Clinico-Psychosocial Factors Predicting Hepatocellular Carcinoma Related Knowledge Among Patients with Chronic Liver Dis
- PDF / 314,540 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 19 Downloads / 181 Views
ORIGINAL RESEARCH PAPER
Clinico-Psychosocial Factors Predicting Hepatocellular Carcinoma Related Knowledge Among Patients with Chronic Liver Disease Jingyi Dai 1,2 & Jun Zhao 3 & Yingrong Du 1 & Lin Zhuang 1 & Yanli Ma 1 & Virasakdi Chongsuvivatwong 2
# American Association for Cancer Education 2019
Abstract Regular clinical surveillance for hepatocellular carcinoma (HCC) among high-risk patients could lead to early detection and cure. Patient’s knowledge and attitude are important to the uptake rate of this surveillance. This study is aimed at assessing the level of HCC-related knowledge among patients with chronic liver disease (CLD) who are at risk of HCC and determine predictors for poor knowledge. A cross-sectional study was conducted among inpatients with CLD at the Third People’s Hospital of Kunming in China. Questionnaires were used to measure patient’s sociodemographic characteristics, HCC-related knowledge, and patientdoctor-related psychometric factors. Factor analysis was performed to explore the underlying domains captured by the knowledge questionnaire. Univariate and multivariate analyses were performed to identify independent predictors for each domain. Three common factors were derived from the exploratory factor analysis, namely, BSurveillance,^ BLifestyle,^ and BPrognosis.^ Patients with low educational background and a short period of having CLD were at a significantly low level of HCC-related knowledge of all three domains. On the other hand, surveillance and lifestyle but not prognosis, were associated with patient’s communication confidence with doctors. Over two-thirds of high-risk patients had low knowledge of HCC. Medical providers should pay more attention to low educational groups and newly diagnosed CLD patients. Keywords Liver disease . Surveillance . HCC knowledge
Introduction Hepatocellular carcinoma (HCC) occurs mainly in patients with underlying liver disease and is the sixth most frequent cancer and the third leading cause of cancer-related deaths [1]. China alone accounts for about 50% of global liver cancer cases and deaths [2]. In the context of China’s large population, screening for HCC is not practical; nevertheless, HCC surveillance is very important for the control of HCC among high-risk patients [3]. To control and to reduce the detrimental effects of liver cancer in China, guidelines recommend surveillance for early * Virasakdi Chongsuvivatwong [email protected] 1
The Third People’s Hospital of Kunming City, Kunming, Yunnan, China
2
Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand
3
School of Public Health and Administration, Hubei University of Medicine, Shiyan, Hubei, China
cancer detection in high-risk populations [3, 4]. Since HCC is typically asymptomatic in its earliest stage and due to the liver’s large functional reserve, early detection in the presymptomatic stage lies in routine screening and surveillance may increase long-term survival [5, 6]. Current evidence suggests that surveillance
Data Loading...
