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Factors correlating...
Factors correlating to the propensity of general practitioners to substitute borderline vitamin B12 deficiency
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Chum, G. (author)
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Davis, N. (author)
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Strives, E. (author)
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Traves, A. (author)
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Manypeney, G. (author)
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- Gunnarsson, Ronny K, 1955 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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(creator_code:org_t)
- 2018-06-22
- 2018
- English.
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In: Scandinavian Journal of Primary Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 36:3, s. 242-248
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https://www.tandfonl...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Objective: This study aims to identify factors which correlate to the propensity of general practitioners (GPs) to prescribe supplementation for borderline vitamin B12 deficiency. Setting: Conferences held in Cairns, Palm Cove Beach, Mt Isa; educational meetings in Atherton; and meetings with individual general practices within the Cairns and Hinterland region. All located in Queensland, Australia. Subjects: 128 practicing GP specialists and registrars (practitioners in training). Main outcome measures: Responses to the Likert scale statements with its five options scaling from 'strongly disagree' to 'strongly agree' were recoded to have binary outcomes for analysis. Results: A survey response rate of 89% was achieved. Participants who felt patient demands influence the management of borderline vitamin B12 deficiency were more likely to prescribe supplementation (OR 2.4, p=0.037). Participants who perceived an overuse of vitamin B12 were less likely to prescribe B12 (OR 0.39, p=0.019). Participants who often saw patients with vitamin B12 deficiency were less likely to request for the complementary biomarkers plasma methylmalonic acid or total homocysteine (OR 0.41, p=0.045). Conclusions: The identified disparity to prescribe vitamin B12 for borderline deficiency may be described as an attempt in the GP collective to seek a balance between being the patient's or the society's doctor. We propose that relevant authorities try to reduce this disparity by describing a management strategy for borderline vitamin B12 deficiency.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
Keyword
- Vitamin B12 deficiency
- dietary supplements
- general practice
- primary health care
- plasma methylmalonic acid
- cobalamin deficiency
- clinical-practice
- prevalence
- population
- guidelines
- diagnosis
- utility
- folate
Publication and Content Type
- ref (subject category)
- art (subject category)
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