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Titolo:
Shifts in B-12 opinions in primary health care of Sweden
Autore:
Lokk, J; Nilsson, M; Norberg, B; Hultdin, J; Sandstrom, H; Westman, G;
Indirizzi:
Karolinska Inst, Huddinge Hosp, Div Geriatr Med, Dept Clin Neurosci Occupat Therapy & Elderly Care, S-10401 Stockholm, Sweden Karolinska Inst Stockholm Sweden S-10401 Care, S-10401 Stockholm, Sweden Cty Council Vasterbotten, Dept Community Hlth, Umea, Sweden Cty Council Vasterbotten Umea Sweden Dept Community Hlth, Umea, Sweden Umea Univ Hosp, Dept Internal Med, S-90185 Umea, Sweden Umea Univ Hosp Umea Sweden S-90185 pt Internal Med, S-90185 Umea, Sweden Umea Univ Hosp, Dept Med Biosci, S-90185 Umea, Sweden Umea Univ Hosp Umea Sweden S-90185 Dept Med Biosci, S-90185 Umea, Sweden Umea Univ Hosp, Dept Clin Chem, S-90185 Umea, Sweden Umea Univ Hosp UmeaSweden S-90185 Dept Clin Chem, S-90185 Umea, Sweden Umea Univ Hosp, Dept Family Med, S-90185 Umea, Sweden Umea Univ Hosp Umea Sweden S-90185 Dept Family Med, S-90185 Umea, Sweden
Titolo Testata:
SCANDINAVIAN JOURNAL OF PUBLIC HEALTH
fascicolo: 2, volume: 29, anno: 2001,
pagine: 122 - 128
SICI:
1403-4948(200106)29:2<122:SIBOIP>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
COBALAMIN DEFICIENCY; PERNICIOUS-ANEMIA; ORAL COBALAMIN; VITAMIN-B-12; THERAPY;
Keywords:
attitudes; cost; deficiency; epidemiology; management; vitamin B-12;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Norberg, B Univ Hosp No Sweden, Dept Internal Med, SE-90185 Umea, Sweden Univ Hosp No Sweden Umea Sweden SE-90185 E-90185 Umea, Sweden
Citazione:
J. Lokk et al., "Shifts in B-12 opinions in primary health care of Sweden", SCAND J P H, 29(2), 2001, pp. 122-128

Abstract

Aims: The diagnosis and management of vitamin Bit deficiency varies between countries and within countries. The aim of the study was to map current attitudes and values behind clinical decision-making in Swedish primary health care. which has a unique B-12 tradition: two patients out of three are treated with Oral high-dose cyanocobalamin. Most patients with B-12-associated problems are managed in primary health care by general practitioners (GPs). Methods: The study was designed to elucidate possible opinion shifts among GPs during the period 1996-1998. GPs (n = 499), stratified and randomized, received a questionnaire with 24 statements on B-12-associated clinicaland laboratory problems. to be evaluated by a visuo-analogue scale. Results: The majority of GPs in primary health care in Sweden accepted homocysteine and methylmalonic acid (MMA) as markers for functional deficiency of vitamin B12 The evaluation of classical markers of B12 deficiency was wary andbalanced. There was a consensus of the need for B-12 therapy to risk groups such as patients with atrophic gastritis or previous gastric surgery. Theanswers also appeared to reflect an improvement of professional knowledge and competence concerning B-12-associated problems among Swedish GPs between 1996 and 1998. Conclusions: The overriding conclusion was that B-12-associated opinions of Swedish GPs were stable within the period studied, with marginal improvements of knowledge and competence.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 21:51:27