Research Article
Attitudes toward Management of Sickle Cell Disease and Its Complications: A National Survey of Academic Family Physicians
Table 3
Physician perceptions of SCD by percentage of patients who are African American.
| | Physicians with <10% African American patients | Physicians with ≥10% African American patients | value |
| Comfort managing patients | Comfortable | Comfortable | | Overall management, % | 12.7 | 27.0 |
<0.0001 | RBC transfusions, % | 25.4 | 35.6 | 0.0006 | HSCT, % | 0.2 | 1.0 | 0.14 | Hydroxyurea treatment, % | 16.1 | 24.3 | 0.002 | Pain management, % | 42.4 | 52.6 | 0.001 | Complication concerns | Concerned | Concerned | | Iron overload, % | 58.6 | 62.8 | 0.18 | Stroke, % | 75.3 | 79.5 | 0.12 | Atherosclerosis, % | 43.5 | 48.0 | 0.15 | Pneumonia, % | 68.0 | 74.3 | 0.03 | Willing to comanage patient with specialist | Likely | Likely | | Pediatric patients, % | 78.2 | 80.9 | 0.31 | Adult patients, % | 69.8 | 66.0 | 0.20 | Impact of CDS on willingness to manage SCD patients | Likely | Likely | | Pediatric patients, % | 24.0 | 27.0 | 0.27 | Adult patients, % | 31.3 | 36.6 | 0.08 | Perceived utility of CDS for SCD patient care | Useful | Useful | | Diagnosis | 27.2 | 19.2 | 0.003 | Treatment | 68.1 | 70.4 | 0.45 | Avoiding complications | 70.2 | 74.5 | 0.13 |
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