Evidence map›Paper›PMID 28619403›Full record

ArticleAnnals of global health

Practice, Knowledge, and Barriers for Screening of Hepatocellular Carcinoma Among High-Risk Chinese Patients.

Kerui Xu, Shinobu Watanabe-Galloway, Fedja A Rochling, Jianjun Zhang, Paraskevi A Farazi, Hongyan Peng, Hongmei Wang, Jiangtao Luo

Open access · goldAbstract read
In one paragraph

Article in Annals of global health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Sex and gender disparities in hepatocellular carcinoma: insights into risk, diagnosis, and therapeutic outcomes.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
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  13. Clinico-Psychosocial Factors Predicting Hepatocellular Carcinoma Related Knowledge Among Patients with Chronic Liver Disease.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
    Article
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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

8 authors at 3 institutions in 2 countries.

Kerui XuDepartment of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, NE. Electronic address: kerui.xu@unmc.edu.
Shinobu Watanabe-GallowayDepartment of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, NE.
Fedja A RochlingDivision of Gastroenterology and Hepatology, Department of Internal Medicine, College of Medicine, University of Nebraska Medical Center, Omaha, NE.
Jianjun ZhangDepartment of Hepatology, Hubei Third People's Hospital, Wuhan, Hubei, China.
Paraskevi A FaraziDepartment of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, NE.
Hongyan PengDepartment of Hepatology, Hubei Third People's Hospital, Wuhan, Hubei, China.
Hongmei WangDepartment of Health Services Research & Administration, College of Public Health, University of Nebraska Medical Center, Omaha, NE.
Jiangtao LuoDepartment of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, NE.
University of Nebraska Medical Center · USHubei Zhongshan Hospital · CNWuhan University · CN

Funding

Cancer Epidemiology Education in Special Populations Program-15R25CA112383 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI Amr Soliman · 2006 to 2026
$6.1M
NCI NIH HHS R25 CA112383
6 · The paper itself

Abstract

backgroundHepatocellular carcinoma (HCC) is among the leading causes of cancer deaths in China. Considering its poor prognosis when diagnosed late, Chinese guidelines recommend biannual screening for HCC with abdominal ultrasound and serum α-fetoprotein (AFP) test for high-risk populations.

objectivesTo investigate the practice, knowledge, and self-perceived barriers for HCC screening among high-risk hospital patients in China.

methodsAn interview-based questionnaire was conducted among Chinese patients with chronic hepatitis B and/or chronic hepatitis C infection from outpatient clinics at 2 tertiary medical institutions in Shanghai and Wuhan, China.

findingsAmong 352 participating patients, 50.0% had routine screening, 23.3% had irregular screening, and 26.7% had incomplete or no screening. Significant determinants for screening included higher level of education, underlying liver cirrhosis, a family history of HCC, and better knowledge concerning viral hepatitis, HCC, and HCC screening guidelines. Moreover, factors associated with better knowledge were younger age, female gender, urban residency, education level of college or above, annual household income of greater than 150,000 RMB, and longer duration of hepatitis infection. The 3 most common barriers reported for not receiving screening were not aware that screening for HCC exists (41.5%), no symptoms or discomfort (38.3%), and lack of recommendation from physicians (31.9%). CONLUSIONS: Health care professionals and community leaders should actively inform patients regarding the benefits of HCC screening through design of educational programs. Such interventions are expected to increase knowledge about HCC and HCC screening, as well as improve screening adherence and earlier diagnosis.

Indexed as

Health Knowledge, Attitudes, Practicealpha-FetoproteinsAsian PeopleCarcinoma, HepatocellularChinaFemaleHumansLiver CirrhosisLiver NeoplasmsMass ScreeningPredictive Value of TestsUltrasonographyalpha-Fetoproteinsbarriershepatocellular carcinomahigh-risk Chinese patientsknowledgescreening

Identifiers

PMID28619403
PMCPMC9001923
OpenAlexW2606104314

What OpenQuestion holds

Textmetadata
LicenceTDM
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.