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Master Thesis

Évaluation du niveau des connaissances des médecins généralistes concernant les recommandations de prescription des IPP chez le sujet âgé : analyse des pratiques professionnelles

Abstract : Introduction: PPI prescriptions are frequent and sometimes inappropriate. General practitioners, often firsttime prescribers, rely on recommendations from 2007 and 2009 with safety profiles questioned since. In recent years, the security profile of PPIs has been questioned. The main objective of this study is to assess the knowledge of general practitioners regarding the PPIs prescribing recommendations in the elderly and to analyze their professional practices. Methods: This is a cross-sectional observational study involving a sample of 200 general practitioners in Calvados, drawn at random from a list provided by the URML. A questionnaire was sent to them by post in December 2020. Results: 50 responses were obtained. 88% of doctors need to update their knowledge. 9 out of 10 doctors are first-time PPI prescribers and 48% say they know the recommendations. However, there is an overuse of PPIs in the elderly population but also in their inappropriate initial prescriptions. In addition, only 14 to 36% of the doctors questioned know the adverse effects such as cardiovascular risk, cognitive disorders, interstitial nephritis. 2/3 of doctors do not have the right therapeutic attitude towards a patient suffering from gastroesophageal reflux without esophagitis. Conclusion: This study shows that practitioners' knowledge of PPI prescribing recommendations and of the safety profile is insufficient. In order to limit iatrogenia and health costs, it seems essential to us to insist on continuous professional development and to widely disseminate the recommendations for good use.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03351778
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Submitted on : Wednesday, September 22, 2021 - 3:31:30 PM
Last modification on : Tuesday, October 19, 2021 - 11:34:47 PM

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  • HAL Id : dumas-03351778, version 1

Citation

David Dion. Évaluation du niveau des connaissances des médecins généralistes concernant les recommandations de prescription des IPP chez le sujet âgé : analyse des pratiques professionnelles. Médecine humaine et pathologie. 2021. ⟨dumas-03351778⟩

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