• Ivan Cherrez Ojeda, Donna B Jeffe, Thomas Guerrero, Ronnie Mantilla, Ilka Santoro, Gustavo Gabino, Juan C Calderon, Fernan Caballero, Jose Mori, and Annia Cherrez.
• Respiralab Research Center Kennedy Hospital, Guayaquil, Ecuador. Electronic address: icherrez@yahoo.com.
• Sleep Med. 2013 Oct 1; 14 (10): 973-7.

ObjectivesWe aimed to evaluate Latin American primary care physicians' knowledge and attitudes about obstructive sleep apnea (OSA) using a Spanish-language version of the OSA Knowledge and Attitudes (OSAKA) questionnaire and to evaluate its psychometric properties.MethodsWe used a cross-sectional survey of general practice physicians in Ecuador, Peru, and Venezuela who completed the Spanish-language version OSAKA questionnaire.ResultsOf 684 primary care physicians surveyed, 367 (65%) responded (mean age, 45 years; range, 21-75 years). Mean total knowledge (proportion of 18 items correctly answered) was 60% (range, 0-100%). Less than half of physicians correctly answered the questions about the association between OSA and hypertension. We found no significant differences in overall knowledge in gender or time since graduation (< or =5 years vs. >5 years). Although 73.5% of the physicians felt confident in identifying patients at risk for OSA, only 35.4% felt confident in managing those patients and 22.1% felt confident in managing patients with continuous positive airway pressure (CPAP) therapy. The Spanish-language version of the OSAKA questionnaire had comparable psychometric properties to the English-language version.ConclusionsThis Spanish-language version of the OSAKA yielded considerable variance in Spanish-speaking physicians' knowledge about OSA and confidence in identifying and managing patients with OSA. Focused OSA education for Latin American general physicians is needed.Copyright © 2013 Elsevier B.V. All rights reserved.

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