Case Study Based Survey


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Case Study Based Survey

  1. 1. Case Study Based Survey
  2. 2. Survey500 Doctors (Multiple Specialty)OnlineDoctors RepublicNational RepresentationStrategic FocusPresenting a case to assess thegeneral perception, understand themethodology of treating adisease, importance of invasivetesting and its availability.
  3. 3. Regional RepresentationTotal : 500 Doctors (Multiple Specialty)
  4. 4. Why Multiple Specialty of Doctors ? Anesthetist Pediatrician Cardiac Surgeon Pulmonologist Family Physician Surgeon Holistic View from experience of multiple specialty doctors. Close quarters with Patients with pulmonary diseases. Professionally developed identity on Pulmonary Disease Management & Advice.
  5. 5. Case Study A 48-years old non-smoker male patient presented with cough and breathlessness since 6 weeks. His baseline test were normal. He didnt 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.
  6. 6. A Diagnostic Thoracoscopy wasplanned.Biopsy revealed MetastaticAdenocarcinoma of lung.He was thereafter put onchemotherapy.
  7. 7. Questionnaire
  8. 8. Have you ever come across such a case ?100%80%60%40% 76%20% 24% 0% No Yes Only 24% of the Doctors have ever come across such a case.
  9. 9. Have you ever given empirical ATT (anti- tubercular treatment) without histological/microbiological evidence ? 93% 83% 73% 63% 53% 43% No Yes 53% of the Doctors has given empirical ATT without histological/microbiological evidence.
  10. 10. Do you feel the need for early invasive testing before starting ATT ?70%60%50%40%30% 67%20% 33%10%0% No Yes 67% of the Doctors prefer early invasive testing before starting ATT.
  11. 11. Is the high percentage of advanced lung cancer in our country can be attributed to the use of empirical ATT use ? 54% 52% 50% 48% 53% 46% 44% 47% 42% No Yes Only 53% not feel that high percentage of advanced lung cancer is attributed to use of ATT in patients.
  12. 12. Is it cost effective to use invasive testingfor tuberculosis in a region like our which is almost endemic for tuberculosis ? 70% 60% 50% 40% 30% 67% 20% 33% 10% 0% No Yes Over 67% of the Doctors feel invasive testing is not cost effective in our country as TB is in endemic proportions.
  13. 13. Do you have a competent surgeonaround you who is capable to do such advanced procedure like this ?60%50%40%30% 57%20% 43%10% 0% No Yes Only 43% of the Doctors feel there is a trained and competent surgeon in their vicinity.
  14. 14. Are you willing to subject your patient toinvasive testing, probably requiring general anesthesia for confirming tuberculosis ? 60% 50% 40% 30% 57% 20% 43% 10% 0% No Yes Only 57% of the Doctors are willing to subject patient invasive testing for confirming TB.
  15. 15. SUMMARY53% of the Doctors has given empirical ATT withouthistological/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 costeffective in our country as TB is in endemic proportions.Only 43% of the Doctors feel there are trained and competentsurgeons in their vicinity.100% of the Doctors believe that empirical ATT in primaryreason of emergence of MDR.Doctors believe & stand United ( 100%) in the belief that more scientificworkshops, conferences, newer adoption of scientific technology is required tostrengthen the chest physician and thoracic surgeon community.
  16. 16. THANKS !!The Survey findings & data collected are copyright of Doctors Republic & Pneumocon 2012. Itshould not be reproduced or used without permission. For any questions , please send an emailto