Observational Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Aug 27, 2023; 15(8): 1751-1760
Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1751
Knowledge, attitude, and practice of monitoring early gastric cancer after endoscopic submucosal dissection
Xiao-Yun Yang, Cong Wang, Yi-Ping Hong, Ting-Ting Zhu, Lu-Jia Qian, Yi-Bing Hu, Li-Hong Teng, Jin Ding
Xiao-Yun Yang, Cong Wang, Yi-Ping Hong, Ting-Ting Zhu, Yi-Bing Hu, Li-Hong Teng, Jin Ding, Department of Gastroenterology and Hepatology, The Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, Zhejiang Province, China
Lu-Jia Qian, Department of Pathology, The Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, Zhejiang Province, China
Author contributions: Yang XY carried out the studies, participated in collecting data, and drafted the manuscript; Wang C, Hong YP, and Zhu TT proposed the questionnaire and revised it; Qian LJ was the pathologist who participated in collecting pathological data; Hong YP and Teng LH performed the statistical analysis and participated in its design; Ding J reviewed the literature and contributed to revising the article; and all authors read and approved the final manuscript.
Supported by the Basic Public Welfare Research Program of Zhejiang Province, No. LGF19H160022; and the Key Project of Jinhua Social Development, No. 2018-3-001f.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of Jinhua Hospital [Approval No. (2022) Lunshendi (211)].
Informed consent statement: All participants provided oral informed consent.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest to report.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jin Ding, MD, Associate Professor, Chief Physician, Department of Gastroenterology and Hepatology, The Affiliated Jinhua Hospital, Zhejiang University School of Medicine, No. 365 Renmin East Road, Jinhua 321000, Zhejiang Province, China. jhdingjin@zju.edu.cn
Received: February 16, 2023
Peer-review started: February 16, 2023
First decision: April 27, 2023
Revised: May 22, 2023
Accepted: June 13, 2023
Article in press: June 13, 2023
Published online: August 27, 2023
Processing time: 189 Days and 23.1 Hours
Core Tip

Core Tip: This is the first study to examine the knowledge, attitude, and practice regarding monitoring of gastric cancer recurrence after endoscopic submucosal dissection (ESD). Participants’ average knowledge, attitude, and practice scores indicated inadequate knowledge, good attitude, and poor practice. Significant and positive correlations were found between knowledge and attitude, knowledge and practice, and attitude and practice. Sufficient knowledge, a positive attitude, and at least 12 mo since the last ESD were independent predictors for correct practice. The lack of knowledge and insufficient practice in monitoring cancer recurrence may explain the 89.2% of pathologically confirmed early tumors after ESD.