Pharmacotherapy of arterial hypertension: assessment of knowledge levels among students and practicing physicians. Results of the PHYSTARH-II Project

Роман А. Бонцевич; Наргиза Ш. Косимова; Татьяна И. Чернядьева; Галина А. Батищева; Вера А. Невзорова; Оксана В. Цыганкова; Галина Г. Кетова; Галина Г. Прозорова; Ольга Г. Компаниец; Уланкуль М. Тилекеева; Гузель М. Биккинина; Елена В. Лучинина; Максим Л. Максимов

doi:10.18413/rrpharmacology.11.559

Авторы

Роман А. Бонцевич Марийский государственный университет; Казанская государственная медицинская академия https://orcid.org/0000-0002-9328-3905
Наргиза Ш. Косимова Марийский государственный университет https://orcid.org/0009-0007-7138-2113
Татьяна И. Чернядьева Марийский государственный университет https://orcid.org/0009-0004-4275-9645
Галина А. Батищева Воронежский государственный медицинский университет им. Н.Н. Бурденко https://orcid.org/0000-0002-4113-5206
Вера А. Невзорова Тихоокеанский государственный медицинский университет https://orcid.org/0000-0002-0117-0349
Оксана В. Цыганкова Новосибирский государственный медицинский университет; Научно-исследовательский институт терапии и профилактической терапии https://orcid.org/0000-0003-0207-7063
Галина Г. Кетова Южно-Уральский государственный медицинский университет https://orcid.org/0000-0002-4678-6841
Галина Г. Прозорова Воронежский государственный медицинский университет им. Н.Н. Бурденко https://orcid.org/0000-0001-8675-1590
Ольга Г. Компаниец Кубанский государственный медицинский университет https://orcid.org/0000-0001-9449-9241
Уланкуль М. Тилекеева Киргизская государственная медицинская академия https://orcid.org/0000-0002-8407-8248
Гузель М. Биккинина Башкирский государственный медицинский университет https://orcid.org/0000-0002-0116-5128
Елена В. Лучинина Саратовский государственный медицинский университет им. В.И. Разумовского https://orcid.org/0000-0002-3120-8491
Максим Л. Максимов Российская медицинская академия непрерывного профессионального образования (РМАНПО); Российский национальный исследовательский медицинский университет им. Н.И. Пирогова https://orcid.org/0000-0002-8979-8084

DOI:

https://doi.org/10.18413/rrpharmacology.11.559

Аннотация

Introduction: Arterial hypertension (AH) is a significant risk factor for cardiovascular diseases and premature mortality. The aim of the study: To assess the level of knowledge and cognizance of physicians and medical students in a field of pharmacotherapy of AH.

Materials and Methods: This article analyzes the second phase (2019-2023) of the PHYSTARH project, a multicenter anonymous survey involving 494 therapeutic physicians from 10 Russian cities/regions and 426 students from 10 Russian and Kyrgyz universities. Comparisons were made with the previous phase (2017-2019) of student and physician research. Statistical methods included descriptive statistics, Kolmogorov-Smirnov, U-Mann-Whitney, Kruskal-Wallis, Pearson correlation, median test, ANOVA, and regression analysis (p<0.05).

Results: The study revealed that the knowledge levels among both students and physicians is not sufficiently high. Moreover, some questions showed a fatally low level of knowledge. The average level of correct answers in the second part of the survey (LCA) was 44.9% for students and 53.5% for physicians. The LCA for students in the previous phase was 57.7%, while the LCA for physicians (2017-2019) in the second part of the survey was 60%.

Conclusion: The common level of knowledge base among students and physicians regarding key aspects of AH is insufficient. It is essential to implement additional educational programs to fill the recognized knowledge gaps. The results of studies highlight the necessity of improving educational programs for medical specialists in the field of arterial hypertension. The lowest correct answers rates were found in questions regarding the use of acetylsalicylic acid in patients with AH. The highest correct response rate was recorded for a question about selecting the optimal drug for managing uncomplicated hypertensive crises.

Графическая аннотация

Ключевые слова:

educational pharmacoepidemiology, multicenter study, pharmacoepidemiological cross-section of specialists’ knowledge, knowledge assessment, real-world knowledge, surveying, medication errors, safety of pharmacotherapy

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Вклад авторов

Роман А. Бонцевич, Марийский государственный университет; Казанская государственная медицинская академия

MD, PhD, physician, pulmonologist, clinical pharmacologist, Associate Professor of the Department of Internal Diseases No. 2 of Mari State University, Yoshkar-Ola, Russia; Associate Professor of the Department of Clinical Pharmacology and Pharmacotherapy of Kazan State Medical Academy – branch of the Russian Medical Academy of Continuous Professional Education, Kazan, Russia; e-mail: bontsevich@gmail.com; ORCID ID: https://orcid.org/0000-0002-9328-3905. Conceving the idea and being the project coordinator, the author analyzed the general results and provided the final conclusions, finalizing the article.

Наргиза Ш. Косимова, Марийский государственный университет

4^th year student of Mari State University; Yoshkar-Ola, Russia; e-mail: nargizakasymova288@gmail.com; ORCID ID: https://orcid.org/0009-0007-7138-2113. The author took part in the development and writing of the article, description and presentation of the results of the conducted research and statistics, was responsible for the translation of the article in English.

