Readability Assessment of Internet-based Patient Education Materials Related to Mammography for Breast Cancer Screening

Al-Khalili, Rend; Shukla, Pratik A.; Patel, Ronak H.; Sanghvi, Saurin; Hubbi, Basil

doi:10.1016/j.acra.2014.10.009

Cited by 37 publications

(36 citation statements)

References 23 publications

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“…Our results are analogous with those from other recent studies that have primarily focused on materials from radiologic professional societies and other organizations that describe image-guided procedures (8)(9)(10)(11), breast cancer screening (14), radiation safety (12), and UAE (13). Similar to the results from the present study, information provided by most national organizations and professional societies is written significantly beyond the comprehension level of average Americans.…”

Section: Discussionsupporting

confidence: 90%

“…Two recent studies with similar results (13,14) investigated the readability of online patient education materials for uterine artery embolization (UAE) for fibroid tumors and breast cancer screening, and expanded their investigation beyond just miscellaneous health care-associated Web sites to include several hospitals and clinical practices the authors identified by using the search engine Google. Given that contemporary search engines leverage user location information (15), however, it is unclear whether that sampling was representative of hospitals or clinical practices across the United States.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Can Patients Comprehend the Educational Materials that Hospitals Provide about Common IR Procedures?

Sadigh

Hawkins

O’Keefe

et al. 2015

Journal of Vascular and Interventional Radiology

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Section: Discussionsupporting

confidence: 90%

mentioning

confidence: 99%

Can Patients Comprehend the Educational Materials that Hospitals Provide about Common IR Procedures?

Sadigh

Hawkins

O’Keefe

et al. 2015

Journal of Vascular and Interventional Radiology

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“…Understanding the health information provided by these websites is a necessary prerequisite in making appropriate health decisions. Patient health education materials should be written below the sixth‐grade level . However, our readability analysis revealed that the studied websites were difficult to read, and patients needed seven to nine years of school education to understand the information.…”

Section: Discussionmentioning

confidence: 96%

Hidradenitis suppurativa gains increasing interest on World Wide Web: a source for patient information?

et al. 2017

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“…Readability of online patient education materials on mammographic screening was poor, with high scores on "gobbledygook" measures (readability indices) 82,83 . In an arena confusing even to many professionals, we are clearly failing our audience in often achieving patient-professional discussions and online patient education materials of only minimal comprehensibility.…”

Section: Communicating the Harmsmentioning

confidence: 99%

Beyond the Mammography Debate: A Moderate Perspective

Kaniklidis¹

2015

Current Oncology

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After some decades of contention, one can almost despair and conclude that (paraphrasing) "the mammography debate you will have with you always." Against that sentiment, in this review I argue, after reflecting on some of the major themes of this long-standing debate, that we must begin to move beyond the narrow borders of claim and counterclaim to seek consensus on what the balance of methodologically sound and critically appraised evidence demonstrates, and also to find overlooked underlying convergences; after acknowledging the reality of some residual and non-trivial harms from mammography, to promote effective strategies for harm mitigation; and to encourage deployment of new screening modalities that will render many of the issues and concerns in the debate obsolete.To these ends, I provide a sketch of what this looking forward and beyond the current debate might look like, leveraging advantages from abbreviated breast magnetic resonance imaging technologies (such as the ultrafast and twist protocols) and from digital breast tomosynthesis-also known as three-dimensional mammography. I also locate the debate within the broader context of mammography in the real world as it plays out not for the disputants, but for the stakeholders themselves: the screening-eligible patients and the physicians in the front lines who are charged with enabling both the acts of screening and the facts of screening at their maximally objective and patientaccessible levels to facilitate informed decisions. Key Words REFLECTIONS ON SOME CENTRAL THEMESAll screening programmes do harm; some do good as well, and, of these, some do more good than harm at reasonable cost.-Sir Muir Grey, former director of the U.K. National Screening Committee 1 Some Issues Deserving More AttentionSeveral core issues require closer examination:1. The potential benefits of mammographic screening independent of whether ultimate survival is affected, including diagnosis at earlier stages, typically with smaller tumours and node negativity; reduced likelihood of aggressive treatments and morbidities; detection of high-risk lesions (most diagnosed in the screened group 2 ) allowing for chemoprevention or magnetic resonance imaging (mri) surveillance against occult malignancies, or both; and avoidance of compromised quality of life after diagnosis of advanced disease It is not clear, as often assumed, that survival is the best (or only) measure for judging mammographic screening 2,3 . And it remains open whether claimed harms truly are disproportionate to benefits when using, for instance, a more nuanced definition of overdetection than simply breast cancer (bca) diagnosed but not bca expired (distinguishing, for example, longer recurrence-free survival from simple overall survival benefit).

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Readability Assessment of Internet-based Patient Education Materials Related to Mammography for Breast Cancer Screening

Cited by 37 publications

References 23 publications

Can Patients Comprehend the Educational Materials that Hospitals Provide about Common IR Procedures?

Can Patients Comprehend the Educational Materials that Hospitals Provide about Common IR Procedures?

Hidradenitis suppurativa gains increasing interest on World Wide Web: a source for patient information?

Beyond the Mammography Debate: A Moderate Perspective

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