Thank you for viewing this presentation. We would like to remind you that this material is the property of the author. It is provided to you by the ERS for your personal use only, as submitted by the author. 2014 by the author

Professor of Medicine, Hanoi Medical University Knowledge, attitudes and practice of medical doctors in diagnosis and management of COPD in Vietnam Ngo Quy Chau, MD, PhD Director of Respiratory Center - Bach Mai Hospital  President of Vietnam Respiratory Society Professor of Medicine, Hanoi Medical University

Conflict of interest Received honorariums for educational activities and lectures from: AstraZeneca, Boehringer Ingelheim, BayerHealthCare, GlaxoSmithkline No stocks or ownership in any pharmaceutical company No relation with tobacco industry

Contents 1 Introduction 2 Objectives 3 Methods 4 Results and discussion 4 Conclusions 5

introduction COPD: High burden, great economic and social impact in all over the world. In Vietnam: Prevalence of COPD estimated 4.2% in populations > 40 years old (7.1% in men and 1.9% in women). Ngo Quy Chau (2008): Direct cost for 1 hospitalisation of COPD was € 273. There is still little awareness of this problem among the general public, media, health care, communities. Source: Dinh Ngoc Sy et al, Result of COPD national survey, 2012

introduction Vietnam national project for prevention and management of COPD and asthma carried out in 2011: Training, screening, guideline, media… Improve the quality of diagnosis and management of COPD is one of its objectives One of challenges in diagnosis and management of COPD in Vietnam is KAP of medical doctors. Assess KAP of MD before intervention

Objective To determine the knowledge, attitude and practices (KAP) regarding to diagnosis and management of COPD among medical doctors in hospitals of 10 cities and provinces in the Northern Vietnam.

Methods Study design: A cross - sectional study Subjects: 467 medical doctors in hospitals of 10 cities and provinces in the Northern Vietnam Time: From August to Octorber 2012

Methods Collecting data tools : A standardized questionaires Risk factor of COPD: 2 questions Spirometry: 3 questions Diagnosis and treatment of COPD: 22 questions Collecting information methods Self-assessment – medical doctors fill out questionnaire before training course

Data analysis Cleaning data Analysis data Entry data: Epidata software version 3.1 Use SPSS sorfware version 15.0 to analyze data in 2 steps: Cleaning data Analysis data

Results KAP of medical doctors about: Risk factors of COPD Spirometry Diagnosis and treatment of COPD Patient education: Guide the patient to use drug delivery devices

GENERAL INFORMATION OF SURVEY 49.2%: Internal department 15.4%: Outpatient department 66.8%: hospitals of cities 33.2%: hospitals of districts Source: Viet Nam National project for prevention and management of COPD and asthma

KAP ABOUT Risk factors of COPD Question: List the risk factors can cause COPD? Source: Viet Nam National project for prevention and management of COPD and asthma

list of things FOR beEING able to diagnose COPD? % Asking for risk factors 452 98.3 Physical examination 381 82.8 Spirometry 444 96.5 Chest X-ray 207 45.0

KAP ABOUT Staging of COPD (GOLD 2011) Question: Criteria to classify staging of COPD (GOLD 2011) Source: Viet Nam National project for prevention and management of COPD and asthma

Answer about Spirometry Indicators KAP ABOUT SpirometRY Question: list three important indicators of spirometry to diagnose COPD? Answer about Spirometry Indicators N % No answer 251 54.2 Answer 1 indicator 50 10.8 Answer 2 indicators 93 20.2 Answer 3 indicators 68 14.8 Source: Viet Nam National project for prevention and management of COPD and asthma

Question: which factors can affect spirometry results? KAP ABOUT SpirometRY Question: which factors can affect spirometry results? 10% MD have 4 correct answers 28.5% MD have no correct answers

EDUCATION WITH drug delivery devices Education - instruction drug delivery devices  Yes No n % Have you guided patients to use the drug delivery devices? 95 20.6 366 79.4 Have you required patients to take medicines in front of you? 61 13.2 400 86.8 Have you demonstrated all the steps of using drug delivery devices for patients? 461 100 Source: Viet Nam National project for prevention and management of COPD and asthma

Kap about drugS for management of COPD Question: List groups of drugs for treatment of COPD ? Only 19.5% have 4 correct answers Corticosteroids Anticholinergic

ROUTES OF MedicATION FOR COPD 10.6% MD have 4 correct answers 57.6% MD have no correct answer

Conclusion Majority of medical doctors did not fully understand the risk factors of COPD 14.8% of MD answered 3 correct spirometry indicators necessary for diagnosis of COPD 10% of MD answered 4 factors affecting Spirometry test results

Conclusion Only 23.5% of MD answered correctly the staging of COPD according GOLD 2011 Only 14.3% of MD guided patients to use drug delivery devices in the prescription. No MD described all steps of using drug delivery devices There is lack of awareness and urgent need for education on diagnosis and management of COPD for Vietnamese medical doctors

Thank you for your attention