Research Article | | Peer-Reviewed

Adherence of Doctors to Diabetes Clinical Guidelines in Sudan

Received: 2 August 2024     Accepted: 3 September 2024     Published: 26 September 2024
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Abstract

Background: Adherence to the clinical guidelines improves patients’ outcome by providing evidence-based care. This study aimed to assess adherence of doctors to diabetes clinical guidelines in Sudan. Method: A descriptive cross-sectional study was conducted from November 2022 to April 2023 on a purposive convenience sample of 465 doctors. Doctors’ adherence to diabetes guidelines was measured through an online questionnaire. Data was analyzed using frequency tables. The Chi square test used to determine associations between categorized variables. All statistical tests were considered statistically significant when p value < 0.05. Results: Of the 465 respondents, 76.8% were familiar with diabetes clinical guidelines, 72.7% of them implement guidelines recommendations, but only 46.5% were following the updated guideline recommendations. Only 44.5% of the surveyed doctors were aware of the local Sudanese diabetes guidelines. lack of regular training programs (17.9%), service cost (16.0%) and patients factors (15.6%) were the most common barriers to the guideline implementation. The adherence rate was positively associated with the job title, p value = 0.001. Conclusion: The study indicated low implementation to the updated diabetes guidelines among Sudanese doctors. To improve guidelines adherence, the study recommends launching training programs and continuous doctors’ assessment, along with issuing regulations and policies to ensure the use of the updated guidelines. The national guidelines need be well disseminated and regularly updated. Regular clinical audit and establishing the clinical governance are required to improve guidelines implementation in Sudan.

Published in Journal of Family Medicine and Health Care (Volume 10, Issue 3)
DOI 10.11648/j.jfmhc.20241003.13
Page(s) 60-66
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Doctors, Diabetes, Clinical Guidelines, Adherence, Implementation, Sudan

References
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[6] Holt RI, DeVries JH, Hess-Fischl A, Hirsch IB, Kirkman MS, Klupa T, et al. The management of type 1 diabetes in adults. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes care. 2021; 44(11): 2589-625.
[7] Kassianos G. A summary of the National Institute for Health and Clinical Excellence (NICE) Clinical Guideline 66: the management of type 2 diabetes. Drugs in Context. 185-90.
[8] Maldonado-Valer T, Pareja-Mujica LF, Corcuera-Ciudad R, Terry-Escalante FA, Chevarría-Arriaga MJ, Vasquez-Hassinger T, et al. Prevalence of diabetic foot at risk of ulcer development and its components stratification according to the international working group on the diabetic foot (IWGDF): A systematic review with metanalysis. Plos one. 2023; 18(11): e0284054.
[9] Sudanese Diabetes Association: Internatinal Diabetes Fedration; 2024 Available from:
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Cite This Article
  • APA Style

    Abdelgadir, H. S., Magbol, M., Mohamed, M. S., Ibraheam, M. A., Abdelgadir, H. S., et al. (2024). Adherence of Doctors to Diabetes Clinical Guidelines in Sudan. Journal of Family Medicine and Health Care, 10(3), 60-66. https://doi.org/10.11648/j.jfmhc.20241003.13

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    ACS Style

    Abdelgadir, H. S.; Magbol, M.; Mohamed, M. S.; Ibraheam, M. A.; Abdelgadir, H. S., et al. Adherence of Doctors to Diabetes Clinical Guidelines in Sudan. J. Fam. Med. Health Care 2024, 10(3), 60-66. doi: 10.11648/j.jfmhc.20241003.13

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    AMA Style

    Abdelgadir HS, Magbol M, Mohamed MS, Ibraheam MA, Abdelgadir HS, et al. Adherence of Doctors to Diabetes Clinical Guidelines in Sudan. J Fam Med Health Care. 2024;10(3):60-66. doi: 10.11648/j.jfmhc.20241003.13

