Evidence map›Paper›PMID 26078568›Full record

ArticleWorld journal of gastroenterology2015

Medical training fails to prepare providers to care for patients with chronic hepatitis B infection.

Stephanie D Chao, Bing-Mei Wang, Ellen T Chang, Li Ma, Samuel K So

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Electronic Medical Alerts Increase Screening for Chronic Hepatitis B: A Randomized, Double-Blind, Controlled Trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018
    Trial
  3. Time for a globally unified chronic HBV terminology?JHEP reports : innovation in hepatology · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Gastroenterology Curriculum in the Canadian Medical School System.Canadian journal of gastroenterology & hepatology · 2017
    Article
  15. Observational
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Stephanie D ChaoStephanie D Chao, Department of Surgery, Stanford University School of Medicine, Asian Liver Center at Stanford University, School of Medicine, Palo Alto, CA 94304, United States.
Bing-Mei WangStephanie D Chao, Department of Surgery, Stanford University School of Medicine, Asian Liver Center at Stanford University, School of Medicine, Palo Alto, CA 94304, United States.
Ellen T ChangStephanie D Chao, Department of Surgery, Stanford University School of Medicine, Asian Liver Center at Stanford University, School of Medicine, Palo Alto, CA 94304, United States.
Li MaStephanie D Chao, Department of Surgery, Stanford University School of Medicine, Asian Liver Center at Stanford University, School of Medicine, Palo Alto, CA 94304, United States.
Samuel K SoStephanie D Chao, Department of Surgery, Stanford University School of Medicine, Asian Liver Center at Stanford University, School of Medicine, Palo Alto, CA 94304, United States.
Palo Alto Institute · USStanford University · USCreative Research Enterprises (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate physicians' knowledge including chronic hepatitis B (CHB) diagnosis, screening, and management in various stages of their training.

methodsA voluntary 20-question survey was administered in Santa Clara County, CA where Asian and Pacific Islanders (API) account for a third of the population. Among the 219 physician participants, there were 63 interns, 60 second-year residents, 26 chief residents and 70 attending physicians. The survey asked questions regarding respondents' demographics, general hepatitis B virus knowledge questions (i.e., transmission, prevalence, diagnostic testing, prevention, and treatment options), as well as, self-reported practice behavior and confidence in knowledge.

resultsKnowledge about screening and managing patients with CHB was poor: only 24% identified the correct tests to screen for CHB, 13% knew the next steps for patients testing positive for CHB, 18% knew the high prevalence rate among API, and 31% knew how to screen for liver cancer. Wald chi-square analysis determined the effect of training level on knowledge; in all cases except for knowledge of liver cancer screening (P = 0.0032), knowledge did not significantly increase with length in residency training or completion of residency.

conclusionEven in a high-risk region, both medical school and residency training have not adequately prepared physicians in the screening and management of CHB.

Indexed as

Clinical CompetenceHealth Knowledge, Attitudes, PracticeInternship and ResidencyAdultAsianCaliforniaEducation, Medical, GraduateEducation, Medical, UndergraduateFemaleHealth Care SurveysHepatitis B, ChronicHumansMaleMedical Staff, HospitalNative Hawaiian or Pacific IslanderPredictive Value of TestsAsian Pacific IslanderHealth disparityHepatitis BLiver cancerLiver disease

Identifiers

PMID26078568
PMCPMC4462732
OpenAlexW2410628737

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.