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已发表论文
神经外科医生对半面痉挛微血管减压术的知识、态度和实践：一项多中心横断面研究
Authors Xu Y, Dong S, Zhao R, Liu J, Han P, Guo Y, Jiang R
Received 25 June 2025
Accepted for publication 18 December 2025
Published 27 December 2025 Volume 2025:18 Pages 8277—8291
DOI https://doi.org/10.2147/JMDH.S549601
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Professor Veronica Swallow
Yinfu Xu,1,2,* Shiying Dong,1,* Ruichen Zhao,1 Jie Liu,2 Peijun Han,2 Yuchen Guo,2 Rongcai Jiang1,3
1Department of Neurosurgery, Tianjin Neurological Institute, State Key Laboratory of Experimental Hematology, Laboratory of Post‐Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin & Ministry of Education, Tianjin Medical University General Hospital, Tianjin, People’s Republic of China; 2Department of Neurosurgery, The Second People’s Hospital of Liaocheng, Linqing, Shandong, People’s Republic of China; 3Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Rongcai Jiang, Email jiangrongcai@tmu.edu.cn
Objective: Hemifacial spasm (HFS) is a rare but significantly impactful neuromuscular disorder that affects patients’ quality of life, yet research on healthcare providers’ readiness to manage this condition remains limited. This study aims to investigate the knowledge, attitudes, and practices (KAP) toward microvascular decompression (MVD) for HFS among neurosurgeons.
Methods: This multicenter cross-sectional study was conducted between May and June 2024, involving multiple institutions across Eastern China. Data were collected through a structured questionnaire, which included sociodemographic information and KAP scores of participants.
Results: A total of 223 valid questionnaires were collected, 218 (97.76%) were males. Multivariable logistic regression analysis found that both higher knowledge scores (P = 0.013) and attitude scores (P = 0.001) were independently associated with positive practice. Path analysis showed that the presence of neurosurgical microsurgery equipment and instruments (P = 0.025), title (P < 0.001), past experience in diagnosis and treatment of HFS (P < 0.001), and past experience in MVD surgery for HFS (P < 0.001) had direct effects on knowledge. Knowledge (P < 0.001) had a direct effect on attitude. Further, knowledge (P < 0.001) and attitude (P < 0.001) had direct effects on practice.
Conclusion: Based on these findings, we recommend prioritizing the establishment of well-equipped surgical facilities, developing structured training programs that particularly benefit less experienced surgeons, and implementing regular assessment and education initiatives to enhance both knowledge and attitudes among neurosurgeons performing MVD procedures.
Keywords: hemifacial spasm, microvascular decompression, knowledge, attitudes, practices, neurosurgeons, cross-sectional study
1Department of Neurosurgery, Tianjin Neurological Institute, State Key Laboratory of Experimental Hematology, Laboratory of Post‐Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin & Ministry of Education, Tianjin Medical University General Hospital, Tianjin, People’s Republic of China; 2Department of Neurosurgery, The Second People’s Hospital of Liaocheng, Linqing, Shandong, People’s Republic of China; 3Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Rongcai Jiang, Email jiangrongcai@tmu.edu.cn
Objective: Hemifacial spasm (HFS) is a rare but significantly impactful neuromuscular disorder that affects patients’ quality of life, yet research on healthcare providers’ readiness to manage this condition remains limited. This study aims to investigate the knowledge, attitudes, and practices (KAP) toward microvascular decompression (MVD) for HFS among neurosurgeons.
Methods: This multicenter cross-sectional study was conducted between May and June 2024, involving multiple institutions across Eastern China. Data were collected through a structured questionnaire, which included sociodemographic information and KAP scores of participants.
Results: A total of 223 valid questionnaires were collected, 218 (97.76%) were males. Multivariable logistic regression analysis found that both higher knowledge scores (P = 0.013) and attitude scores (P = 0.001) were independently associated with positive practice. Path analysis showed that the presence of neurosurgical microsurgery equipment and instruments (P = 0.025), title (P < 0.001), past experience in diagnosis and treatment of HFS (P < 0.001), and past experience in MVD surgery for HFS (P < 0.001) had direct effects on knowledge. Knowledge (P < 0.001) had a direct effect on attitude. Further, knowledge (P < 0.001) and attitude (P < 0.001) had direct effects on practice.
Conclusion: Based on these findings, we recommend prioritizing the establishment of well-equipped surgical facilities, developing structured training programs that particularly benefit less experienced surgeons, and implementing regular assessment and education initiatives to enhance both knowledge and attitudes among neurosurgeons performing MVD procedures.
Keywords: hemifacial spasm, microvascular decompression, knowledge, attitudes, practices, neurosurgeons, cross-sectional study