Cross-sectional study of resident physician knowledge and perceptions regarding MASLD in Canada

作者：Kai Zhu, Manisha Jogendran, Yanru Zhang, Trana Hussaini, Daljeet Chahal, Eric M. Yoshida · 发表于：Canadian Liver Journal · 年份：2025 · DOI：10.3138/canlivj-2024-0009 · 被引用次数：3 · 研究领域：Liver Disease Diagnosis and Treatment、Alcohol Consumption and Health Effects、Pancreatitis Pathology and Treatment

Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) affects approximately 25% of Canadians. As its prevalence grows, it is crucial for future primary care physicians to have a thorough understanding of MASLD to improve patient care. Methods: We conducted a nationwide cross-sectional survey among resident physicians in primary care specialties to assess their knowledge and perceptions of MASLD. “Reasonable knowledge” was defined as correctly answering over 50% of the questions. Associations were analyzed using χ 2 testing and multiple logistic regression analysis. Results: We received 413 responses, with 252 (61%) from Family Medicine residents and 161 (39%) from Internal Medicine residents. Among the respondents, 91% considered MASLD an important public health issue; however, only 11% felt they had adequate exposure to the condition and 94% endorsed a need for more teaching. Overall, 35% of the respondents displayed a reasonable knowledge of MASLD. In univariate analysis, factors associated with greater MASLD knowledge included Internal Medicine residency ( p = 0.001), higher post-graduate year ( p = 0.003), prior GI or hepatology rotations ( p = 0.003), previous MASLD lectures ( p = 0.021), and higher subjective familiarity with MASLD ( p <0.001). However, only moderate (odds ratio (OR) 5.7, 95% CI 1.1–26.3, p = 0.026) and high (OR 10.1, CI 1.6–65.3, p = 0.015) subjective familiarity with MASLD, and three or more prior MASLD lectures (OR 3.4, CI:1.1–...