Assessment of outpatient primary care physicians’ awareness of Takayasu arteritis
https://doi.org/10.33667/2078-5631-2019-2-37(412)-29-33
Abstract
Takayasu arteritis (TA) is a rare disease. Due to the variety of clinical manifestations the patients may primarily apply to general practitioner or other specialist.
Aim. To assess the awareness of primary care physicians and outpatient department specialists of TA clinical manifestation, diagnosis criteria and treatment issues.
Methods. 200 physicians consented to take part in a survey. The study sample included 50 internists, 25 neurologists, 21 gastroenterologists, 18 rheumatologists, 28 cardiologists, 45 pediatricians, 13 nephrologists practicing at the outpatient departments of the city of Yekaterinburg and Sverdlovsk region.
Results. Among the related specialists, the most freuent incorrect answers were given on intermittent claudication (48 % correct), involved arteries (49 %). Rare application of TA diagnostic criteria (32 %), low awareness of the TA diagnostic standard (39 %) was found. The survey results confirm previously reported data on the low awareness of TA by primary care physicians.
Conclusion. This is the first study to assess the primary medical service specialists awareness in the Russian Federation. Diagnosis and treatment of TA should be included in a number of educational programs and resources for continuing vocational education.
About the Authors
I. E. BorodinaRussian Federation
Ekaterinburg
A. A. Popov
Russian Federation
Ekaterinburg
L. A. Shardina
Russian Federation
Ekaterinburg
A. A. Kozulin
Russian Federation
Ekaterinburg
N. A. Osadchaya
Russian Federation
Ekaterinburg
References
1. Шилкина Н. П., Дряженкова И. В. Системные васкулиты: этапы диагностики. Терапевтический архив 2013; 85 (4): 39–42.
2. Jennette J. C. Falk R. J., Bacon P. A. Basu N., Cid M. C., Ferrario F., Flores-Suarez L.F., et al. 2012 Revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides Arthritis Rheum. 2013; 65 (1): 1–11. DOI: 10.1002/art.37715.
3. Бокерия ЛА, Покровский АВ, Сокуренко ГЮ, и др. Национальные рекомендации по ведению пациентов с заболеваниями брахиоцефальных артерий. Российский согласительный документ. Москва. 2013: 72. [Bockeria LA, Pokrovsky AV, Sokurenko GU, andothers. National guidelines for the management of patients with diseases of the brachiocephalic arteries // Russian agreement paper. Moscow. 2013: 72].
4. Арабидзе ГГ, Абугова СП, Матвеева ЛС. Клинические аспекты болезни Такаясу (215 наблюдений). Тер. Архив. 1980; 5: 124–129. [Arabidze GG, Abugova SP, Matveeva LS. Clinical aspects of Takayasu's disease (215 observations). Ter. Archive. 1980; 5: 124–129].
5. Aydin S. Z., Yilmaz N., Akar S. Assessment of disease activity and progression in Takayasus arteritis with Disease Extent Index Takayasu. Rheumatology. 2010; 49 (10): 1889–1893.
6. Абдуллаева МА. Влияние терапии экватором и тессироном на клиническую симптоматику и функциональное состояние эндотелия сосудов у больных с неспецифическим аортоартериитом. Наука молодых. 2015; 3: 40–46. [Abdullaeva MA. Effect of therapy with the equator and tesssirone on the clinical symptoms and functional state of the vascular endothelium in patients with nonspecific aortoarteritis. Science is young. 2015; 3: 40–46].
7. Волосников ДК, Глазырина ГА, Серебрякова ЕН, и др. Неспецифический аортоартериит (артериит Такаясу) у детей и подростков: обзор литературы и описание клинического случая. Трудный пациент. 2015; 2 (13): 36–39. [Volosnikov DK, Glazyrin GA, Serebryakova EN, and others. Nonspecific aortoarteritis (Takayasu arteritis) in children and adolescents: a review of the literature and a description of a clinical case. Difficult patient.2 015; 2 (13): 36–39].
8. Abularrage CJ, Slidell MB, Arora S. Takayasu disease. Rutherford Vascular Surgery. 2009; 78 (2): 100–106.
9. Darmochwał-Kolarz D, Chara A, Korzeniewski M, et al. Takayasu's arteritis in pregnancy — a case report. Ginekol Pol. 2014; 85 (1): 62–65.
10. Watanabe R 1, Ishii T, Nakamura K, et al. Ulcerative colitis is not a rare complication of Takayasu arteritis. Mod Rheumatol. 2014; 24 (2): 372–373.
11. Mehra NK, Jaini R, Baramurugan A, et al. Immunogenetic analysis of Takayasu arteritis in Indian patients. Int J Cardiol. 1998; 66: 127–132. DOI: 10.1016/S0167–5273(98)00160–0.
12. Numano F. Hereditary factors of Takayasu arteritis. Heart Vessels Suppl. 1992, 7: 68–72. DOI: 10.1007/BF01744547.
13. Бекетова ТВ, Насонов ЕЛ. Инновационные методы лечения артериита Такаясу: в фокусе ингибиторы интерлейкина 6. Собственный опыт применения тоцилизумаба обзор литературы. Научно-практическая ревматология. 2017; 55 (5): 536–548.
14. Vargas-Alarcón G, Soto ME, Pérez-Hernández N, et al. Comparative study of the residues 63 and 67 on the HLA-B molecule in patients with Takayasu's arteritis and tuberculosis.Cell Biochem Funct. 2008; 26 (7): 820–823.
15. Souza W, Carvalho JF. Diagnostic and classification criteria of Takayasu arteritis. Journal Autoimmun. 2014; 48: 79–83.
16. Покровский АВ, Зотиков АЕ, Юдин ВИ. Неспецифический аортоартериит (болезнь Такаясу). М., 2002.
17. Сивакова ОА, Чихладзе НМ, Балахонова ТВ, и др. Клинические проявления и особенности ультразвуковой диагностики неспецифического аортоартериита при синдроме поражения ветвей дуги аорты. Кардиоваск. тер. и проф. 2007; 2: 59–66. [Sivakova OA, Chikhladze NM, Balakhonova TV, and others. Clinical manifestations and features of ultrasound diagnostics of nonspecific aortoarteritis in the syndrome of affection of the aortic arch branches. Cardiovasc. ter. and prof. 2007; 2: 59–66].
18. Ringleb PA, Strittmatter EI, Loewer M et al. Cerebrovascular manifestations of Takayasu Arteritis in Europe. Rheumatology 2005; 44 (8): 1012–5.
19. Решетников АВ. Особенности подготовки и проведения медико-социологических исследований. Экономиказдравоохранения. 2001: 1: 38. [Reshetnikov AB. Features of the preparation and conduct of medical and sociological research. Health economics. 2001: 1: 38].
20. Решетников АВ, Ефименко СА, Астафьев ЛМ. Методика проведения медико-социологических исследований: Учебное пособие. М.; 2003. [Reshetnikov AV, Efimenko SA, Astafyev LM. Methods of conducting medical and sociological research: Textbook. M .; 2003].
Review
For citations:
Borodina I.E., Popov A.A., Shardina L.A., Kozulin A.A., Osadchaya N.A. Assessment of outpatient primary care physicians’ awareness of Takayasu arteritis. Medical alphabet. 2019;2(37):29-33. (In Russ.) https://doi.org/10.33667/2078-5631-2019-2-37(412)-29-33