Knowledge and management capability on diabetic kidney disease among general practitioners in community health centers of Shanghai

Objective To survey the status of knowledge and management capability on diabetic kidney disease (DKD) among general practitioners (GPs) in community health service centers (CHCs) of Shanghai. Methods A questionnaire survey was conducted among 152 GPs from 6 CHCs in 3 districts of Shanghai during May 2015 and March 2016. Results In the current survey, 138 (90.8%) valid questionnaires of DKD knowledge and 152 (100.0%) valid questionnaires of DKD management capability were retrieved.The overall accuracy rate of DKD knowledge was 60.2%(1 246/2 070); the accurate rates of epidemiology, diagnosis, treatment, and community management knowledge were 62.7%(173/276), 62.8%(520/828), 60.6%(502/828)and 35.5%(49/138), respectively.There were significant differences in accuracy rates of treatment related questions among GPs with different years of working (P=0.032 2); but no significant differences were observed in accuracy rates of 4 aspects related questions among GPs with different education and professional title (P>0.05). Among 152 participants, 113 (74.3%) responded to conduct DKD screening in clinic work; 97(63.8%) chose renal function, 86 (56.6%) chose urine routine and 86 (56.6%) chose urinary microalbumin for screening, respectively. The top three answers to"how to intervene patients with DKD"were blood glucose control(107, 70.4%), medication of ACEI or ARB(77, 50.7%), and high-quality low protein diet(68, 44.7%). Conclusion The knowledge and management capability on DKD among GPs in CHCs are insufficient. The capability of diagnosis and treatment of DKD should be improved by joint efforts of GPs, trainers, and community health administrators. Key words: Diabetic kidney disease; Questionnaires; General practitioners