{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T06:05:11Z","timestamp":1784009111523,"version":"3.55.0"},"reference-count":57,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Metabolic complications are a major challenge after solid organ transplantation (SOT), impacting graft and patient survival. Understanding staff\u2019s knowledge, attitude, and practice (KAP) is crucial to optimize management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Utilizing data from a nationwide convenience sample (February\u2013April 2025) of SOT clinicians and clinical pharmacists on the post-transplant metabolic complications management, this study analyzed 43-item KAP responses from 277 participants. Analyses included descriptive statistics, Spearman\u2019s correlation, and multinomial logistic regression to assess KAP levels and identify influencing factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 277 participants, the high-level rate for overall KAP was 67.5%, with high-level rates of 62.8, 88.1, and 56.3% for the knowledge, attitude, and practice dimensions, respectively. All three KAP dimensions were significantly positively correlated (r\u202f=\u202f0.372\u20130.462, all\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). Multinomial logistic regression identified variables associated with high level of KAP. Significant positive factors included: female gender, a master\u2019s degree, and 10\u201319\u202fyears of work time for high-level knowledge; both 10\u201319 and \u226520\u202fyears of work time for high-level attitude; being a clinical physician for high-level practice; and age 36\u201344\u202fyears, a master\u2019s degree and vice senior or chief senior titles for a high-level overall KAP score. Age 45\u201360\u202fyears was negatively associated with high-level attitude.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Chinese SOT care providers demonstrate positive attitudes but suboptimal knowledge and practice in post-transplant metabolic complications management. Our study identifies self-reported educational needs and perceived practice gaps that may inform future training or quality-improvement initiatives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1784412","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T05:38:49Z","timestamp":1784007529000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, attitude and practice regarding metabolic complication management after solid organ transplantation among medical staff in China"],"prefix":"10.3389","volume":"14","author":[{"given":"Peishan","family":"Cai","sequence":"first","affiliation":[{"name":"Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]},{"name":"Hubei Province Clinical Research Center for Precision Medicine for Critical Illness","place":["Wuhan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meixia","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhou","family":"Shu","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]},{"name":"Hubei Province Clinical Research Center for Precision Medicine for Critical Illness","place":["Wuhan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuefeng","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]},{"name":"Hubei Province Clinical Research Center for Precision Medicine for Critical Illness","place":["Wuhan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiuxiang","family":"Xia","sequence":"additional","affiliation":[{"name":"Department of Urology Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianpeng","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Urology Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]},{"name":"Hubei Province Clinical Research Center for Precision Medicine for Critical 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