Recognition and attitudes of Korean physicians toward fecal microbiota transplantation: a survey study

Background/Aims Fecal microbiota transplantation (FMT) represents a treatment option for recurrent Clostridioides difficile infection (CDI). Recently, FMT has been investigated in various clinical settings other than CDI. This study examined Korean physicians’ recognition of FMT and their attitudes...

Full description

Bibliographic Details
Main Authors: Tae-Geun Gweon, Yoo Jin Lee, Sung Kyun Yim, Seung Yong Kim, Chang Hwan Choi, Young-Seok Cho
Format: Article
Language:English
Published: The Korean Association of Internal Medicine 2023-01-01
Series:The Korean Journal of Internal Medicine
Subjects:
Online Access:http://kjim.org/upload/pdf/kjim-2022-206.pdf
_version_ 1797962558335877120
author Tae-Geun Gweon
Yoo Jin Lee
Sung Kyun Yim
Seung Yong Kim
Chang Hwan Choi
Young-Seok Cho
author_facet Tae-Geun Gweon
Yoo Jin Lee
Sung Kyun Yim
Seung Yong Kim
Chang Hwan Choi
Young-Seok Cho
author_sort Tae-Geun Gweon
collection DOAJ
description Background/Aims Fecal microbiota transplantation (FMT) represents a treatment option for recurrent Clostridioides difficile infection (CDI). Recently, FMT has been investigated in various clinical settings other than CDI. This study examined Korean physicians’ recognition of FMT and their attitudes toward this procedure Methods An online questionnaire included questions on indications for FMT, the FMT process, physicians’ attitudes toward FMT for the treatment of CDI and non-CDI diseases, and possible concerns. Results Finally, 107 physicians responded to this survey: 66 (61.7%) had experience of performing FMT, and 86 (80.4%) replied that they were willing to perform FMT for CDI. Two-thirds of physicians (63.6%, n = 68) would perform FMT for recurrent CDI on patients who had at least three recurrences. The most common obstacle to performing FMT for the treatment of CDI was the lack of regulations or guidelines (55.1%, n = 59). Seventy-seven (72.0%) physicians would consider FMT for non-CDI diseases when conventional treatment had failed. The most common obstacle for FMT for the treatment of non-CDI diseases was low treatment efficacy (57.0%, n = 61). Conclusions Two-thirds of Korean physicians had experience of performing FMT, and many performed FMT for recurrent CDI. The results of this study will prove useful to researchers and practitioners in FMT in Korea.
first_indexed 2024-04-11T01:15:03Z
format Article
id doaj.art-448af108129d49898ba985457324c408
institution Directory Open Access Journal
issn 1226-3303
2005-6648
language English
last_indexed 2024-04-11T01:15:03Z
publishDate 2023-01-01
publisher The Korean Association of Internal Medicine
record_format Article
series The Korean Journal of Internal Medicine
spelling doaj.art-448af108129d49898ba985457324c4082023-01-04T03:50:21ZengThe Korean Association of Internal MedicineThe Korean Journal of Internal Medicine1226-33032005-66482023-01-01381485510.3904/kjim.2022.206170744Recognition and attitudes of Korean physicians toward fecal microbiota transplantation: a survey studyTae-Geun Gweon0Yoo Jin Lee1Sung Kyun Yim2Seung Yong Kim3Chang Hwan Choi4Young-Seok Cho5 Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea Division of Gastroenterology and Hepatology, Department of Internal Medicine, Jeonbuk National University Hospital, Jeonbuk National University Medical School, Jeonju, Korea Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea Division of Gastroenterology and Hepatology, Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaBackground/Aims Fecal microbiota transplantation (FMT) represents a treatment option for recurrent Clostridioides difficile infection (CDI). Recently, FMT has been investigated in various clinical settings other than CDI. This study examined Korean physicians’ recognition of FMT and their attitudes toward this procedure Methods An online questionnaire included questions on indications for FMT, the FMT process, physicians’ attitudes toward FMT for the treatment of CDI and non-CDI diseases, and possible concerns. Results Finally, 107 physicians responded to this survey: 66 (61.7%) had experience of performing FMT, and 86 (80.4%) replied that they were willing to perform FMT for CDI. Two-thirds of physicians (63.6%, n = 68) would perform FMT for recurrent CDI on patients who had at least three recurrences. The most common obstacle to performing FMT for the treatment of CDI was the lack of regulations or guidelines (55.1%, n = 59). Seventy-seven (72.0%) physicians would consider FMT for non-CDI diseases when conventional treatment had failed. The most common obstacle for FMT for the treatment of non-CDI diseases was low treatment efficacy (57.0%, n = 61). Conclusions Two-thirds of Korean physicians had experience of performing FMT, and many performed FMT for recurrent CDI. The results of this study will prove useful to researchers and practitioners in FMT in Korea.http://kjim.org/upload/pdf/kjim-2022-206.pdffecal microbiota transplantationclostridioides difficile infectionsurveys and questionnaires
spellingShingle Tae-Geun Gweon
Yoo Jin Lee
Sung Kyun Yim
Seung Yong Kim
Chang Hwan Choi
Young-Seok Cho
Recognition and attitudes of Korean physicians toward fecal microbiota transplantation: a survey study
The Korean Journal of Internal Medicine
fecal microbiota transplantation
clostridioides difficile infection
surveys and questionnaires
title Recognition and attitudes of Korean physicians toward fecal microbiota transplantation: a survey study
title_full Recognition and attitudes of Korean physicians toward fecal microbiota transplantation: a survey study
title_fullStr Recognition and attitudes of Korean physicians toward fecal microbiota transplantation: a survey study
title_full_unstemmed Recognition and attitudes of Korean physicians toward fecal microbiota transplantation: a survey study
title_short Recognition and attitudes of Korean physicians toward fecal microbiota transplantation: a survey study
title_sort recognition and attitudes of korean physicians toward fecal microbiota transplantation a survey study
topic fecal microbiota transplantation
clostridioides difficile infection
surveys and questionnaires
url http://kjim.org/upload/pdf/kjim-2022-206.pdf
work_keys_str_mv AT taegeungweon recognitionandattitudesofkoreanphysicianstowardfecalmicrobiotatransplantationasurveystudy
AT yoojinlee recognitionandattitudesofkoreanphysicianstowardfecalmicrobiotatransplantationasurveystudy
AT sungkyunyim recognitionandattitudesofkoreanphysicianstowardfecalmicrobiotatransplantationasurveystudy
AT seungyongkim recognitionandattitudesofkoreanphysicianstowardfecalmicrobiotatransplantationasurveystudy
AT changhwanchoi recognitionandattitudesofkoreanphysicianstowardfecalmicrobiotatransplantationasurveystudy
AT youngseokcho recognitionandattitudesofkoreanphysicianstowardfecalmicrobiotatransplantationasurveystudy