Осведомленность врачей в Узбекистане о целиакии: исследование на основе анкетирования

Abstract

Objective. To assess the level of awareness of celiac disease, its timely diagnosis and effective treatment among primary care and hospital physicians. Patients and methods. A total of 207 physicians from the Republic of Uzbekistan participated in the study. The questionnaire included 17 questions about clinical manifestations, diagnosis, identification of risk groups and treatment of celiac disease. Results. Only 31.9% of respondents were aware of the autoimmune mechanism of celiac disease. More than 71% of physicians, especially primary care, know well about the typical manifestations of celiac disease (diarrhea, underweight), but quite rarely consider constipation (25.1%), abdominal pain of unknown etiology (46.9%), common colds (24.6%) as a manifestation of celiac disease. Low awareness of the association of celiac disease with autoimmune thyroiditis (20.8%), type 1 diabetes (14.9%), and infertility (34.3%) was shown. Only 43.9% of physicians use to anti-tissue transglutaminase antibodies as serological markers of celiac disease, 30.9% continue to focus on anti-gliadin antibodies. Only 32.9% of patients with suspected celiac disease are referred to a gastroenterologist for evaluation. Conclusion. The results of the study demonstrate a rather low level of awareness of clinical manifestations, methods of diagnosis and treatment of celiac disease among physicians in the Republic of Uzbekistan. It is necessary to develop additional educational programs and introduce modern research methods, especially in remote regions of the country, for timely diagnosis and treatment of celiac disease. Key words: celiac disease, diagnosis, treatment, physicians, survey