Shifts in B12 opinions in primary health care of Sweden.

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Fältnamn	Indikatorer	Metadata
000		03060naa a2200337 4500
001		oai:DiVA.org:umu-4356
003		SwePub
008		050118s2001 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:prod.swepub.kib.ki.se:1948165
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-43562 URI
024	7	a http://kipublications.ki.se/Default.aspx?queryparsed=id:19481652 URI
040		a (SwePub)umud (SwePub)ki
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Lökk, Johanu Karolinska Institutet4 aut
245	1 0	a Shifts in B12 opinions in primary health care of Sweden.
264	1	c 2001
338		a print2 rdacarrier
520		a AIMS: The diagnosis and management of vitamin B12 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 B12 tradition: two patients out of three are treated with oral high-dose cyanocobalamin. Most patients with B12-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 B12-associated clinical and 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 and balanced. There was a consensus of the need for B12 therapy to risk groups such as patients with atrophic gastritis or previous gastric surgery. The answers also appeared to reflect an improvement of professional knowledge and competence concerning B12-associated problems among Swedish GPs between 1996 and 1998. CONCLUSIONS: The overriding conclusion was that B12-associated opinions of Swedish GPs were stable within the period studied, with marginal improvements of knowledge and competence.
700	1	a Nilsson, Matsu Umeå universitet,Institutionen för folkhälsa och klinisk medicin4 aut
700	1	a Norberg, Bo4 aut
700	1	a Hultdin, Johanu Umeå universitet,Klinisk kemi4 aut
700	1	a Sandström, Herbertu Umeå universitet,Allmänmedicin4 aut0 (Swepub:umu)hesa0015
700	1	a Westman, Göranu Umeå universitet,Allmänmedicin4 aut0 (Swepub:umu)gowe0001
710	2	a Karolinska Institutetb Institutionen för folkhälsa och klinisk medicin4 org
773	0	t Scandinavian Journal of Public Healthg 29:2, s. 122-128q 29:2<122-128x 1403-4948x 1651-1905
856	4	u http://search.epnet.com/login.aspx?direct=true&db=afh&an=5171453&loginpage=Login.asp&site=ehost&scope=sitey Fulltext
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-4356
856	4 8	u http://kipublications.ki.se/Default.aspx?queryparsed=id:1948165

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Av författaren/redakt...: Lökk, Johan; Nilsson, Mats; Norberg, Bo; Hultdin, Johan; Sandström, Herbe ...; Westman, Göran

Artiklar i publikationen: Scandinavian Jou ...

Av lärosätet: Umeå universitet; Karolinska Institutet

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