Table 3.
Comparison between the knowledge of HCC guidelines and usual clinical practice among gastroenterologists
Questions | Clinical practice c/w guidelines | Correctly identify guidelines (Knowledge) | p value |
---|---|---|---|
Identify the high-risk group for HCC screening (answers) | 0.97 | ||
42-year-old Asian man, HBV carrier (Screen) | 82% | 76% | |
45-year-old Asian female, HBV carrier (Do not screen) | 22% | 32% | |
51-year-old cirrhotic male due to hemochromatosis (Screen) | 100% | 98% | |
44-year-old female with alcoholic cirrhosis (Screen) | 90% | 86% | |
45-year-old ex-alcoholic with normal liver (Do not screen) | 94% | 96% | |
50-year-old female with HCV cirrhosis, successfully treated (Screen) | 87% | 84% | |
Methods and duration of screening | 0.69 | ||
Use of alpha-fetoprotein and imaging for screening | 94% | 94% | |
Use of imaging alone for screening | 83% | 83% | |
Interval of screening | 98% | 98% | |
Identify recommended treatment strategy | |||
Child B cirrhotic with a single 2.5-cm mass in the liver with MRI features diagnostic of HCC (liver transplant/resection/ablation) | 73% | 69% | 0.3 |
p values show the difference in the knowledge and usual clinical practice