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