Knowledge of pediatrician on gastroesophageal reflux/gastroesophageal reflux disease in children: a preliminary study

Main Article Content

Edward Surjono
Agus Firmansyah
Jose R. L. Batubara

Abstract

Background Gastroesophageal reflux (OER) is involuntary movement of gastric content into esophagus due to transient lower esophageal sphincter relaxation. This condition usually ignored by physician. Many GER cases have severe complication before properly managed. Ten years after incorporating GER into Indonesia pediatric training curriculum, the knowledge of GER among pediatrician need to be measured.

Objectives To measure pediatrician's knowledge of GER/GERD in children.

Methods This was a cross sectional study using questionnaire and interview.

Result There were 387 respondents who filled the questionnaire and being interviewed. The majority of respondents were between 25-45 years old (33.6%). Respondents who graduated before the year 2000 were 48.3%, and after 2000 were 51.7%. Majority of respondents were general pediatrician (90.2%) and 41.3% working in teaching hospitals Among pediatricians graduated after year 2000,6 6%,5 0.5% and 57.5% could gave more than 80% correct answer to questions about general knowledge, diagnosis and management of GERD as compared to 49.2%, 42.2% and 47% subjects graduated before year 2000. More pediatricians graduated before year 2000 answered the questions on general knowledge, diagnosis and management < 60% correctly compared to those graduated after year 2000 (42.2%, 25.2% and 28.3% vs. 14%,11.5% and 12%, respectively). Fifty five of 160 (34.4%) respondents who working in teaching hospital gave more than 80% correct answer to questions about GERD. Compared to those working in non-teaching hospitals, only 17.6% were able to correctly answer more than 80% of questions.

Conclusions Better knowledge about GER/GERD are found among pediatricians graduated after the topics has been introduced to the curriculum and among those practicing in teaching hospitals.

Article Details

How to Cite
1.
Surjono E, Firmansyah A, Batubara J. Knowledge of pediatrician on gastroesophageal reflux/gastroesophageal reflux disease in children: a preliminary study. PI [Internet]. 26Oct.2016 [cited 16Oct.2019];50(6):336-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/964
Section
Articles
Received 2016-10-18
Accepted 2016-10-18
Published 2016-10-26

References

1. Vandenplas Y. Gastroesophageal reflux. In: Wyllie R, Hyams JS, editors. Pediatric gastrointestinal and liver disease, pathophysiology/diagnosis/management. 3rd ed. Philladelphia: Saunders Elsevier, 2006; p. 305-26.
2. Katalog program studi ilmu kesehatan anak. Jakarta: Departemen Pendidikan dan Kebudayaan Direktorat Jenderal Pendidikan Tingi; 1984.
3. Konsil Kedokteran Indonesia. Standar kompetensi dokter. Jakarta, 2006. p. 43-82
4. Kolegium Hmu Kesehatan Anak Indonesia. Kurikulum pendidikan dokter spesialis anak Indonesia. 2000. p. 23.
5. Departemen Hmu Kesehatan Anak Fakultas kedokteran Universitas Indonesia. Buku panduan program pendidikan dokter spesialis anak. 2004. p. 30.
6. Shaoul R, Sharory R, Tamir A, Jaffe M. Comparison between pediatricians and family practitioners in the use of prokinetic cisapride for gastroesophageal reflux disease in children. Pediatrics. 2002;109:1118-23.
7. Dia, DM, Winter HS, Colletti RB, Ferry GD, Rudolph CD, Czinn S]. Knowledge, attitudes and practice styles of North American pediatricians regarding gastroesophageal reflux disease. CDHNF/NASPGHAN/AAP KAPS Survey on GERD; 2007.
8. Nelson SF, Chen EH, Syniar GM, Christoffel KK. Prevalence of symptoms of gastroesophageal reflux during childhood: a pediatric practice􀁖based survey. Pediatric Reseach Group. Arch Pediatr Adolesc Med. 2000;154(2):150-4.
9. Shulman Rj, Boyle jT, Colleti RB, Ftiedman RA, Heyman MB, Keams G, et al. The use of cisapride in children. The North American Society for Pediatric Gastroenterologi and Nutrition. J Pediatr Gastroenterol Nutr. 1999;28(5):529-33.
10. Salvatore S, Vandenplas Y. Gastroesophageal reflux and cow milk allergy: is there a link? Pediatrics. 2002; 110:972-84.
11. Cavatio F, lacano G, Montalto G, Soresi M, Tumminello M, Carroccio A. Clinical and pH􀁖metric characteristics of gastro􀁖oesophageal reflux secondary to cow's milk protein allergy. Arch Dis Child. 1996;75:51-6.
12. Orenstein SR, Magil HL, Brooks P. Thickening of infant feeding for therapy of gastroesophageal reflux. J Pediatr. 1987; 110;181-6.