@article{ATM4337,
author = {Jing-Wen Niu and Jing Yuan and Shan Gao and Wei-Hai Xu},
title = {Low awareness of stroke guidelines and preference for Chinese herbs in community physicians: a national survey in China},
journal = {Annals of Translational Medicine},
volume = {2},
number = {8},
year = {2014},
keywords = {},
abstract = {Background: Physicians’ adherence to stroke guidelines is becoming a critical part of public stroke care system. The objective of this national survey was to examine Chinese physicians’ awareness of the guidelines in secondary stroke prevention.
Methods: This is a non-commercial and no-incentive internet survey. Respondents were asked to perform a self-examination of 13 questions regarding their stroke practice. Their awareness of stroke guidelines, preference for Chinese traditional herbs (CTH), and patients’ expense for stroke treatment were surveyed and compared between physicians from community and from tertiary hospitals using univariate analysis and logistic regression.
Results: A total of 8,581 physicians (70.1% from community hospitals) responded to the survey. Only 32.1% physicians considered risk factors control necessary for stroke. For the treatments of symptomatic carotid stenosis, only 10.4% physicians selected carotid endarterectomy and anti-platelet plus controlling stroke risk factors. Only 21.45% physicians selected warfarin anticoagulation for stroke patients with atrial fibrillation. In contrast, a high percentage (64.56%) of physicians had positive attitude towards CTH. Compared with those from tertiary hospitals, community physicians were more likely unaware of the guidelines and preferred CTH. Those who prescribed CTH reported more patients’ cost (P},
issn = {2305-5847}, url = {https://atm.amegroups.org/article/view/4337}
}