caa a22 4500 445797622 CHVBK 20180317145130.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s10620-010-1453-5 doi (NATIONALLICENCE)springer-10.1007/s10620-010-1453-5 Knowledge of Hepatocellular Carcinoma Screening Guidelines and Clinical Practices Among Gastroenterologists [Elektronische Daten] [Pratima Sharma, Sameer Saini, Latoya Kuhn, Joel Rubenstein, Darrell Pardi, Jorge Marrero, Philip Schoenfeld] Background: Screening of high-risk patients for hepatocellular carcinoma (HCC) may result in early diagnosis and improved outcomes. Our aim was to assess gastroenterologists' knowledge of HCC management guidelines established by the American Association for the Study of Liver Diseases (AASLD) and usual clinical practice. Methods: We surveyed gastroenterologists attending two gastroenterology board review courses regarding their knowledge of HCC screening guidelines and usual practice of screening for HCC. Practices were compared and adherence to the 2005 published HCC guidelines was assessed. Results: The median age of gastroenterology attending physicians (n=160) was 41years, and 75% were men with a median of 11.5years of practice. A total of 79% of respondents correctly identified the high-risk patients who qualify for HCC screening. Most gastroenterologists correctly identified the screening methods (88.5%) and screening interval (98%). Among those who knew guideline recommendations (i.e., correct identification and certainty of guideline recommendations), 100% reported that they followed the guideline recommendation in their own practices. Regarding the management of abnormal test, 31% of gastroenterologists did not identify that referral for liver transplantation is the recommended management strategy for small HCC in a Child B patient with cirrhosis. The number of years in clinical practice (p=0.30) and involvement in a malpractice suit (p=0.34) did not affect the practice patterns. Conclusions: Most gastroenterologists correctly identified the common high-risk scenarios, methods, and interval of HCC screening as recommended by AASLD. Gastroenterologists who knew the HCC guidelines applied them in their own practice. However, approximately one-quarter do not know the appropriate management of a positive result, thereby likely hampering the overall effectiveness of screening. Springer Science+Business Media, LLC, 2010 Hepatocellular carcinoma nationallicence Survey nationallicence Outcomes nationallicence HCC : Hepatocellular carcinoma nationallicence AASLD : American Association for the Study of Liver Diseases nationallicence AFP : Alpha fetoprotein nationallicence Sharma Pratima Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 3912, Taubman Center, SPC 5362, 48109, Ann Arbor, MI, USA aut Saini Sameer Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 3912, Taubman Center, SPC 5362, 48109, Ann Arbor, MI, USA aut Kuhn Latoya Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 3912, Taubman Center, SPC 5362, 48109, Ann Arbor, MI, USA aut Rubenstein Joel Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 3912, Taubman Center, SPC 5362, 48109, Ann Arbor, MI, USA aut Pardi Darrell Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA aut Marrero Jorge Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 3912, Taubman Center, SPC 5362, 48109, Ann Arbor, MI, USA aut Schoenfeld Philip Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 3912, Taubman Center, SPC 5362, 48109, Ann Arbor, MI, USA aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/2(2011-02-01), 569-577 0163-2116 56:2<569 2011 56 10620 https://doi.org/10.1007/s10620-010-1453-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-010-1453-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sharma Pratima Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 3912, Taubman Center, SPC 5362, 48109, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Saini Sameer Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 3912, Taubman Center, SPC 5362, 48109, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Kuhn Latoya Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 3912, Taubman Center, SPC 5362, 48109, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Rubenstein Joel Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 3912, Taubman Center, SPC 5362, 48109, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Pardi Darrell Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA aut NATIONALLICENCE 700 1- Marrero Jorge Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 3912, Taubman Center, SPC 5362, 48109, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Schoenfeld Philip Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, 3912, Taubman Center, SPC 5362, 48109, Ann Arbor, MI, USA aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/2(2011-02-01), 569-577 0163-2116 56:2<569 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer