case study based survey
TRANSCRIPT
Case Study Based Survey
Survey
500 Doctors (Multiple Specialty)
Online
Doctors Republic
National Representation
Strategic Focus
Presenting a case to assess the
general perception, understand the
methodology of treating a
disease, importance of invasive
testing and its availability.
Regional Representation
Total : 500 Doctors (Multiple Specialty)
Why Multiple Specialty of Doctors ?
Holistic View from experience of multiple specialty
doctors.
Close quarters with Patients with pulmonary diseases.
Professionally developed identity on Pulmonary Disease
Management & Advice.
Anesthetist
Pediatrician
Cardiac Surgeon
Pulmonologist
Family Physician
Surgeon
Case Study
A 48-years old non-smoker male
patient presented with cough and
breathlessness since 6 weeks. His
baseline test were normal. He didn't
respond to a week course of
antibiotics. He was thereafter put on
Empirical Anti-tubercular Therapy.
Even after 3 months of ATT, with
no or little improvement in his
condition, he developed Pleural
Effusion.
A Diagnostic Thoracoscopy was
planned.
Biopsy revealed Metastatic
Adenocarcinoma of lung.
He was thereafter put on
chemotherapy.
Questionnaire
Have you ever come across
such a case ?
76%
24%
0%
20%
40%
60%
80%
100%
'No 'Yes
Only 24% of the Doctors have
ever come across such a case.
Have you ever given empirical ATT (anti-
tubercular treatment) without
histological/microbiological evidence ?
43%
53%
63%
73%
83%
93%
'No 'Yes
53% of the Doctors has given
empirical ATT without
histological/microbiological evidence.
Do you feel the need for early
invasive testing before
starting ATT ?
33%
67%
0%
10%
20%
30%
40%
50%
60%
70%
'No 'Yes
67% of the Doctors prefer early
invasive testing before starting ATT.
Is the high percentage of advanced lung
cancer in our country can be attributed
to the use of empirical ATT use ?
53%
47%
42%
44%
46%
48%
50%
52%
54%
'No 'Yes
Only 53% not feel that high
percentage of advanced lung cancer
is attributed to use of ATT in patients.
Is it cost effective to use invasive testing
for tuberculosis in a region like our which
is almost endemic for tuberculosis ?
67%
33%
0%
10%
20%
30%
40%
50%
60%
70%
'No 'Yes
Over 67% of the Doctors feel invasive
testing is not cost effective in our country as
TB is in endemic proportions.
Do you have a competent surgeon
around you who is capable to do such
advanced procedure like this ?
43%57%
0%
10%
20%
30%
40%
50%
60%
'No 'Yes
Only 43% of the Doctors feel there is a
trained and competent surgeon in their vicinity.
Are you willing to subject your patient to
invasive testing, probably requiring general
anesthesia for confirming tuberculosis ?
43%
57%
0%
10%
20%
30%
40%
50%
60%
'No 'Yes
Only 57% of the Doctors are willing to
subject patient invasive testing for
confirming TB.
SUMMARY
53% of the Doctors has given empirical ATT without histological/microbiological evidence.
Over 80% of the Doctors feel early diagnostic thoracoscopycan make a difference in pulmonary cases.
Over 67% of the Doctors feel invasive testing is not cost effective in our country as TB is in endemic proportions.
Only 43% of the Doctors feel there are trained and competent surgeons in their vicinity.
100% of the Doctors believe that empirical ATT in primary reason of emergence of MDR.
Doctors believe & stand United ( 100%) in the belief that more scientific workshops, conferences, newer adoption of scientific technology is required to strengthen the chest physician and thoracic surgeon community.
THANKS !!
The Survey findings & data collected are copyright of Doctors Republic & Pneumocon 2012. It
should not be reproduced or used without permission. For any questions , please send an email