Table 2. Preferences on the type of stents for resectable and unresectable MDBO based on the type of practice environment.

Type of stent	Resectable MDBO		P value	Unresectable MDBO		P value
	Academic	Community		Academic	Community
Plastic, n (%)	52 (36.6)	143 (75.7)	< 0.001	6 (4.2)	2 (1)	NS
PC-SEMS, n (%)	4 (2.8)	6 (3.2)	NS	15 (10.4)	58 (30.4)	< 0.001
FC-SEMS, n (%)	58 (40.8)	36 (19)	< 0.001	38 (26.4)	90 (47.1)	< 0.001
U-SEMS, n (%)	28 (19.7)	4 (2.1)	< 0.001	85 (59)	41 (21.5)	< 0.001

MDBO, malignant distal biliary obstruction; PC-SEMS, partially covered self-expandable metal stents; FC, fully-covered; U, uncovered; NS, not significant.