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  • @article{10.11648/j.jfmhc.20241003.13,
      author = {Hiba Salah Abdelgadir and Mustafa Magbol and Mogahid Salih Mohamed and Mohammed Ahmed Ibraheam and Hind Salah Abdelgadir and Mosab Abdelgader Ahmed},
      title = {Adherence of Doctors to Diabetes Clinical Guidelines in Sudan
    },
      journal = {Journal of Family Medicine and Health Care},
      volume = {10},
      number = {3},
      pages = {60-66},
      doi = {10.11648/j.jfmhc.20241003.13},
      url = {https://doi.org/10.11648/j.jfmhc.20241003.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20241003.13},
      abstract = {Background: Adherence to the clinical guidelines improves patients’ outcome by providing evidence-based care. This study aimed to assess adherence of doctors to diabetes clinical guidelines in Sudan. Method: A descriptive cross-sectional study was conducted from November 2022 to April 2023 on a purposive convenience sample of 465 doctors. Doctors’ adherence to diabetes guidelines was measured through an online questionnaire. Data was analyzed using frequency tables. The Chi square test used to determine associations between categorized variables. All statistical tests were considered statistically significant when p value Results: Of the 465 respondents, 76.8% were familiar with diabetes clinical guidelines, 72.7% of them implement guidelines recommendations, but only 46.5% were following the updated guideline recommendations. Only 44.5% of the surveyed doctors were aware of the local Sudanese diabetes guidelines. lack of regular training programs (17.9%), service cost (16.0%) and patients factors (15.6%) were the most common barriers to the guideline implementation. The adherence rate was positively associated with the job title, p value = 0.001. Conclusion: The study indicated low implementation to the updated diabetes guidelines among Sudanese doctors. To improve guidelines adherence, the study recommends launching training programs and continuous doctors’ assessment, along with issuing regulations and policies to ensure the use of the updated guidelines. The national guidelines need be well disseminated and regularly updated. Regular clinical audit and establishing the clinical governance are required to improve guidelines implementation in Sudan. 
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Adherence of Doctors to Diabetes Clinical Guidelines in Sudan
    
    AU  - Hiba Salah Abdelgadir
    AU  - Mustafa Magbol
    AU  - Mogahid Salih Mohamed
    AU  - Mohammed Ahmed Ibraheam
    AU  - Hind Salah Abdelgadir
    AU  - Mosab Abdelgader Ahmed
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    DO  - 10.11648/j.jfmhc.20241003.13
    T2  - Journal of Family Medicine and Health Care
    JF  - Journal of Family Medicine and Health Care
    JO  - Journal of Family Medicine and Health Care
    SP  - 60
    EP  - 66
    PB  - Science Publishing Group
    SN  - 2469-8342
    UR  - https://doi.org/10.11648/j.jfmhc.20241003.13
    AB  - Background: Adherence to the clinical guidelines improves patients’ outcome by providing evidence-based care. This study aimed to assess adherence of doctors to diabetes clinical guidelines in Sudan. Method: A descriptive cross-sectional study was conducted from November 2022 to April 2023 on a purposive convenience sample of 465 doctors. Doctors’ adherence to diabetes guidelines was measured through an online questionnaire. Data was analyzed using frequency tables. The Chi square test used to determine associations between categorized variables. All statistical tests were considered statistically significant when p value Results: Of the 465 respondents, 76.8% were familiar with diabetes clinical guidelines, 72.7% of them implement guidelines recommendations, but only 46.5% were following the updated guideline recommendations. Only 44.5% of the surveyed doctors were aware of the local Sudanese diabetes guidelines. lack of regular training programs (17.9%), service cost (16.0%) and patients factors (15.6%) were the most common barriers to the guideline implementation. The adherence rate was positively associated with the job title, p value = 0.001. Conclusion: The study indicated low implementation to the updated diabetes guidelines among Sudanese doctors. To improve guidelines adherence, the study recommends launching training programs and continuous doctors’ assessment, along with issuing regulations and policies to ensure the use of the updated guidelines. The national guidelines need be well disseminated and regularly updated. Regular clinical audit and establishing the clinical governance are required to improve guidelines implementation in Sudan. 
    
    VL  - 10
    IS  - 3
    ER  - 

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