Management of Adult Growth Hormone Deficiency at Peking Union Medical College Hospital: A Survey among Physicians<sup>△</sup>

Yang Hong-bo; Zhang Meng-qi; Pan Hui; Zhu Hui-juan

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Management of Adult Growth Hormone Deficiency at Peking Union Medical College Hospital: A Survey among Physicians^△

Chinese Medical Sciences Journal Vol. 31, Issue 3, Pages: 168-172(2016)

Orginal Article | Updated：2024-04-10

- Management of Adult Growth Hormone Deficiency at Peking Union Medical College Hospital: A Survey among Physicians^△
- Affiliations：
  
  1. 1Department of Endocrinology
  2. 2Department of Pediatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
- Author bio：
  
  *Corresponding author Tel: 86-10-69155100, Fax: 86-10-69155073, E-mail: huijuanzhu@hotmail.com
- Funds：
- DOI：
  CLC：
- Published Online：20 June 2016，
  
  Published：2016-06
- Accepted：
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Yang Hong-bo, Zhang Meng-qi, Pan Hui, et al. Management of Adult Growth Hormone Deficiency at Peking Union Medical College Hospital: A Survey among Physicians^△[J]. Chinese medical sciences journal, 2016, 31(3): 168-172.
DOI：

Yang Hong-bo, Zhang Meng-qi, Pan Hui, et al. Management of Adult Growth Hormone Deficiency at Peking Union Medical College Hospital: A Survey among Physicians^△[J]. Chinese medical sciences journal, 2016, 31(3): 168-172. DOI：

摘要

Abstract

Objective

To evaluate physicians’ attitude and knowledge about the management of adult growth hormone deficiency (AGHD) at Peking Union Medical College Hospital and impact factors associated with better decision-making.

Methods

A 21-question anonymous survey was distributed and collected at Peking Union Medical College Hospital

a major teaching hospital in Chinese Academy of Medical Sciences. Data of physicians’ educational background

clinical training

patient workload per year and continuing medical education in AGHD were collected. Factors associated with appropriate answers were further analyzed by multivariate regression models.

Results

One hundred and eighteen internal medicine residents

endocrine fellows

attending physicians and visiting physicians responded to the survey. Among them

44.9% thought that AGHD patients should accept recombinant human growth hormone replacement therapy. Moreover

56.8% selected insulin tolerance test and growth hormone-releasing hormone-arginine test for the diagnosis of AGHD. Logistic regression analysis of physician demographic data

educational background

and work experience found no consistent independent factors associated with better decision-making

other than continued medical education

that were associated with treatment choice.

Conclusions

The physicians’ reported management of AGHD in this major academic healthcare center in Beijing was inconsistent with current evidence. High quality continued medical education is required to improve Chinese physician management of AGHD.

关键词

Keywords

references

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