Adherence to guidelines for natriuretic peptide testing in heart failure: a nationwide survey of healthcare professionals in Vietnam
Objectives This study aimed to determine doctors’ level of adherence to the natriuretic peptide testing guideline and to identify the factors influencing their adherence.Design Cross-sectional study.Setting Web-based survey.Participants Full-time doctors involved in heart failure (HF) treatment in V...
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| Format: | Article |
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/1/e090658.full |
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| author | Thanh Huong Truong Doan-Loi Do Ngoc-Thanh Kim Nguyen-Son Pham Quynh-Nga Vu Anh-Tien Hoang Van-Sy Hoang Minh-Tuan Pham Phuong-Anh Nguyen The-Anh Le Ngoc-Anh Thi Tran Thanh-An Le Tien-Binh Khong Diem Thi Nguyen Dung Van Le The-Dung Bui Hai-Ha Thi Tran Gia-Hoang Le Huy-Loi Nguyen Kieu-Ly Thi Nguyen Minh-Ly Thi Nguyen Thao-Nguyen Phan Quoc-Oai Vu Dinh-Phong Phan Phuoc Van Ho Duy-Phuong Dang Nhat-Quy Cu Quang-Tao Ha Thoa Thi Nguyen Minh-Thu Vu Tran Xuan-Thu Do Minh-Tri Huu Bui Thanh-Trung Thi Nguyen |
| author_facet | Thanh Huong Truong Doan-Loi Do Ngoc-Thanh Kim Nguyen-Son Pham Quynh-Nga Vu Anh-Tien Hoang Van-Sy Hoang Minh-Tuan Pham Phuong-Anh Nguyen The-Anh Le Ngoc-Anh Thi Tran Thanh-An Le Tien-Binh Khong Diem Thi Nguyen Dung Van Le The-Dung Bui Hai-Ha Thi Tran Gia-Hoang Le Huy-Loi Nguyen Kieu-Ly Thi Nguyen Minh-Ly Thi Nguyen Thao-Nguyen Phan Quoc-Oai Vu Dinh-Phong Phan Phuoc Van Ho Duy-Phuong Dang Nhat-Quy Cu Quang-Tao Ha Thoa Thi Nguyen Minh-Thu Vu Tran Xuan-Thu Do Minh-Tri Huu Bui Thanh-Trung Thi Nguyen |
| collection | DOAJ |
| description | Objectives This study aimed to determine doctors’ level of adherence to the natriuretic peptide testing guideline and to identify the factors influencing their adherence.Design Cross-sectional study.Setting Web-based survey.Participants Full-time doctors involved in heart failure (HF) treatment in Vietnam.Primary and secondary outcome measures Doctors using natriuretic peptide testing for diagnosis, differential diagnosis, treatment assessment and prognosis of patients with HF were classified as adhering to the guidelines. We assessed the practice of natriuretic peptide testing and stratified the doctors based on their professional qualifications. Univariate and multivariate logistic regression analyses were used to estimate the Odds Ratio (ORs) and 95% CIs for associations between guideline adherence and selected covariates.Results Over half of the participants adhered to the natriuretic peptide testing guidelines (57.4%). Cardiologists adhered more closely to the guidelines than other professionals; they had approximately four times higher odds of adherence than other doctors (univariate model, OR: 3.88, 95% CI: 2.56 to 5.89, p<0.001; multivariate model, OR: 4.24, 95% CI: 2.64 to 6.82, p<0.001). Cardiologists also had significantly higher rates of using natriuretic peptide testing for diagnosis (93.8% vs 84.1%, p<0.002), differential diagnosis (71.4% vs 53.5%, p<0.001), treatment assessment (87% vs 64.2%, p<0.001) and prognosis (68.2% vs 50.4%, p<0.001) than other professionals. More years of professional experience correlated with higher guideline adherence (<2 years was used as a reference point; >5 to <10 years, OR: 2.59, 95% CI: 1.45 to 4.60, p<0.001; ≥10 years, OR: 2.30, 95% CI: 1.30 to 4.09, p<0.004).Conclusion The level of adherence to natriuretic peptide testing guidelines among doctors treating patients with HF varies across Vietnam. Targeted interventions are needed to enhance understanding and proficiency, especially among non-cardiologists and those with limited experience. A dedicated fact sheet focusing on natriuretic peptide testing in HF management, separate from the existing guidelines, could bridge this gap. |
| format | Article |
