{
  "abstract": "Objectives This study aims to describe the knowledge, attitude and practice (KAP) regarding surgical scars among patients who had postorthopaedic surgery, and to explore correlations between these factors.Design A multicentre, cross-sectional, observational study.Setting Conducted across multiple secondary/tertiary care hospitals between July and September 2024.Participants Of 816 enrolled participants undergoing orthopaedic surgery, 54.5% were male, 43.6% were aged 31–45 years, 73.9% were urban dwellers, 31.2% had a bachelor’s degree and 65.4% were married.Interventions None (questionnaire-based assessment).Outcome measures Primary outcomes were KAP scores (knowledge: 0–22; attitude: 9–45 and practice: 7–35), analysed via correlation and regression.Results Mean scores: knowledge (12.5±6.9), attitude (27.6±3.3) and practice (28.2±6.5). Knowledge was negatively correlated with attitude (r=−0.24, p<0.001) but positively with practice (r=0.73, p<0.001). Attitude negatively influenced practice (r=−0.19, p<0.001). Multivariable analysis showed that knowledge was negatively associated with attitude (OR=0.93, 95% CI: 0.90 to 0.96) but positively with practice (OR=1.24, 95% CI: 1.19 to 1.30), while attitude was negatively associated with practice (OR=0.93, 95% CI: 0.87 to 0.999). Structural equation modelling confirmed that knowledge directly positively influenced attitude (β=21.6) and practice (β=43.3), with attitude positively impacting practice (β=7.9) (p<0.001 for all).Conclusions Patients who had postorthopaedic surgery demonstrated poor scar-related knowledge and negative attitudes but proactive practices. Greater knowledge correlated with better practice, suggesting targeted education could optimise scar management. Further research should explore causal relationships and the efficacy of interventions.",
  "authors": [
    {
      "affiliations": [
        "Emergency Surgery Department, Zhengzhou Hospital of Traditional Chinese Medicine, Zhengzhou, China"
      ],
      "name": "Desheng Kong"
    },
    {
      "affiliations": [
        "Department of Breast Surgery, Xuzhou Central Hospital, the Affiliated Xuzhou Hospital of Medical College of Southeast University, Xuzhou, China"
      ],
      "name": "Mingyu Sun"
    },
    {
      "affiliations": [
        "Burn Plastic Surgery, the First People’s Hospital of Yulin, Yulin, China"
      ],
      "name": "Kelin Li"
    },
    {
      "affiliations": [
        "Department of General Surgery, Jiangbin Hospital, Nanning, Guangxi Zhuang Autonomous Region, China"
      ],
      "name": "Yingying Huang"
    },
    {
      "affiliations": [
        "Department of Orthopedic Surgery, Xuzhou Central Hospital, the Affiliated Xuzhou Hospital of Medical College of Southeast University, Xuzhou, China"
      ],
      "name": "Jun Liu"
    }
  ],
  "title": "Knowledge, attitude and practice regarding scars in patients who had orthopaedic surgery: a cross-sectional study in China",
  "uid": "6d6ac64c-884a-5b5b-8089-6f5237df2244"
}