Татьяна И. Чернядьева, Марийский государственный университет

5^th year student of Mari State University; Yoshkar-Ola, Russia; e-mail: tchernyadjeva.t@yandex.ru; ORCID ID: https://orcid.org/0009-0004-4275-9645. The author took part in the development and writing of the article, description and presentation of the results of the conducted research and statistics.

Галина А. Батищева, Воронежский государственный медицинский университет им. Н.Н. Бурденко

MD, PhD, Associated Professor of Voronezh State Medical University named after N.N. Burdenko, Voronezh, Russia; e-mail: bat13@mail.ru; ORCID ID: https://orcid.org/0000-0002-4113-5206. The author was responsible for conducting the regional study in Voronezh.

Вера А. Невзорова, Тихоокеанский государственный медицинский университет

Dr. Sci. (Med.), Professor, Head of the Institute of Therapy and Instrumental Diagnostic, Pacific State Medical University; Vladivostok, Russia; e-mail: nevzorova@inbox.ru; ORCID ID: https://orcid.org/0000-0002-0117-0349. The author was responsible for conducting the regional study in Vladivostok and Primorsky Krai.

Оксана В. Цыганкова, Новосибирский государственный медицинский университет; Научно-исследовательский институт терапии и профилактической терапии

Sci. (Med.), Professor, Professor of the Department of Emergency Medicine with Endocrinology and Occupational Pathology of the Faculty of Continuing Education and Professional Retraining of Doctors, Novosibirsk State Medical University, Novosibirsk, Russia; Senior Researcher, Research Institute of Internal and Preventive Medicine, Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences, Novosibirsk, Russia; e-mail: oksana_c.nsk@mail.ru; ORCID ID: https://orcid.org/0000-0003-0207-7063. The author was responsible for conducting the regional study in Novosibirsk.

Галина Г. Кетова, Южно-Уральский государственный медицинский университет

Sci. (Med.), Professor, Professor of the Department of Outpatient Therapy and Clinical Pharmacology, South Ural State Medical University, Chelyabinsk, Russia; e-mail: galina_ketova@mail.ru; ORCID ID: https://orcid.org/0000-0002-4678-6841. The author was responsible for conducting the regional study in Chelyabinsk.

Галина Г. Прозорова, Воронежский государственный медицинский университет им. Н.Н. Бурденко

MD, PhD, Doctor of Medical Sciences, Professor of the Department of Therapeutic Disciplines of the Institute of Additional Education of Voronezh State Medical University named after N.N. Burdenko, Voronezh, Russia; e-mail: prozorovagg@gmail.com; ORCID ID: https://orcid.org/0000-0001-8675-1590. The author was responsible for conducting the regional study among doctors in Voronezh, Lipetsk and Tambov regions.

Ольга Г. Компаниец, Кубанский государственный медицинский университет

Sci. (Med.), Chief Clinical Pharmacologist of Krasnodar City, Associated Professor of the Department of Therapy No. 1, Kuban State Medical University, Krasnodar, Russia; e-mail: olga-kompaniets1@yandex.ru; ORCID ID: https://orcid.org/0000-0001-9449-9241. The author was responsible for conducting the regional study in Krasnodar, Adygea, and Rostov regions.

Уланкуль М. Тилекеева, Киргизская государственная медицинская академия

Sci. (Med.), Professor Head of the Department of Basic and Clinical Pharmacology, Kyrgyz State Medical Academy, Bishkek, Kyrgyz Republic; e-mail: ulangul@mail.ru; ORCID ID: https://orcid.org/0000-0002-8407-8248. The author was responsible for conducting the regional study in Kyrgyzstan (Bishkek).

Гузель М. Биккинина, Башкирский государственный медицинский университет

Sci. (Med.), Professor, The Department of Pharmacology with the Course of Clinical Pharmacology, Bashkir State Medical University, Ufa, Russia; e-mail: bikkinina.ru@mail.ru; ORCID ID: https://orcid.org/0000-0002-0116-5128. The author was responsible for conducting the regional study in Ufa.

Елена В. Лучинина, Саратовский государственный медицинский университет им. В.И. Разумовского

Cand. Sci. (Med.), Associated Professor of the Department of Clinical Pharmacology, Saratov State Medical University named after V.I.Razumovsky, Saratov, Russia; e-mail: ELuchinina@gmail.com; ORCID ID: https://orcid.org/0000-0002-3120-8491. The author was responsible for conducting the regional study in Saratov.

Максим Л. Максимов, Российская медицинская академия непрерывного профессионального образования (РМАНПО); Российский национальный исследовательский медицинский университет им. Н.И. Пирогова

Sci. (Med.), Professor, Head of the Department of Clinical Pharmacology and Pharmacotherapy, Kazan State Medical Academy – branch of the Russian Medical Academy of Continuing Professional Education, Kazan, Russia; Professor of the Department of Pharmacology of the Institute of Pharmacy and Medical Chemistry, Pirogov Russian National Research Medical University, Moscow, Russia; Dean of the Faculty of Preventive Medicine and Health Care Organization, Russian Medical Academy of Continuous Professional Education, Moscow, Russia; e-amil: maksim_maksimov@mail.ru; ORCID ID: https://orcid.org/0000-0002-8979-8084. The author was responsible for discussing the concept of the article and editing it.