TY - JOUR T1 - Knowledge and attitudes regarding care of leg ulcers. Survey of family physicians. JF - Canadian Family Physician JO - Can Fam Physician SP - 896 LP - 902 VL - 49 IS - 7 AU - Ian D Graham AU - Margaret B Harrison AU - Mona Shafey AU - David Keast Y1 - 2003/07/01 UR - http://www.cfp.ca/content/49/7/896.abstract N2 - OBJECTIVE To determine family physicians' perceptions of and attitudes toward leg ulcer care and awareness of effective treatments for venous leg ulcers. DESIGN Self-administered, cross-sectional faxed and mailed survey. SETTING Ottawa-Carleton, Ont. PARTICIPANTS All physicians in the region who were members of the College of Family Physicians of Canada. RESULTS Response rate was 62%. During 1 month, 107 physicians reported having 226 patients with leg ulcers; only a few patients had had ultrasound assessment. Few physicians (16%) were confident about managing leg ulcers; 61% reported not knowing enough about wound-care products. More than 50% were unaware that compression is effective treatment for venous ulcers. Problems reported were lack of evidence-based clinical practice guidelines for leg ulcer care (82%); absence of evidence-based protocols in home-care agencies (72%); lack of access to wound-care products (69%) and wound-care centres (66%); and poor communication among health care workers (60%). CONCLUSION Better access to diagnostic assessments and use of compression therapy for venous leg ulcers would improve care. ER -