Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1751
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
Early gastric cancer (EGC) is typically treated with endoscopic submucosal dissection (ESD). However, recurrence may occur after ESD, requiring survei
To examine the knowledge, attitude, and practice (KAP) of EGC survivors following ESD regarding gastric cancer recurrence.
This cross-sectional study was conducted between June 1, 2022 and October 1, 2022 in Zhejiang, China. A total of 400 EGC survivors who underwent ESD at the Affiliated Jinhua Hospital, Zhejiang University School of Medicine participated in this study. A self-administered questionnaire was developed to assess KAP monitoring gastric cancer after ESD.
The average scores for KAP were 3.34, 23.76, and 5.75 out of 5, 30, and 11, respectively. Pearson correlation analysis revealed positive and significant correlations between knowledge and attitude, knowledge and practice, and attitude and practice (r = 0.405, 0.511, and 0.458, respectively; all P < 0.001). Multivariate logistic regression analysis showed that knowledge, attitude, 13-24 mo since the last ESD (vs ≤ 12 mo since the last ESD), and ≥ 25 mo since the last ESD (vs ≤ 12 mo since the last ESD) were independent predictors of proactive practice (odds ratio = 1.916, 1.253, 3.296, and 5.768, respectively, all P < 0.0001).
EGC survivors showed inadequate knowledge, positive attitude, and poor practices in monitoring recurrences after ESD. Adequate knowledge, positive attitude, and a longer time since the last ESD were associated with practice.
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.