ArticleBMC health services research2018
The impact of health literacy on shared decision making before elective surgery: a propensity matched case control analysis.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of the effectiveness of community-based interventions aimed at improving health literacy of parents/carers of children.Perspectives in public health · 2025Pooled it
- Associations Among Health Literacy, Decision Self-Efficacy, and Decisional Conflict in Stroke Survivor-Caregiver Dyads.The journal of nursing research : JNR · 2026Article
- Health Literacy and Cultural Sensitivity in Spanish Online Breast Reduction Resources.Aesthetic plastic surgery · 2026Article
- Beyond Mistrust: A Semi-Systematic Review of Black Women's Health Care Decision-Making.Journal of racial and ethnic health disparities · 2026Review
- Designing a SPIKES-based protocol for communicating uncertainty in indeterminate thyroid cytology: a mixed-method analysis within a pilot study.Updates in surgery · 2026Article
- Prevalence and determinants of shared decision-making for PSA testing in the United States.Prostate cancer and prostatic diseases · 2025Article
- ChatGPT-3.5 and -4.0 Do Not Reliably Create Readable Patient Education Materials for Common Orthopaedic Upper- and Lower-Extremity Conditions.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Health Literacy and Related Factors in Perioperative Patients: A Cross-Sectional Descriptive Study.Yonago acta medica · 2025Article
- Navigating decisional conflict: laser peripheral iridotomy for primary angle-closure glaucoma prevention.International journal of ophthalmology · 2025Article
- Addressing Low Health Literacy in Surgical Populations.Clinics in colon and rectal surgery · 2025Review
- Leveraging ChatGPT to Produce Patient Education Materials for Common Hand Conditions.Journal of hand surgery global online · 2025Article
- Patient characteristics associated with elective shoulder surgery cancellation: focus on socioeconomic factors.Frontiers in public health · 2025Article
- "I Do Not Believe We Should Disclose Everything to an Older Patient": Challenges and Ethical Concerns in Clinical Decision-Making in Old-Age Care in Ethiopia.Health care analysis : HCA : journal of health philosophy and policy · 2024Article
- Education level is associated with the occurrence and timing of hysterectomy: A cohort study of Canadian women.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Socioeconomic disparities in the burden of hypertension among Indonesian adults - a multilevel analysis.Global health action · 2022Article
- Decision-making and improvements in health-related quality of life in patients with kidney stones: comparing surgery versus observation using a mixed methods analysis.Urolithiasis · 2022Article
- The Essential Role of the Choriocapillaris in Vision: Novel Insights from Imaging and Molecular Biology.Annual review of vision science · 2022Review
- Decision-making conversations for life-sustaining treatment with seriously ill patients using a Danish version of the US POLST: a qualitative study of patient and physician experiences.Scandinavian journal of primary health care · 2022Article
- Information Needs of People With Limited Health Literacy Regarding a New "Opt-Out" Organ Donation System: A Qualitative Study in the Netherlands.Transplant international : official journal of the European Society for Organ Transplantation · 2022Article
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Corrections and comments
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Authors and funding
5 authors.
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Abstract
backgroundPoor health literacy affects over 90 million Americans. The primary aim of the study was to evaluate a possible association between health literacy and decision conflict in surgical patients.
methodsPatients undergoing a diverse number of elective surgeries were enrolled in the study. Health literacy was measured using the Newest Vital Sign instrument and decision conflict using the low literacy version of the Decision Conflict Scale.
results200 patients undergoing elective surgeries were included in the study. Patients who had greater health literacy scores had lower decision conflict scores, Spearman's rho = - 0.43, P < 0.001. Following propensity-score matching to account for potential covariates, the median (IQR) decision conflict score was 20 (0 to 40) for patients with poor health literacy compared to 0 (0 to 5) for patients with adequate literacy, P < 0.001.
conclusionsPoor health literacy is associated with greater decision conflict in patients undergoing elective surgical procedures. Strategies should be implemented to minimize decision conflict in poor health literacy patients undergoing elective surgical procedures.
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