{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T09:01:19Z","timestamp":1774170079220,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T00:00:00Z","timestamp":1720656000000},"content-version":"vor","delay-in-days":40,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Digest Diseases"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate physicians\u2019 awareness and knowledge towards pediatric nonalcoholic fatty liver disease (NAFLD) and their attitude toward change in nomenclature from NAFLD to metabolic dysfunction\u2010associated fatty liver disease (MAFLD) or metabolic dysfunction\u2010associated steatotic liver disease (MASLD) in China.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The questionnaire survey contained five parts (characteristics of the participants, epidemiology, diagnosis, management of NAFLD, and attitudes toward the nomenclature of MAFLD\/MASLD). The participants included 53 hepatologists, 88 gastroenterologists (GEs), 74 endocrinologists (ENDOs), 61 primary care physicians (PCPs), and 157 pediatricians across 31 municipalities, provinces and autonomous regions of China's mainland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Hepatologists saw the largest number of pediatric NAFLD patients annually (median 9 [range 1\u201320]), with the lowest number by PCPs (even notwithstanding one patient annually). The primary sources of pediatric NAFLD knowledge were acquired via guidelines. Hepatologists had the highest total knowledge score among all five types of physicians. Approximately one\u2010third of nonspecialists (ENDOs and PCPs) considered liver biopsy necessary for pediatric NAFLD patients, and this percentage increased to half in specialists (hepatologists and GEs). For nonspecialists, the major barriers to the management of pediatric NAFLD were poor patient adherence to lifestyle modifications and lacking confidence in managing NAFLD. Above 90% physicians agreed to change the nomenclature NAFLD to MAFLD; however, they were not sure whether it could reduce the economic burden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite the epidemic of pediatric NAFLD in China, a significant knowledge gap remains in the identification, diagnosis, and treatment of pediatric NAFLD, particularly among frontline workers such as pediatricians and PCPs. More education programs should be carried out in the future.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1751-2980.13297","type":"journal-article","created":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T05:35:10Z","timestamp":1720762510000},"page":"380-393","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Survey of physicians' knowledge about pediatric nonalcoholic fatty liver disease in China"],"prefix":"10.1111","volume":"25","author":[{"given":"Xiang Yang","family":"Gao","sequence":"first","affiliation":[{"name":"Health Management Institute, The Second Medical Center &amp; National Clinical Research Center for Geriatric Diseases Chinese PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi Fan","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, School of Public Health Peking University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism Ningbo First Hospital  Ningbo Zhejiang Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun Fei","family":"Xing","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, School of Public Health Peking University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"You Xin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, School of Public Health Peking University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xue Ying","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, School of Public Health Peking University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu Han","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, School of Public Health Peking University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming Yue","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, School of Public Health Peking University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian Gao","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Xinhua Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"Shanghai Key Lab of Pediatric Gastroenterology and Nutrition  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7639-5702","authenticated-orcid":false,"given":"Hui","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health, School of Public Health Peking University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/apt.17096"},{"issue":"7","key":"e_1_2_9_3_1","first-page":"764","article-title":"Meta\u2010analysis of the prevalence of non\u2010alcoholic fatty liver disease in Chinese children","volume":"30","author":"Wang Y","year":"2022","journal-title":"Chin J Child Health Care"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2020.01.048"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2011.242016"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrgastro.2017.109"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2021.11.039"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2023.03.040"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010018\u20101103\u2010x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41575-019-0169-z"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-022-04731-1"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2021.06.048"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(21)00391-5"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2023.11.004"},{"key":"e_1_2_9_15_1","unstructured":"China's Comprehensive Economic and Social Development Index Science Council.Comparison Report on the Economic and Social Comprehensive Development Index of 31 Provinces in China.2020Available from:https:\/\/www.cfbond.com\/zclb\/detail\/20210811\/1000200000018451628689689600400034_1.html. 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