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Correspondence to Author: Ibrahim Hamat ¹ , Djibrine Mahamat Djibrine ¹ , Haoua Youssouf Said ¹ , Charfadine Senoussi ¹ , Djibril Youssouf ¹ , Nassima Hissein ¹ , Yakhoub Hissein ¹ , Maimouna Abdelhamid ¹ , Mbainodji Dakole Jeremie ¹ , Hurbain Houba Dalah ² , Allamine Adjougoulta ² , Habiba Affadine ³ , Oumar Abba ³ , Désiré Daboulaye Allahsayim ³. 

1. Nephrology and Hemodialysis Department, National Reference University Hospital, N’Djamena, CHAD
2. Cardiology Department, National Reference University Hospital, N’Djamena, CHAD
3. Endocrinology and Diabetes Department, National Reference University Hospital, N’Djamena, CHAD

DOI: 10.52338/tajokd.2025.5257

Abstract:

Introduction: The objective of our study was to determine the knowledge and attitudes of non-nephrologist physicians regarding CKD in N’Djamena (Chad).
Patients and methods: This was a survey conducted over a period of one (1) month, from October 1, 2020, to November 1, 2020. All nonnephrologist physicians practicing in public and private health facilities in the city of N’Djamena who consented to participate in the study were included.
Results:General practitioners accounted for 66.3% of the doctors and 82.2% worked in the public sector. Seventy-four percent (74%) of doctors reported difficulties in defining chronic kidney disease. Sixty-nine percent (69%) of doctors knew how to use urine strips to screen for CKD. Only 8% of physicians reported requesting serum creatinine to estimate GFR for assessing kidney function. The majority of physicians estimated GFR using the Cockcroft-Gault method (88%), while only 33% of physicians used the MDRD method. The majority of physicians recognized that hypertension is a risk factor for CKD in 80% of cases. However, diabetes was mentioned by only 49% of them. The main renal complications identified by physicians were anuria and uremic syndrome in 79.2% and 72.3% of cases, respectively, while hyperkalemia and anemia were identified in only 48.5% and 32.7% of cases, respectively. Sixty-two percent (62%) of doctors referred patients to a nephrologist before stage 3B CKD
Conclusion: General practitioners and non-nephrologist specialists lacked general knowledge about CKD, particularly its definition. They also had inadequate attitudes regarding diagnosis and referral to nephrologists. Educational efforts are warranted to improve physicians’ knowledge and skills regarding CKD in Chad.

Keywords: Chronic kidney disease, non-nephrologist physicians, knowledge, attitudes, N’Djamena, Chad..

Citation:

Dr.Ibrahim Hamat, Knowledge And Attitudes Of Non-Nephrologists About Chronic Kidney Disease In N’djamena (Chad). The American Journal of Kidney Diseases 2025.