ArticleBMC cancer2019
Health literacy and patient participation in multidisciplinary tumor conferences in breast cancer care: a multilevel modeling approach.
Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Pooled it
- The participation of lifeworld experts in Delphi processes: A reflection on method and practice.MethodsX · 2025Review
- Treatment confidence and patient participation in multidisciplinary tumor conferences: A structural equation modeling approach.Cancer medicine · 2024Observational
- Assessment Tools for Measuring Health Literacy and Digital Health Literacy in a Hospital Setting: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- Motivational readiness for physical activity and health literacy: results of a cross-sectional survey of the adult population in Germany.BMC public health · 2023Article
- Review
- Shared-Decision-Making Experiences in Breast Cancer Care with and without Patient Participation in Multidisciplinary Tumor Conferences: A Mixed-Methods-Study.Journal of multidisciplinary healthcare · 2023Article
- How shared is decision-making in multidisciplinary tumour conferences with patient participation? An observational study.Health expectations : an international journal of public participation in health care and health policy · 2022Observational
- Article
- Assessing COVID-19 Health Literacy (CoHL) and its relationships with sociodemographic features, locus of control and compliance with social distancing rules during the first lockdown in France.Health education research · 2022Article
- Do health literacy levels of nursing students change throughout the study programme? A cross-sectional study.BMJ open · 2022Article
- Patient participation in multidisciplinary tumor conferences: How is it implemented? What is the patients' role? What are patients' experiences?Cancer medicine · 2021Article
- Observational
- Delving deeper into disparity: The impact of health literacy on the surgical care of breast cancer patients.American journal of surgery · 2020Review
- Patient Participation in Multidisciplinary Tumor Conferences from the Providers' Perspective: Is It Feasible in Routine Cancer Care?Journal of multidisciplinary healthcare · 2020Article
- Improved Implementation of Tumor Board Decisions: A Retrospective Single Center Observational Study in Germany.In vivo (Athens, Greece)Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDecisions made in multidisciplinary tumor conferences (MTC) that consider patient preferences result in better patient outcomes. Furthermore, it has been shown that in some breast cancer centers in Germany, patients participate in MTCs and that participation is associated with sociodemographic and breast cancer center-related factors. Health literacy (HL) has been shown to be predictive for individual health behavior and is an important prerequisite for patient participation in healthcare. However, so far nothing is known about the association between HL and MTC patient participation. To close this gap in research, we analyzed which patient characteristics affect participation in MTCs and whether participation varies between breast cancer centers.
methodsIn a prospective, multicenter cohort study, newly diagnosed breast cancer patients were surveyed directly after surgery (T1) as well as 10 weeks (T2) and 40 weeks (T3) after surgery. After descriptive analysis, t-tests were conducted, correlations for independent variables were run, and logistic multilevel regression analysis was applied to estimate the association between patient participation in MTCs at T1 and HL (HLS-EU-Q16 [1]), sociodemographic and disease-related characteristics (n = 863 patients) and the variation between breast cancer centers (n = 43 centers).
resultsDescriptive results show that 6.8% of breast cancer patients took part in a MTC. The logistic multilevel regression model revealed that patients with an inadequately HL are less likely to participate in MTCs (OR = 0.31, 95%-CI = 0.1-0.9, Pseudo-R
conclusionsThese findings are the first to show significant differences in HL and patient participation in MTCs in a large sample of breast cancer patients. In future research on patient participation in MTCs and HL, questions concerning the organization, communication and decision-making in MTCs with and without patient participation have to be addressed, and patient and provider perspectives must be equally considered.
trial registrationDatabase Health Services Research, VfD_PIAT_12_001630 , registered prospectively on 01.03.2012.
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