Knowledge, Attitudes and Practices of Physicians on Diagnosis and Management of Diabetic Peripheral Neuropathy at the University of Santo Tomas Hospital

Background: Diabetic peripheral neuropathy (DPN) is a prevalent chronic complication of diabetes, resulting in significant morbidity and mortality. Despite its impact, DPN remains an underdiagnosed and undertreated entity, further underscoring the need for improved physician awareness and timely intervention. Objective: The study aimed to determine physicians' knowledge, attitudes and practices (KAP) in the diagnosis and management of DPN and the association between knowledge and attitude to practice. Methodology: This was a cross-sectional study involving 211 physicians from the University of Santo Tomas Hospital (USTH). Chi-square test was employed to compare physician characteristics based on KAP. The association of knowledge and attitude with practice regarding DPN was analyzed using multiple logistic regression analysis. Result: Median knowledge level was 81.3%, indicating good knowledge on DPN diagnosis and management. Most had favorable attitude and reported appropriate practice. Only attitude was shown to be significantly associated with practice. Conclusion: Despite good knowledge about DPN, attitude was the only key influencer on appropriate practice. Enhancing positive attitudes in screening and management is essential to improve patient care and outcomes.