ENDOCRINE TRAINEES EXHIBIT SENSITIVE BUT CONSERVATIVE ATTITUDES TOWARDS THE MANAGEMENT OF ENDOCRINE CONDITIONS IN HIV PATIENTS IN SINGAPORE.
Endocr Pract
; 23(9): 1072-1076, 2017 09.
Article
em En
| MEDLINE
| ID: mdl-28683238
ABSTRACT
OBJECTIVE:
With advances in the treatment of human immunodeficiency virus (HIV) infections, the life expectancy of people with HIV (PWH) is fast approaching that of the general population. Endocrine and metabolic disorders occur more frequently in PWH than in the general population. This study assessed the knowledge, practice patterns, and confidence levels among endocrinology trainees in Singapore in managing endocrine disorders in PWH.METHODS:
An anonymous, 31-item survey was administered to 23 endocrinology trainees. Four domains were assessed (1) previous exposure to endocrine disorders in PWH; (2) attitudes towards treating PWH, (3) case studies in endocrinology designed to assess for differences in treatment philosophy between a PWH and a noninfected counterpart, and (4) confidence in managing endocrine disorders in PWH.RESULTS:
The participation rate was 73.9%, with the majority of trainees (88.2%) having managed fewer than 5 PWH with endocrine disorders. A total of 94.1% of the trainees had little or no hesitation in treating PWH, but more than half (58.8%) felt inadequate in confidently managing them. A total of 82.4% deemed HIV endocrinology as an emerging field and were open to the idea of pursuing it as a subspecialty in the future. Re-assuringly, most trainees would not compromise medical treatment for a PWH if it were indicated. More than half were ambivalent about prescribing cross-hormonal therapy to transgender individuals.CONCLUSION:
Endocrinology trainees feel that while HIV endocrinology is an emerging field, they lack exposure, training, and confidence in the management of these patients. Although they would treat medical conditions well, they lacked knowledge in hormonal treatment of transgender individuals. ABBREVIATIONS HIV = human immunodeficiency virus PWH = people with HIV.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Infecções por HIV
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Conhecimentos, Atitudes e Prática em Saúde
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Doenças do Sistema Endócrino
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Endocrinologia
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article