TY - JOUR
T1 - Paediatricians' practices and knowledge of corticosteroids
T2 - A national survey
AU - Sekler, Opal
AU - Segev-Becker, Anat
AU - Interator, Hagar
AU - Brener, Avivit
AU - Schachter-Davidov, Anita
AU - Elkon-Tamir, Erella
AU - Lebenthal, Yael
N1 - Publisher Copyright:
©2020 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd
PY - 2021/2
Y1 - 2021/2
N2 - Aim: To explore corticosteroid prescription practices and knowledge among paediatricians. Methods: The Paediatricians Corticosteroids Survey, a cross-sectional, web-based survey distributed to Israeli paediatricians between February and July 2018. Results: Three hundred and forty-nine paediatricians (105 general paediatricians, 207 subspecialists and 37 paediatric endocrinologists) participated. Two hundred and three (58.2%) had >10 years of paediatric clinical experience and treated >60 patients/wk on average, 175/318 (55%) prescribed corticosteroids to >10% of their patients. On knowledge items, 11/266 (4.1%) responded ‘not sure’ when tapering of steroids is required, 22/268 (8.2%) to what ‘stress dose’ meant and 27/268 (10.1%) when a stress dose is required. Multivariate linear analysis showed higher scores were associated with training in paediatric endocrinology (β = 2.271, P = 0.032); medical practice only in a subspecialty (β = 1.909, P = 0.041) or in both general paediatrics and a subspecialty (β = 2.023, P = 0.014), compared to general paediatrics alone and medical studies in Israel (β = 1.059, P = 0.035). Overall, 96.2% thought continued medical education (CME) sessions would be helpful. Conclusion: Our findings suggest that despite clinical experience with corticosteroid usage, respondents demonstrated gaps in knowledge for potentially life-threatening situations. Corticosteroid-based CME programs are warranted to improve paediatricians' knowledge and patient management.
AB - Aim: To explore corticosteroid prescription practices and knowledge among paediatricians. Methods: The Paediatricians Corticosteroids Survey, a cross-sectional, web-based survey distributed to Israeli paediatricians between February and July 2018. Results: Three hundred and forty-nine paediatricians (105 general paediatricians, 207 subspecialists and 37 paediatric endocrinologists) participated. Two hundred and three (58.2%) had >10 years of paediatric clinical experience and treated >60 patients/wk on average, 175/318 (55%) prescribed corticosteroids to >10% of their patients. On knowledge items, 11/266 (4.1%) responded ‘not sure’ when tapering of steroids is required, 22/268 (8.2%) to what ‘stress dose’ meant and 27/268 (10.1%) when a stress dose is required. Multivariate linear analysis showed higher scores were associated with training in paediatric endocrinology (β = 2.271, P = 0.032); medical practice only in a subspecialty (β = 1.909, P = 0.041) or in both general paediatrics and a subspecialty (β = 2.023, P = 0.014), compared to general paediatrics alone and medical studies in Israel (β = 1.059, P = 0.035). Overall, 96.2% thought continued medical education (CME) sessions would be helpful. Conclusion: Our findings suggest that despite clinical experience with corticosteroid usage, respondents demonstrated gaps in knowledge for potentially life-threatening situations. Corticosteroid-based CME programs are warranted to improve paediatricians' knowledge and patient management.
KW - corticosteroid proficiency
KW - corticosteroid survey
KW - corticosteroid usage
KW - paediatric subspecialists
KW - paediatricians
UR - http://www.scopus.com/inward/record.url?scp=85088574135&partnerID=8YFLogxK
U2 - 10.1111/apa.15481
DO - 10.1111/apa.15481
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C2 - 32654302
AN - SCOPUS:85088574135
SN - 0803-5253
VL - 110
SP - 711
EP - 717
JO - Acta Paediatrica, International Journal of Paediatrics
JF - Acta Paediatrica, International Journal of Paediatrics
IS - 2
ER -