Needs for hepatocellular carcinoma control policy in the Asia-Pacific region

John F P Bridges, Susan Joy, Gisselle Gallego, Masatoshi Kudo, Sheng Long Ye, Kwang Hyub Han, Ann Lii Cheng, Barri Blauvelt

Research output: Contribution to journalArticle

Abstract

Background: Hepatocellular carcinoma (HCC) is particularly burdensome in the Asia-Pacific region, however, cross-country comparisons have been limited to somewhat unreliable epidemiological measures. We conducted a comparative needs assessment for HCC control policy to inform HCC control efforts in the Asia-Pacific region. The aims were to identify regional needs, to compare overall competence across the region, and to identify which needs were concordant across the region. Method: Using the self-explicated method, a stated-preference approach, clinical experts from Australia, China, Japan, Korea, Taiwan, and the United States valued ten previously identified dimensions of HCC control: clinical education; risk assessment; HBV strategy; HCV strategy; life-style risk factors; national statistics; funding for screening; funding for treatment; political awareness; and public awareness. Results were normalized and analyzed using Z-scores and ANOVA, with concordance of need across the region tested via the F-test. Results: Seventy-two respondents, equally drawn from the study sites, completed the survey (response rate: 36%). Respondents were hepatologists (39%), oncologists (21%), radiologists (17%), surgeons (17%), and other specialists (7%) who were involved in liver cancer control at local/regional (35%) national (44%) or international (21%) levels. In aggregate, the most significant needs were political awareness, public awareness, and life-style risk factors (all p 0.05). There were differences in the extent of needs across the region (p

Original languageEnglish (US)
Pages (from-to)2585-2591
Number of pages7
JournalAsian Pacific Journal of Cancer Prevention
Volume12
Issue number10
StatePublished - 2011

Fingerprint

Hepatocellular Carcinoma
Life Style
Needs Assessment
Liver Neoplasms
Korea
Taiwan
Mental Competency
China
Analysis of Variance
Japan
Education
Surveys and Questionnaires
Therapeutics

Keywords

  • Economic evaluation
  • Hepatocellular carcinoma (HCC)
  • Liver cancer
  • Needs assessment
  • Public policy

ASJC Scopus subject areas

  • Oncology
  • Cancer Research
  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Bridges, J. F. P., Joy, S., Gallego, G., Kudo, M., Ye, S. L., Han, K. H., ... Blauvelt, B. (2011). Needs for hepatocellular carcinoma control policy in the Asia-Pacific region. Asian Pacific Journal of Cancer Prevention, 12(10), 2585-2591.

Needs for hepatocellular carcinoma control policy in the Asia-Pacific region. / Bridges, John F P; Joy, Susan; Gallego, Gisselle; Kudo, Masatoshi; Ye, Sheng Long; Han, Kwang Hyub; Cheng, Ann Lii; Blauvelt, Barri.

In: Asian Pacific Journal of Cancer Prevention, Vol. 12, No. 10, 2011, p. 2585-2591.

Research output: Contribution to journalArticle

Bridges, JFP, Joy, S, Gallego, G, Kudo, M, Ye, SL, Han, KH, Cheng, AL & Blauvelt, B 2011, 'Needs for hepatocellular carcinoma control policy in the Asia-Pacific region', Asian Pacific Journal of Cancer Prevention, vol. 12, no. 10, pp. 2585-2591.
Bridges JFP, Joy S, Gallego G, Kudo M, Ye SL, Han KH et al. Needs for hepatocellular carcinoma control policy in the Asia-Pacific region. Asian Pacific Journal of Cancer Prevention. 2011;12(10):2585-2591.
Bridges, John F P ; Joy, Susan ; Gallego, Gisselle ; Kudo, Masatoshi ; Ye, Sheng Long ; Han, Kwang Hyub ; Cheng, Ann Lii ; Blauvelt, Barri. / Needs for hepatocellular carcinoma control policy in the Asia-Pacific region. In: Asian Pacific Journal of Cancer Prevention. 2011 ; Vol. 12, No. 10. pp. 2585-2591.
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AU - Han, Kwang Hyub

AU - Cheng, Ann Lii

AU - Blauvelt, Barri

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AB - Background: Hepatocellular carcinoma (HCC) is particularly burdensome in the Asia-Pacific region, however, cross-country comparisons have been limited to somewhat unreliable epidemiological measures. We conducted a comparative needs assessment for HCC control policy to inform HCC control efforts in the Asia-Pacific region. The aims were to identify regional needs, to compare overall competence across the region, and to identify which needs were concordant across the region. Method: Using the self-explicated method, a stated-preference approach, clinical experts from Australia, China, Japan, Korea, Taiwan, and the United States valued ten previously identified dimensions of HCC control: clinical education; risk assessment; HBV strategy; HCV strategy; life-style risk factors; national statistics; funding for screening; funding for treatment; political awareness; and public awareness. Results were normalized and analyzed using Z-scores and ANOVA, with concordance of need across the region tested via the F-test. Results: Seventy-two respondents, equally drawn from the study sites, completed the survey (response rate: 36%). Respondents were hepatologists (39%), oncologists (21%), radiologists (17%), surgeons (17%), and other specialists (7%) who were involved in liver cancer control at local/regional (35%) national (44%) or international (21%) levels. In aggregate, the most significant needs were political awareness, public awareness, and life-style risk factors (all p 0.05). There were differences in the extent of needs across the region (p

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