The Impact of Health Literacy on Surgical Outcomes Following Radical Cystectomy

被引:62
作者
Scarpato, Kristen R. [1 ]
Kappa, Stephen F. [1 ]
Goggins, Kathryn M. [2 ]
Chang, Sam S. [1 ]
Smith, Joseph A., Jr. [1 ]
Clark, Peter E. [1 ]
Penson, David F. [1 ]
Resnick, Matthew J. [1 ]
Barocas, Daniel A. [1 ]
Idrees, Kamran [3 ]
Kripalani, Sunil [4 ]
Moses, Kelvin A. [1 ]
机构
[1] Vanderbilt Univ, Med Ctr, Dept Urol Surg, 1161 21st Ave South,A-1302 MCN, Nashville, TN 37232 USA
[2] Vanderbilt Univ, Med Ctr, Ctr Hlth Serv Res, 1161 21st Ave South,A-1302 MCN, Nashville, TN 37232 USA
[3] Vanderbilt Univ, Med Ctr, Dept Surg, 1161 21st Ave South,A-1302 MCN, Nashville, TN 37232 USA
[4] Vanderbilt Univ, Med Ctr, Dept Med, 1161 21st Ave South,A-1302 MCN, Nashville, TN 37232 USA
关键词
BLADDER-CANCER; MORTALITY; QUESTIONS; MORBIDITY;
D O I
10.1080/10810730.2016.1193916
中图分类号
G2 [信息与知识传播];
学科分类号
05 ; 0503 ;
摘要
Health literacy is the ability to obtain, comprehend, and act on medical information and is an independent predictor of health outcomes in patients with chronic health conditions. However, little has been reported regarding the potential association of health literacy and surgical outcomes. We hypothesized that patient complications after radical cystectomy would be associated with health literacy. In a sample of 368 patients, we found that higher health literacy scores (as determined by the Brief Health Literacy Screen) were associated with decreased odds of developing minor complications (odds ratio = 0.90, 95% confidence interval [0.83, 0.97]). Health literacy should be considered when caring for patients undergoing radical cystectomy and should serve as a potential indicator of the need for additional resources to improve postoperative outcomes.
引用
收藏
页码:99 / 104
页数:6
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