Low health literacy is associated with worse postoperative outcomes following hepato-pancreato-biliary cancer surgery

Driessens, Heleen; Wijk, Laura van; Buis, Carlijn I.; Klaase, Joost M.

doi:10.1016/j.hpb.2022.07.006

Cited by 5 publications

(4 citation statements)

References 27 publications

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“…When the HADS score is greater than or equal to 8, a personalized psychological intervention can be provided. Thorough information and explanation regarding a patient’s near-future trajectory and proper support provided by a case manager, taking into account coping behaviour and health literacy, are important 44 .…”

Section: Experience Of the Authors’ Own Groupmentioning

confidence: 99%

Prehabilitation: tertiary prevention matters

Driessens,

Wijma,

Buis

et al. 2024

British Journal of Surgery

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Section: Experience Of the Authors’ Own Groupmentioning

confidence: 99%

Prehabilitation: tertiary prevention matters

Driessens,

Wijma,

Buis

et al. 2024

British Journal of Surgery

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“…[2][3][4] Low health literacy is associated with increased hospitalization, greater use of emergency care, prolonged length of stay, worse postsurgical outcomes, and increased mortality. [5][6][7] Despite its significance, health literacy remains low in the United States. The American Medical Association (AMA) estimates that more than one third of adults lack sufficient health literacy to effectively make medical decisions.…”

Section: Introductionmentioning

confidence: 99%

Craniosynostosis: Are Online Resources Readable?

Soliman

Marin

et al. 2023

The Cleft Palate Craniofacial Journal

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Objective This study aims to analyze the readability of online craniosynostosis materials from the perspective of a caregiver, and to assess if readability levels conform to recommendations by the American Medical Association (AMA) and National Institutes of Health (NIH). Design This is a cross-sectional investigation in which an internet search was conducted simulating the search terms of a caregiver of a patient with craniosynostosis. The first three pages of resulting records were calculated for comprehension ease using validated readability indices. Records were also classified by author type, including hospital system, national health organization, academic journal, and other. Main Outcome Measures Flesch-Kincaid Reading Grade Level, Gunning fog Index, SMOG Index, and Coleman Liau Index. Results Thirty records were identified for which the mean readability level was 12.8 ± 2.6 grade levels (range, 7.6–15.9). There were no significant differences in mean readability across readability indices or author type. None of the thirty records met levels recommended by the AMA or NIH and were 6.8 grade levels above these guidelines on average. Conclusions Online material pertaining to craniosynostosis is written, on average, at the reading level of a first-year undergraduate student. The AMA and NIH recommend that articles be written at approximately a sixth-grade reading level to promote comprehension. Therefore, there is significant room for improvement of current online materials. Authors should consider consulting publicly available guides in preparing future resources.

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“…Having limited health literacy is associated with more hospitalizations [ 6 , 7 ] and a longer hospital length of stay [ 8 , 9 , 10 ]. For example, in pancreato-biliary cancer surgery the length of stay was 13.5 vs. 9 days, respectively, for patients with and without limited health literacy [ 11 ], and for colorectal surgery this difference was 5 vs. 3.5 days [ 9 ]. Additionally, poor patient self-care, insufficient adherence to medication, a higher risk of post-surgical complications and even a higher mortality rate [ 12 , 13 , 14 ] were associated with limited health literacy.…”

Section: Introductionmentioning

confidence: 99%

Assessment Tools for Measuring Health Literacy and Digital Health Literacy in a Hospital Setting: A Scoping Review

Dijkman,

ter Brake,

Drossaert

et al. 2023

Healthcare

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Assessment of (digital) health literacy in the hospital can raise staff awareness and facilitate tailored communication, leading to improved health outcomes. Assessment tools should ideally address multiple domains of health literacy, fit to the complex hospital context and have a short administration time, to enable routine assessment. This review aims to create an overview of tools for measuring (digital) health literacy in hospitals. A search in Scopus, PubMed, WoS and CINAHL, following PRISMA guidelines, generated 7252 hits; 251 studies were included in which 44 assessment tools were used. Most tools (57%) were self-reported and 27% reported an administration time of <5 min. Almost all tools addressed the domain ‘understanding’ (98%), followed by ‘access’ (52%), ‘apply’ (50%), ‘appraise’ (32%), ‘numeracy’ (18%), and ‘digital’ (18%). Only four tools were frequently used: the Newest Vital Sign (NVS), the Short Test of Functional Health Literacy for Adults ((S)TOFHLA), the Brief Health Literacy Screener (BHLS), and the Health Literacy Questionnaire (HLQ). While the NVS and BHLS have a low administration time, they cover only two domains. HLQ covers the most domains: access, understanding, appraise, and apply. None of these four most frequently used tools measured digital skills. This review can guide health professionals in choosing an instrument that is feasible in their daily practice, and measures the required domains.

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Low health literacy is associated with worse postoperative outcomes following hepato-pancreato-biliary cancer surgery

Cited by 5 publications

References 27 publications

Prehabilitation: tertiary prevention matters

Prehabilitation: tertiary prevention matters

Craniosynostosis: Are Online Resources Readable?

Assessment Tools for Measuring Health Literacy and Digital Health Literacy in a Hospital Setting: A Scoping Review

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