Mo1505 Meta-Analysis: Hepatocellular Carcinoma (HCC) Surveillance Adherence Rate (SAR) in High Risk Patients

Zhao, Changqing; Jin, Mingjuan; Le, Richard H.; Le, Michael; Jin, Michelle; Chen, Vincent; Wong, Grace L.H.; Wong, Vincent Wai‐Sun; Lim, Young-Suk; Chuang, Wan‐Long; Yu, Ming‐Lung; Nguyen, Mindie H.

doi:10.1016/s0016-5085(16)33827-6

Cited by 2 publications

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“…The adherence practice of HCC surveillance among high-risk chronic liver disease patients in our study was generally lower compared with those of other studies. 25 Several countries have engaged in nationwide systematic and active use of HCC surveillance programs, 26 but China Figure 3 Reasons for not performing HCC surveillance in primary health centers.…”

Section: Discussionmentioning

confidence: 99%

<p>Adherence to Hepatocellular Carcinoma Surveillance and Perceived Barriers Among High-Risk Chronic Liver Disease Patients in Yunnan, China</p>

Dai¹,

Zhao²,

Du³

et al. 2020

CMAR

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Background: Data concerning adherence to hepatocellular carcinoma (HCC) surveillance among chronic liver disease (CLD) patients at high risk of developing HCC in China are limited. We aimed to examine the relationship between HCC-related knowledge dimensions and adherence to HCC surveillance procedures among chronic liver disease patients at high risk of developing HCC and to identify potential barriers. Methods: A total of 380 patients with chronic liver disease at high risk of developing HCC were recruited between May and August 2018 to complete a survey during the first week of their first hospitalization at the Third People's Hospital of Kunming in China. We followed up each patient up to 7 months by telephone to confirm whether the patient returned to complete investigations for HCC surveillance. Patient's socio-demographic characteristics, HCC-related knowledge, and perceived barriers to HCC surveillance were measured using a structured questionnaire during their hospitalization. Factor analysis was performed on the knowledge questions to reduce the dimensions. Univariate and multivariate analyses were performed to examine the association between dimensions of HCC-related knowledge and patients' adherence to HCC surveillance. Results: A total of 327 eligible patients had been successfully contacted in the follow-up phase. Only a quarter of patients completed HCC surveillance within 7 months after their first admission to hospital. High costs and perceived poor test efficacy were the two major barriers for HCC surveillance. Three common factors were derived from the factor analysis of HCCrelated knowledge, namely, "Surveillance", "Lifestyle", and 'Prognosis'. Knowledge of HCC surveillance and lifestyle but not prognosis had an influence on adherence to HCC surveillance. Patients with better surveillance and lifestyle knowledge domain had better adherence to HCC surveillance. Conclusion: Adherence to HCC surveillance procedures is low in the study area. Closing the gap in HCC-related knowledge, particularly regarding surveillance and lifestyle, may help to increase adherence rates.

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Section: Discussionmentioning

confidence: 99%

<p>Adherence to Hepatocellular Carcinoma Surveillance and Perceived Barriers Among High-Risk Chronic Liver Disease Patients in Yunnan, China</p>

Dai¹,

Zhao²,

Du³

et al. 2020

CMAR

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“…25 A study consisting of patients with chronic HBV, conducted in the San Francisco Bay Area and composed of 92% Asian populations, found that patients with cirrhosis were more likely to have optimal HCC screening than patients without cirrhosis. 26 Furthermore, Zhao et al 23 found that cirrhotic patients had significantly higher surveillance adherence rates than patients with chronic HBV. These results support our finding that cirrhosis was a significant determinant for receiving routine screening.…”

Section: Discussionmentioning

confidence: 99%

Practice, Knowledge, and Barriers for Screening of Hepatocellular Carcinoma Among High-Risk Chinese Patients

Watanabe‐Galloway

Rochling

et al. 2017

Annals of Global Health

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Mo1505 Meta-Analysis: Hepatocellular Carcinoma (HCC) Surveillance Adherence Rate (SAR) in High Risk Patients

Cited by 2 publications

References 0 publications

<p>Adherence to Hepatocellular Carcinoma Surveillance and Perceived Barriers Among High-Risk Chronic Liver Disease Patients in Yunnan, China</p>

<p>Adherence to Hepatocellular Carcinoma Surveillance and Perceived Barriers Among High-Risk Chronic Liver Disease Patients in Yunnan, China</p>

Practice, Knowledge, and Barriers for Screening of Hepatocellular Carcinoma Among High-Risk Chinese Patients

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