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2. Professor of Medicine, Hanoi Medical University
Knowledge, attitudes and practice of medical doctors in diagnosis and management of COPD in Vietnam
Ngo Quy Chau, MD, PhD Director of Respiratory Center - Bach Mai Hospital  President of Vietnam Respiratory Society
Professor of Medicine, Hanoi Medical University

3. Conflict of interest
Received honorariums for educational activities and lectures from: AstraZeneca, Boehringer Ingelheim, BayerHealthCare, GlaxoSmithkline
No stocks or ownership in any pharmaceutical company
No relation with tobacco industry

4. Contents 1 Introduction 2 Objectives 3 Methods 4
Results and discussion 4
Conclusions 5

5. introduction
COPD: High burden, great economic and social impact in all over the world. In Vietnam:
Prevalence of COPD estimated 4.2% in populations > 40 years old (7.1% in men and 1.9% in women).
Ngo Quy Chau (2008): Direct cost for 1 hospitalisation of COPD was € 273.
There is still little awareness of this problem among the general public, media, health care, communities.
Source: Dinh Ngoc Sy et al, Result of COPD national survey, 2012

6. introduction
Vietnam national project for prevention and management of COPD and asthma carried out in 2011: Training, screening, guideline, media…
Improve the quality of diagnosis and management of COPD is one of its objectives
One of challenges in diagnosis and management of COPD in Vietnam is KAP of medical doctors.
Assess KAP of MD before intervention

7. Objective
To determine the knowledge, attitude and practices (KAP) regarding to diagnosis and management of COPD among medical doctors in hospitals of 10 cities and provinces in the Northern Vietnam.

8. Methods Study design: A cross - sectional study
Subjects: 467 medical doctors in hospitals of 10 cities and provinces in the Northern Vietnam
Time: From August to Octorber 2012

9. Methods Collecting data tools : A standardized questionaires
Risk factor of COPD: 2 questions
Spirometry: 3 questions
Diagnosis and treatment of COPD: 22 questions
Collecting information methods
Self-assessment – medical doctors fill out questionnaire before training course

10. Data analysis Cleaning data Analysis data
Entry data: Epidata software version 3.1
Use SPSS sorfware version 15.0 to analyze data in 2 steps:
Cleaning data
Analysis data

11. Results KAP of medical doctors about: Risk factors of COPD Spirometry
Diagnosis and treatment of COPD
Patient education: Guide the patient to use drug delivery devices

12. GENERAL INFORMATION OF SURVEY
49.2%: Internal department
15.4%: Outpatient department
66.8%: hospitals of cities
33.2%: hospitals of districts
Source: Viet Nam National project for prevention and management of COPD and asthma

13. KAP ABOUT Risk factors of COPD
Question: List the risk factors can cause COPD?
Source: Viet Nam National project for prevention and management of COPD and asthma

14. list of things FOR beEING able to diagnose COPD?%
Asking for risk factors
452
98.3
Physical examination
381
82.8
Spirometry
444
96.5
Chest X-ray
207
45.0

15. KAP ABOUT Staging of COPD (GOLD 2011)
Question: Criteria to classify staging of COPD (GOLD 2011)
Source: Viet Nam National project for prevention and management of COPD and asthma

16. Answer about Spirometry Indicators
KAP ABOUT SpirometRY
Question: list three important indicators of spirometry to diagnose COPD?
Answer about Spirometry Indicators N %
No answer
251
54.2
Answer 1 indicator 50
10.8
Answer 2 indicators 93
20.2
Answer 3 indicators 68
14.8
Source: Viet Nam National project for prevention and management of COPD and asthma

17. Question: which factors can affect spirometry results?
KAP ABOUT SpirometRY
Question: which factors can affect spirometry results?
10% MD have 4 correct answers
28.5% MD have no correct answers

18. EDUCATION WITH drug delivery devices
Education - instruction drug delivery devices 
Yes No n %
Have you guided patients to use the drug delivery devices? 95
20.6
366
79.4
Have you required patients to take medicines in front of you? 61
13.2
400
86.8
Have you demonstrated all the steps of using drug delivery devices for patients?
461
100
Source: Viet Nam National project for prevention and management of COPD and asthma

19. Kap about drugS for management of COPD
Question: List groups of drugs for treatment of COPD ?
Only 19.5% have 4 correct answers
Corticosteroids
Anticholinergic

20. ROUTES OF MedicATION FOR COPD
10.6% MD have 4 correct answers
57.6% MD have no correct answer

21. Conclusion
Majority of medical doctors did not fully understand the risk factors of COPD
14.8% of MD answered 3 correct spirometry indicators necessary for diagnosis of COPD
10% of MD answered 4 factors affecting Spirometry test results

22. Conclusion
Only 23.5% of MD answered correctly the staging of COPD according GOLD 2011
Only 14.3% of MD guided patients to use drug delivery devices in the prescription.
No MD described all steps of using drug delivery devices
There is lack of awareness and urgent need for education on diagnosis and management of COPD for Vietnamese medical doctors

23. Thank you for your attention