Table 4.
Physician perceptions of SCD by number of patients with SCD.
Physicians with no SCD patients | Physicians with 1 or more SCD patients | P value | |
---|---|---|---|
Comfort managing patients | Comfortable | Comfortable | |
Overall management, % | 9.8 | 36.1 | <0.0001 |
RBC transfusions, % | 21.8 | 45.1 | <0.0001 |
HSCT, % | 0.2 | 1.3 | 0.026 |
Hydroxyurea treatment, % | 14.2 | 30.4 | <0.0001 |
Pain management, % | 39.0 | 61.7 | <0.0001 |
Complication concerns | Concerned | Concerned | |
Iron overload, % | 58.5 | 64.3 | 0.07 |
Stroke, % | 75.3 | 80.7 | 0.04 |
Atherosclerosis, % | 45.4 | 46.7 | 0.70 |
Pneumonia, % | 67.3 | 77.6 | 0.0004 |
Willing to comanage patient with specialist | Likely | Likely | |
Pediatric patients, % | 76.5 | 84.1 | 0.003 |
Adult patients, % | 70.1 | 64.5 | 0.07 |
Impact of CDS on willingness to manage SCD patients | Likely | Likely | |
Pediatric patients, % | 23.5 | 28.8 | 0.06 |
Adult patients, % | 30.8 | 38.7 | 0.01 |
Perceived utility of CDS for SCD patient care | Useful | Useful | |
Diagnosis | 26.9 | 17.0 | 0.0003 |
Treatment | 68.9 | 70.1 | 0.71 |
Avoiding complications | 72.2 | 73.2 | 0.72 |