| id | doaj-art-bba58a3b964a49dabb5008dfee1876a3 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-bba58a3b964a49dabb5008dfee1876a32025-08-20T01:48:21ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-090658Adherence to guidelines for natriuretic peptide testing in heart failure: a nationwide survey of healthcare professionals in Vietnam Thanh Huong Truong0Doan-Loi Do1Ngoc-Thanh Kim2Nguyen-Son PhamQuynh-Nga VuAnh-Tien HoangVan-Sy HoangMinh-Tuan PhamPhuong-Anh NguyenThe-Anh LeNgoc-Anh Thi TranThanh-An LeTien-Binh KhongDiem Thi NguyenDung Van LeThe-Dung BuiHai-Ha Thi TranGia-Hoang LeHuy-Loi NguyenKieu-Ly Thi NguyenMinh-Ly Thi NguyenThao-Nguyen PhanQuoc-Oai VuDinh-Phong PhanPhuoc Van HoDuy-Phuong DangNhat-Quy CuQuang-Tao HaThoa Thi NguyenMinh-Thu Vu TranXuan-Thu DoMinh-Tri Huu BuiThanh-Trung Thi Nguyen3 Faculty of Medicine, Phenikaa University, Hanoi, Viet Nam1 Department of Cardiology, Hanoi Medical University, Hanoi, Viet Nam1 Department of Cardiology, Hanoi Medical University, Hanoi, Viet NamObjectives This study aimed to determine doctors’ level of adherence to the natriuretic peptide testing guideline and to identify the factors influencing their adherence.Design Cross-sectional study.Setting Web-based survey.Participants Full-time doctors involved in heart failure (HF) treatment in Vietnam.Primary and secondary outcome measures Doctors using natriuretic peptide testing for diagnosis, differential diagnosis, treatment assessment and prognosis of patients with HF were classified as adhering to the guidelines. We assessed the practice of natriuretic peptide testing and stratified the doctors based on their professional qualifications. Univariate and multivariate logistic regression analyses were used to estimate the Odds Ratio (ORs) and 95% CIs for associations between guideline adherence and selected covariates.Results Over half of the participants adhered to the natriuretic peptide testing guidelines (57.4%). Cardiologists adhered more closely to the guidelines than other professionals; they had approximately four times higher odds of adherence than other doctors (univariate model, OR: 3.88, 95% CI: 2.56 to 5.89, p<0.001; multivariate model, OR: 4.24, 95% CI: 2.64 to 6.82, p<0.001). Cardiologists also had significantly higher rates of using natriuretic peptide testing for diagnosis (93.8% vs 84.1%, p<0.002), differential diagnosis (71.4% vs 53.5%, p<0.001), treatment assessment (87% vs 64.2%, p<0.001) and prognosis (68.2% vs 50.4%, p<0.001) than other professionals. More years of professional experience correlated with higher guideline adherence (<2 years was used as a reference point; >5 to <10 years, OR: 2.59, 95% CI: 1.45 to 4.60, p<0.001; ≥10 years, OR: 2.30, 95% CI: 1.30 to 4.09, p<0.004).Conclusion The level of adherence to natriuretic peptide testing guidelines among doctors treating patients with HF varies across Vietnam. Targeted interventions are needed to enhance understanding and proficiency, especially among non-cardiologists and those with limited experience. A dedicated fact sheet focusing on natriuretic peptide testing in HF management, separate from the existing guidelines, could bridge this gap.https://bmjopen.bmj.com/content/15/1/e090658.full |
| spellingShingle | Thanh Huong Truong Doan-Loi Do Ngoc-Thanh Kim Nguyen-Son Pham Quynh-Nga Vu Anh-Tien Hoang Van-Sy Hoang Minh-Tuan Pham Phuong-Anh Nguyen The-Anh Le Ngoc-Anh Thi Tran Thanh-An Le Tien-Binh Khong Diem Thi Nguyen Dung Van Le The-Dung Bui Hai-Ha Thi Tran Gia-Hoang Le Huy-Loi Nguyen Kieu-Ly Thi Nguyen Minh-Ly Thi Nguyen Thao-Nguyen Phan Quoc-Oai Vu Dinh-Phong Phan Phuoc Van Ho Duy-Phuong Dang Nhat-Quy Cu Quang-Tao Ha Thoa Thi Nguyen Minh-Thu Vu Tran Xuan-Thu Do Minh-Tri Huu Bui Thanh-Trung Thi Nguyen Adherence to guidelines for natriuretic peptide testing in heart failure: a nationwide survey of healthcare professionals in Vietnam BMJ Open |
| title | Adherence to guidelines for natriuretic peptide testing in heart failure: a nationwide survey of healthcare professionals in Vietnam |
| title_full | Adherence to guidelines for natriuretic peptide testing in heart failure: a nationwide survey of healthcare professionals in Vietnam |
| title_fullStr | Adherence to guidelines for natriuretic peptide testing in heart failure: a nationwide survey of healthcare professionals in Vietnam |
| title_full_unstemmed | Adherence to guidelines for natriuretic peptide testing in heart failure: a nationwide survey of healthcare professionals in Vietnam |
| title_short | Adherence to guidelines for natriuretic peptide testing in heart failure: a nationwide survey of healthcare professionals in Vietnam |
| title_sort | adherence to guidelines for natriuretic peptide testing in heart failure a nationwide survey of healthcare professionals in vietnam |
| url | https://bmjopen.bmj.com/content/15/1/e090658.full |
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