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Master Thesis

State of awareness of chronic liver diseases among general practitioners and diabetologists in France

Abstract : Backgrounds and aims: in France, cirrhosis and hepatocellular carcinoma (HCC) are respectively responsible for 8,000 and 9,000 deaths each year. The early identification of patients, to be referred to the liver specialist, is crucial to prevent the development of cirrhosis. The aim of this study was to assess the perception and practices of primary care practitioners regarding chronic liver diseases (CLD). Material and methods: a survey was sent, by email, to general practioners (GPs) from two regions of France (South and West) and to diabetologists registered to Francophone society of diabetes. The questionnaire was divided into two parts, the first on participant characteristics and the second on the perception and management of CLD. Results: among the 3,647 GPs and 1,035 diabetologists contacted, 678 questionnaires were received (500 GPs and 178 diabetologists), with a participation rate of 14.5%. The median age was 49 (39-59) years. Almost participants reported that they were insufficiently informed about new developments in the management of CLD. Prevalence and severity of CLD were underestimated. Biological evaluation of patients included systematically liver injury markers but liver severity markers in only 50 % of cases. Non-invasive tests are known by 97.2% of diabetologists and 73.6% of GPs (p<0.0001). Most physicians were interested in the use of simple non-invasive liver fibrosis tests in practice. Conclusion: the GPs and diabetologists are at the forefront of screening for CLD. Refresher training and patient pathways using non-invasive liver fibrosis tests (NIT) should be organized to improve early detection and referral.
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Master Thesis
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Contributor : Bibliothèque Universitaire de Médecine Nice Connect in order to contact the contributor
Submitted on : Friday, April 1, 2022 - 4:19:11 PM
Last modification on : Thursday, April 21, 2022 - 11:48:46 AM


  • HAL Id : dumas-03627993, version 1


Julie Brisseau. State of awareness of chronic liver diseases among general practitioners and diabetologists in France. Human health and pathology. 2021. ⟨dumas-03627993⟩



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