Table 3.
Physicians with <10% African American patients | Physicians with ≥10% African American patients | P value | |
---|---|---|---|
Comfort managing patients | Comfortable | Comfortable | |
Overall management, % | 12.7 | 27.0 | <0.0001 |
RBC transfusions, % | 25.4 | 35.6 | 0.0006 |
HSCT, % | 0.2 | 1.0 | 0.14 |
Hydroxyurea treatment, % | 16.1 | 24.3 | 0.002 |
Pain management, % | 42.4 | 52.6 | 0.001 |
Complication concerns | Concerned | Concerned | |
Iron overload, % | 58.6 | 62.8 | 0.18 |
Stroke, % | 75.3 | 79.5 | 0.12 |
Atherosclerosis, % | 43.5 | 48.0 | 0.15 |
Pneumonia, % | 68.0 | 74.3 | 0.03 |
Willing to comanage patient with specialist | Likely | Likely | |
Pediatric patients, % | 78.2 | 80.9 | 0.31 |
Adult patients, % | 69.8 | 66.0 | 0.20 |
Impact of CDS on willingness to manage SCD patients | Likely | Likely | |
Pediatric patients, % | 24.0 | 27.0 | 0.27 |
Adult patients, % | 31.3 | 36.6 | 0.08 |
Perceived utility of CDS for SCD patient care | Useful | Useful | |
Diagnosis | 27.2 | 19.2 | 0.003 |
Treatment | 68.1 | 70.4 | 0.45 |
Avoiding complications | 70.2 | 74.5 | 0.13 |