Evidence map›Paper›PMID 31800111›Full record

ArticleThe Laryngoscope2020

Health literacy: Impact on quality of life in head and neck cancer survivors.

Marci Lee Nilsen, Jessica Moskovitz, Lingyun Lyu, Christine Harrison, Evan Randazza, Shyamal Das Peddada, Jonas T Johnson

Open access · greenAbstract read
In one paragraph

Article in The Laryngoscope, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
9.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Evaluating the Feasibility of Educational Videos in a Medical Oncology Sarcoma Clinic to Improve Patient Knowledge and Satisfaction.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
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  6. Factors associated with health-related quality of life in survivors of childhood-onset and adult-onset cancer compared to controls.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  7. Article
  8. The role of health literacy in treatment decision-making for patients with early-stage laryngeal cancer: a cross-sectional study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  9. Article
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  13. Observational
  14. Factors associated with quality of life among patients with a newly diagnosed oral cavity and oropharyngeal cancer.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2023
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  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Marci Lee NilsenUniversity of Pittsburgh, School of Nursing, University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, U.S.A.ORCID 0000-0002-5888-668X
Jessica MoskovitzUniversity of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, U.S.A.
Lingyun LyuUniversity of Pittsburgh, Graduate School of Public Health, Pittsburgh, Pennsylvania, U.S.A.
Christine HarrisonUniversity of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, U.S.A.
Evan RandazzaUPMC, Department of Otolaryngology, Pittsburgh, Pennsylvania, U.S.A.
Shyamal Das PeddadaUniversity of Pittsburgh, Graduate School of Public Health, Pittsburgh, Pennsylvania, U.S.A.
Jonas T JohnsonUniversity of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, U.S.A.
University of Pittsburgh · USUPMC Health System · US

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Leonard J. Appleman · 1988 to 2026
$158.0M
WILD TYPE P53-BASED ADJUVANT IMMUNOTHERAPY FOR SCCHNP50CA097190 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Heath Devin Skinner, Jose P. Zevallos · 2004 to 2026
$49.6M
Postdoctoral Training in Head and Neck OncologyT32CA060397 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ZEVALLOS, JOSE P. · 1994 to 2024
$2.7M
NCI NIH HHS P30 CA047904NCI NIH HHS P50 CA097190NCI NIH HHS T32 CA060397
6 · The paper itself

Abstract

objectivesAlthough inadequate health literacy has been shown to impact health outcomes in other cancers, little is known about its impact in head and neck cancer (HNC). This study aimed to determine the prevalence and predictors of inadequate health literacy and evaluate the association between health literacy and quality of life (QOL) in HNC survivors.

methodsWe conducted a retrospective analysis of HNC survivors evaluated in a multidisciplinary HNC survivorship clinic. Survivors had to be ≥1-year postcompletion of treatment to be included in the analysis. Health literacy was assessed via self-report with the Brief Health Literacy Screen (score <10 indicating inadequate health literacy), and QOL was measured using the University of Washington QOL questionnaire. Linear regression with robust standard errors was utilized to evaluate the association between health literacy and QOL.

resultsOf the 218 survivors evaluated, 13.8% (n = 30) demonstrated inadequate health literacy. After adjusting for age, marital status, site, stage, treatment modality, and years since treatment completion, social-emotional QOL scores for survivors with adequate health literacy were estimated to be 10.67 points higher than those with inadequate health literacy (P = .013). Health literacy was not significantly associated with physical QOL after adjusting for covariates (P = .130).

conclusionInadequate health literacy is associated with a lower social QOL in HNC survivors, and among those with inadequate health literacy, interventions to ameliorate the impact on QOL are needed. LEVEL OF EVIDENCE: 4 Laryngoscope, 130:2354-2359, 2020.

Indexed as

Health LiteracyAdultAgedAged, 80 and overCancer SurvivorsFemaleHead and Neck NeoplasmsHumansMaleMiddle AgedQuality of LifeRetrospective StudiesSurveys and QuestionnairesHead and neck cancerhealth literacyquality of lifesurvivorship

Identifiers

PMID31800111
PMCPMC7269840
OpenAlexW2992670692

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.