledge, and attitude (perceived barrier) with the AH practice adequacy score. Results: A total of 412 PCDs participated, with the majority being female (76.2%) and Malay (74.0%), and working in public primary care clinics (84.0%). The overall knowledge’s mean (±SD) score was 24.78 (±3.01), AR 96.4%. For attitude, the most perceived barrier was a lack of knowledge about the disease (50%), and the guidelines (48.5%). The overall practice’s mean (±SD) score was 17.51 (±8.09), AR 53.2%. The final regression model showed only PCDs with experience in rheumatology attachment was significantly associated with adequate practice (OR 1.778, CI: 1.083-2.920, p<0.05). Conclusion: Despite the majority of the PCDs having high knowledge AR, half of them regarded inadequate knowledge of the disease and guidelines as the most perceived barrier, which is reflected in the modest overall practice AR. The effectiveness of PCDs in managing AH should be increased by implementing strategies that address these factors. 2023 Thesis https://ir.uitm.edu.my/id/eprint/94102/ https://ir.uitm.edu.my/id/eprint/94102/1/94102.pdf text en public masters Universiti Teknologi MARA (Kampus Sg. Buloh) Faculty of Medicine Md. Yasin, Dr. Mazapuspavina
institution	Universiti Teknologi MARA
collection	UiTM Institutional Repository
language	English
advisor	Md. Yasin, Dr. Mazapuspavina
topic	Metabolic diseases
spellingShingle	Metabolic diseases Rusly, Mohamad Faris Rusydi Knowledge, attitude, and practice in managing asymptomatic hyperuricemia among primary care doctors in Malaysia / Mohamad Faris Rusydi Rusly
description	Introduction: The prevalence of hyperuricemia is increasing worldwide, especially in developing countries. Hyperuricemia is associated with many comorbidities; however, the quality of care is suboptimal. Primary care doctors (PCDs) play an essential role in identifying and managing asymptomatic hyperuricemia (AH). This study aimed to determine the level of knowledge, attitude (perceived barrier), and practice in managing AH among PCDs in Malaysia, and whether there is a significant difference between PCDs with or without postgraduate qualifications in Malaysia. It also aimed to determine the sociodemographic characteristics, professional background, personal experience, knowledge, attitude (perceived barrier), and its association with adequate AH practice among PCDs in Malaysia. Methodology: A cross-sectional study was conducted online using a validated questionnaire via Google Forms TM . The adequacy rate (AR) for knowledge and practice is set at a score of ≥50%, and attitude (perceived barrier) is described in percentage. Multiple logistic regression was used to examine the relationship between sociodemographic characteristics, professional background, knowledge, and attitude (perceived barrier) with the AH practice adequacy score. Results: A total of 412 PCDs participated, with the majority being female (76.2%) and Malay (74.0%), and working in public primary care clinics (84.0%). The overall knowledge’s mean (±SD) score was 24.78 (±3.01), AR 96.4%. For attitude, the most perceived barrier was a lack of knowledge about the disease (50%), and the guidelines (48.5%). The overall practice’s mean (±SD) score was 17.51 (±8.09), AR 53.2%. The final regression model showed only PCDs with experience in rheumatology attachment was significantly associated with adequate practice (OR 1.778, CI: 1.083-2.920, p<0.05). Conclusion: Despite the majority of the PCDs having high knowledge AR, half of them regarded inadequate knowledge of the disease and guidelines as the most perceived barrier, which is reflected in the modest overall practice AR. The effectiveness of PCDs in managing AH should be increased by implementing strategies that address these factors.
format	Thesis
qualification_level	Master's degree
author	Rusly, Mohamad Faris Rusydi
author_facet	Rusly, Mohamad Faris Rusydi
author_sort	Rusly, Mohamad Faris Rusydi
title	Knowledge, attitude, and practice in managing asymptomatic hyperuricemia among primary care doctors in Malaysia / Mohamad Faris Rusydi Rusly
title_short	Knowledge, attitude, and practice in managing asymptomatic hyperuricemia among primary care doctors in Malaysia / Mohamad Faris Rusydi Rusly
title_full	Knowledge, attitude, and practice in managing asymptomatic hyperuricemia among primary care doctors in Malaysia / Mohamad Faris Rusydi Rusly
title_fullStr	Knowledge, attitude, and practice in managing asymptomatic hyperuricemia among primary care doctors in Malaysia / Mohamad Faris Rusydi Rusly
title_full_unstemmed	Knowledge, attitude, and practice in managing asymptomatic hyperuricemia among primary care doctors in Malaysia / Mohamad Faris Rusydi Rusly
title_sort	knowledge, attitude, and practice in managing asymptomatic hyperuricemia among primary care doctors in malaysia / mohamad faris rusydi rusly
granting_institution	Universiti Teknologi MARA (Kampus Sg. Buloh)
granting_department	Faculty of Medicine
publishDate	2023
url	https://ir.uitm.edu.my/id/eprint/94102/1/94102.pdf
_version_	1804889920040337408

Knowledge, attitude, and practice in managing asymptomatic hyperuricemia among primary care doctors in Malaysia / Mohamad Faris Rusydi Rusly

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