Research Article
Attitudes toward Management of Sickle Cell Disease and Its Complications: A National Survey of Academic Family Physicians
Table 4
Physician perceptions of SCD by number of patients with SCD.
| | | Physicians with no SCD patients | Physicians with 1 or more SCD patients | value |
| | Comfort managing patients | Comfortable | Comfortable | | | Overall management, % | 9.8 | 36.1 | <0.0001 | | RBC transfusions, % | 21.8 | 45.1 | <0.0001 | | HSCT, % | 0.2 | 1.3 | 0.026 | | Hydroxyurea treatment, % | 14.2 | 30.4 | <0.0001 | | Pain management, % | 39.0 | 61.7 | <0.0001 | | Complication concerns | Concerned | Concerned | | | Iron overload, % | 58.5 | 64.3 | 0.07 | | Stroke, % | 75.3 | 80.7 | 0.04 | | Atherosclerosis, % | 45.4 | 46.7 | 0.70 | | Pneumonia, % | 67.3 | 77.6 | 0.0004 | | Willing to comanage patient with specialist | Likely | Likely | | | Pediatric patients, % | 76.5 | 84.1 | 0.003 | | Adult patients, % | 70.1 | 64.5 | 0.07 | | Impact of CDS on willingness to manage SCD patients | Likely | Likely | | | Pediatric patients, % | 23.5 | 28.8 | 0.06 | | Adult patients, % | 30.8 | 38.7 | 0.01 | | Perceived utility of CDS for SCD patient care | Useful | Useful | | | Diagnosis | 26.9 | 17.0 | 0.0003 | | Treatment | 68.9 | 70.1 | 0.71 | | Avoiding complications | 72.2 | 73.2 | 0.72 |
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