ArticleScientific reports2025
Neurosurgeons' knowledge, attitudes, and practices regarding 3D-printed guide plate-guided puncture and drainage surgery for intracerebral hemorrhage.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
This study aimed to explore neurosurgeons’ knowledge, attitudes, and practices (KAP) concerning the employment of 3D-printed guide plates in the puncture and drainage procedures for intracerebral hemorrhage. An online cross-sectional survey was conducted among Chinese neurosurgeons using a self-designed KAP questionnaire from November 15 to December 30, 2023. Scores exceeding 70% of the maximum possible in each dimension were deemed indicative of sufficient knowledge (≥ 33.6), a positive attitude (≥ 28), and proactive practice behaviours (≥ 28). The study included 223 valid questionnaires. Of these respondents, 175 (78.5%) were male. The median scores for knowledge (potential range: 16–48), attitudes (potential range: 8–40), and practices (potential range: 8–40) were 37 (32, 47), 37 (32, 40), and 24 (17, 32) respectively. Multivariable logistic regression analysis indicated that the absence of training (OR = 0.273, 95% CI: [0.125,0.598], P = 0.001), relevant surgical experience (1–10 surgical cases: OR = 3.532, 95% CI: [1.405, 8.876], P = 0.007; more than 10 surgical cases : OR = 8.891, 95% CI: [2.275, 34.740], P = 0.002), knowledge (OR = 2.320, 95% CI: [1.105, 4.872], P = 0.026), and attitude (OR = 4.475, 95% CI: [2.183, 9.174], P < 0.001) were independently associated with practices. Structural Equation Modelling (SEM) analysis demonstrated that knowledge not only had a direct effect on practice (β = 0.462, P = 0.010) but also had an indirect effect on practice through attitude (β = 0.145, P = 0.010). Neurosurgeons demonstrated adequate knowledge and favourable attitudes towards the use of 3D-printed guide plates in puncture and drainage surgery for intracerebral hemorrhage. However, their practical engagement was limited, underscoring the necessity for specialised training programmes to close this gap in practice.
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