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Whole-Process Management Concept of Gastrointestinal Stromal Tumors Among Chinese General Surgeons: A Nationwide Questionnaire Survey
27 Pages Posted: 6 Jun 2022
More...Abstract
Background: To obtain information on the whole-process management concept of GIST among general surgeons in China through a national questionnaire survey.
Methods: In this survey study, a questionnaire (41 questions) was distributed online between May 1 and June 30, 2021, among the general surgeons to evaluate the status of the whole-process management concept of GIST.
Findings: In total, 697 valid questionnaires were completed. Among the survey participants, 64 (9.2%) were residents, 172 (24.7%) were surgeons-in-charge, 235 (33.7%) were associate-chief surgeons, and 226 (32.4%) were chief surgeons. In the past five years, 122 (32.9%), 76 (20.5%), 76 (20.5%), and 97 (26.1%) hospitals had GIST laparoscopic surgery rates of >75%, 50–75%, 25–50%, and ≤ 25%, respectively. In terms of genetic testing, 248 (66.8%) hospitals had KIT/PDGFRA genetic testing capability. Among the surveyed hospitals, 48 (12.9%) had GIST-specialized outpatient clinics and 213 (57.4%) centers regularly conducted multidisciplinary team (MDT) discussions on GIST. Ninety-one (24.5%) hospitals established a GIST database and 93 (25.1%) hospitals regularly held GIST patient education lectures. Three hundred and nine (83.3%) hospitals regularly followed-up with patients with GISTs. Univariate analysis showed that tertiary hospitals and hospitals with an annual number of GIST operations of >50 cases had better GIST whole-process management concepts than other hospitals, while western hospitals had poorer GIST whole-process management concepts (P <0.05).
Interpretation: While Chinese general surgeons have an understanding of the whole-process GIST management concept, there is a gap between guideline adherence and clinical practice. The corresponding population should be strengthened with precision training for promoting GIST whole-process management concepts is key, and influencing factors, such as hospital level, regional economy, and hospital’s annual number of GIST operations, should be considered for decision-making.
Funding: This study was funded by the National Natural Science Foundation of China
(grant numbers 81702386 and 81874184).
Declaration of Interest: None declared.
Ethical Approval: This study was approved by the Ethics Committee of Tongji Medical College, Huazhong University of Science and Technology, China.
Suggested Citation: Suggested Citation