The aim of the survey was to introduce knowledge of HPV's
role in head and neck pathologies to general physicians (GPs),
otorhinolaryngologists (ENTs) and newly graduated doctors, as well as to
promote HPV-related diseases prevention.
Self-designed questionnaire was sent to 2100 doctors. A
total of 404 doctors, including 144 ENTs, 192 GPs and 68 trainees, responded.
The majority of ENTs (86.8%) had contact with recurrent
respiratory papillomatosis (RRP) and oropharyngeal cancers (OPCs) patients; in
contrast, the majority of GPs (55.7%) did not (p = 0.00). The knowledge of HPV
aetiology of cervical cancer versus OPCs and RRP was statistically higher. 7%
of ENTs, 20% of GPs and 10% of trainees had not heard about HPV in
oropharyngeal diseases. Women had greater knowledge than men. Both in the group
of GPs and ENTs, 100% of respondents had heard about the impact of vaccination
on the reduction of cervical cancer incidence. Only 39.11% of respondents had
heard about the possibility of using vaccination against HPV in RRP—ENT doctors
significantly more often than GPs and trainees (p = 0.00). Only 28.96% of
physicians had heard about the potential value of HPV vaccination in preventing
OPCs, including 44.44% of ENT doctors, 23.44% of GPs and 11.76% of trainees (p
= 0.00). The doctors from district hospitals showed lower level of knowledge
compared with clinicians (p = 0.04).
The different levels of knowledge and awareness of HPV
issues highlight the need for targeted awareness strategies in Poland with
implementation of HPV testing and vaccination. The information should be
accessible especially to those with lower education levels: ENTs from small,
provincial wards, GPs from cities of < 200 000 inhabitants and older
physicians. The incorporation of HPV issues into the studies curriculum would
be fruitful in terms of improving the knowledge of trainees.
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By:
Joanna Jackowska, Anna Bartochowska, Maciej Tokarski,
Małgorzata Wierzbicka
Department of Otolaryngology,
Head and Neck Surgery, University of Medical Sciences, Poznan, Poland
Michał Karlik
Department of Phoniatrics and
Audiology, University of Medical Sciences, Poznan, Poland
Mateusz Wichtowski
Oncological Surgery Ward I,
Greater Poland Cancer Center, Poznan, Poland
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