Is Health Literacy Associated With Surgical Outcomes? A Systematic Review

Trutner, Zoe; Furlough, Kenneth; Martinez, Armida B.; Uhler, Lauren M.; Haynes, Alex B.; Jayakumar, Prakash

doi:10.1016/j.jss.2023.06.044

Cited by 3 publications

(2 citation statements)

References 47 publications

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“…Studies across health care suggest that low health literacy is associated with worse patient outcomes. 71 , 72 , 73 …”

Section: Discussionmentioning

confidence: 99%

Demographic and Socioeconomic Patient Data Are Rarely Included in Randomized Controlled Trials for Femoral Acetabular Impingement and Hip Arthroscopy: A Systematic Review

Kotlier,

Fathi,

Kumaran

et al. 2024

Arthroscopy, Sports Medicine, and Rehabilitation

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“…Studies across health care suggest that low health literacy is associated with worse patient outcomes. 71 , 72 , 73 …”

Section: Discussionmentioning

confidence: 99%

Demographic and Socioeconomic Patient Data Are Rarely Included in Randomized Controlled Trials for Femoral Acetabular Impingement and Hip Arthroscopy: A Systematic Review

Kotlier,

Fathi,

Kumaran

et al. 2024

Arthroscopy, Sports Medicine, and Rehabilitation

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“…The American Medical Association (AMA) and National Institutes of Health (NIH) recommend that online medical information be written at or below the 6th-grade reading level [ 10 , 11 ]. The inadequacy of existing online patient-oriented medical information is especially concerning, as low health literacy has been found to be associated with worse patient-centered outcomes and poorer process-oriented surgical outcomes [ 12 ]. In this context, AI-powered tools may help bridge this gap, offering readily accessible medical information that can be generated and personalized based on input by the user.…”

mentioning

confidence: 99%

Dr. Google to Dr. ChatGPT: assessing the content and quality of artificial intelligence-generated medical information on appendicitis

Ghanem,

Rouhi,

Al-Houssan

et al. 2024

Surg Endosc

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Introduction Generative artificial intelligence (AI) chatbots have recently been posited as potential sources of online medical information for patients making medical decisions. Existing online patient-oriented medical information has repeatedly been shown to be of variable quality and difficult readability. Therefore, we sought to evaluate the content and quality of AI-generated medical information on acute appendicitis. Methods A modified DISCERN assessment tool, comprising 16 distinct criteria each scored on a 5-point Likert scale (score range 16–80), was used to assess AI-generated content. Readability was determined using the Flesch Reading Ease (FRE) and Flesch-Kincaid Grade Level (FKGL) scores. Four popular chatbots, ChatGPT-3.5 and ChatGPT-4, Bard, and Claude-2, were prompted to generate medical information about appendicitis. Three investigators independently scored the generated texts blinded to the identity of the AI platforms. Results ChatGPT-3.5, ChatGPT-4, Bard, and Claude-2 had overall mean (SD) quality scores of 60.7 (1.2), 62.0 (1.0), 62.3 (1.2), and 51.3 (2.3), respectively, on a scale of 16–80. Inter-rater reliability was 0.81, 0.75, 0.81, and 0.72, respectively, indicating substantial agreement. Claude-2 demonstrated a significantly lower mean quality score compared to ChatGPT-4 (p = 0.001), ChatGPT-3.5 (p = 0.005), and Bard (p = 0.001). Bard was the only AI platform that listed verifiable sources, while Claude-2 provided fabricated sources. All chatbots except for Claude-2 advised readers to consult a physician if experiencing symptoms. Regarding readability, FKGL and FRE scores of ChatGPT-3.5, ChatGPT-4, Bard, and Claude-2 were 14.6 and 23.8, 11.9 and 33.9, 8.6 and 52.8, 11.0 and 36.6, respectively, indicating difficulty readability at a college reading skill level. Conclusion AI-generated medical information on appendicitis scored favorably upon quality assessment, but most either fabricated sources or did not provide any altogether. Additionally, overall readability far exceeded recommended levels for the public. Generative AI platforms demonstrate measured potential for patient education and engagement about appendicitis.

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Can ERAS help reduce health disparities and overcome barriers to equitable surgical care in marginalized communities?

Ram,

Li,

Franklin

et al. 2024

Journal of Pediatric Surgery Open

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Is Health Literacy Associated With Surgical Outcomes? A Systematic Review

Cited by 3 publications

References 47 publications

Demographic and Socioeconomic Patient Data Are Rarely Included in Randomized Controlled Trials for Femoral Acetabular Impingement and Hip Arthroscopy: A Systematic Review

Demographic and Socioeconomic Patient Data Are Rarely Included in Randomized Controlled Trials for Femoral Acetabular Impingement and Hip Arthroscopy: A Systematic Review

Dr. Google to Dr. ChatGPT: assessing the content and quality of artificial intelligence-generated medical information on appendicitis

Can ERAS help reduce health disparities and overcome barriers to equitable surgical care in marginalized communities?

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