Li Bing-Qi, Wang Li, Li Jian, Zhou Li, Zhang Tai-Ping, Guo Jun-Chao, Zhao Yu-Pei
Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences/Peking Union Medical College, Beijing, China.
Department of Epidemiology, Institute of Basic Medicine, Peking Union Medical College & Chinese Academy of Medical Science, Beijing, China.
BMC Health Serv Res. 2017 Jun 9;17(1):395. doi: 10.1186/s12913-017-2345-6.
Pancreatic cancer is rare but highly malignant. Studies have shown that surgeons' knowledge closely links to the correct diagnosis and treatment outcomes of pancreatic cancer. The purpose of this study was to survey current surgeons' knowledge regarding pancreatic cancer.
A cross-sectional study was conducted among 705 surgeons who attended the 2011 China Surgical Week's meeting in Beijing. A questionnaire regarding the risk factors, clinical manifestations, diagnosis, and treatment of pancreatic cancer was used. Surgeons' answers were analyzed and compared among different regions, levels of hospital, and professional ranks.
Most surgeons had a correct knowledge toward the risk factors, diagnosis, and management of pancreatic cancer. However, several knowledge gaps were identified. They include "The association between type 2 diabetes and pancreatic cancer", "The most common histologic type of pancreatic neoplasm", "the typical clinical symptoms of pancreatic cancer", "The accuracy of ultrasound in screening pancreatic cancer", "Enhanced CT in the diagnosis of pancreatic cancer", and "Which is more superior between MRI and CT in the diagnosis of pancreatic cancer". We also found that overall surgeons' responses did not depend on their geographic locations, but on hospital levels and professional ranks. Surgeons working at level three hospitals had better knowledge than others in certain areas and resident surgeons had fewer correct answers in some areas.
Although most surgeons have a good knowledge in most areas related to the diagnosis and treatment of pancreatic cancer in China, certain knowledge gaps exist, particularly among trainees and those from low level hospitals. Continuing medical education programs to improve these knowledge gaps should be implemented.
胰腺癌较为罕见但恶性程度极高。研究表明，外科医生的知识水平与胰腺癌的正确诊断及治疗结果密切相关。本研究旨在调查当前外科医生对胰腺癌的了解程度。
对参加2011年在北京举行的中国外科周会议的705名外科医生进行了一项横断面研究。使用了一份关于胰腺癌危险因素、临床表现、诊断和治疗的问卷。对不同地区、医院级别和专业职称的外科医生的回答进行了分析和比较。
大多数外科医生对胰腺癌的危险因素、诊断和管理有正确的认识。然而，也发现了一些知识空白。它们包括“2型糖尿病与胰腺癌之间的关联”、“胰腺肿瘤最常见的组织学类型”、“胰腺癌的典型临床症状”、“超声筛查胰腺癌的准确性”、“增强CT在胰腺癌诊断中的应用”以及“在胰腺癌诊断中MRI和CT哪一个更具优势”。我们还发现，总体而言，外科医生的回答并不取决于他们的地理位置，而是取决于医院级别和专业职称。在三级医院工作的外科医生在某些方面的知识比其他人更好，而住院医生在某些方面的正确答案较少。
虽然在中国大多数外科医生在与胰腺癌诊断和治疗相关的大多数领域有良好的知识，但仍存在一些知识空白，尤其是在实习生和来自低级别医院的医生中。应实施继续医学教育项目以改善这些知识空白。
