SynthesisHealth literacy research and practice2020
Health Literacy in Surgery.
Synthesis in Health literacy research and practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.
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.
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.
Who cites it
43 citing papers in PubMed, 90 citations in OpenAlex.
- Effect of a patient-driven perioperative intervention on health literacy: A stepped-wedge cluster randomised sub-study.PloS one · 2026Trial
- Health literacy in perioperative care: toward better shared decision-making through navigation and communication design.Journal of anesthesia · 2026Review
- Informed Consent in Orthopaedic Surgery: When a Signature Does Not Mean Understanding: A Prospective Study of 750 Patients Comparing Elective and Trauma Settings.Journal of evaluation in clinical practice · 2026Observational
- Perioperative Ostomy Care and Education Experiences by Patient and Caregiver Health Literacy.The Journal of surgical research · 2026Article
- Readability of Online Patient Education Materials for Endoscopic Spine Surgery.Spine surgery and related research · 2026Article
- The Role of Health Literacy in Gastrointestinal Cancer Patients' Surgical Journey: A Qualitative Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Article
- The relationship between illness uncertainty and preoperative anxiety in surgical patients: the moderating role of mental health literacy.Frontiers in psychology · 2026Article
- The Impact of Social Determinants of Health on Severe Colorectal Complications.Clinics in colon and rectal surgery · 2026Review
- Consideration of health literacy when implementing electronic questionnaires in the preoperative assessment process.British journal of anaesthesia · 2025Article
- Development and psychometric validation of a first aid health literacy assessment questionnaire for older adults.BMC emergency medicine · 2025Article
- Differences in sex development: Taking inventory of function and anatomy to empower self care.Seminars in pediatric surgery · 2025Review
- Readability of online patient education materials for cervical disc replacement.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- Impact of health literacy and general self-efficacy on surgical outcomes 2 years after bariatric surgery.Clinical obesity · 2025Article
- Defining Opportunities to Improve Perioperative Ostomy Care and Education.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Article
- Health Literacy and Related Factors in Perioperative Patients: A Cross-Sectional Descriptive Study.Yonago acta medica · 2025Article
- Application of health literacy promotion systems in sexually transmitted diseases: An altmetric analysis.Journal of education and health promotion · 2025Article
- Addressing Low Health Literacy in Surgical Populations.Clinics in colon and rectal surgery · 2025Review
- The experience and discharge readiness of patients undergoing metabolic and bariatric surgery: a qualitative study.Frontiers in medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundLow health literacy is associated with poor health outcomes in many chronic diseases and may have an important role in determining surgical outcomes. This study aims to comprehensively review the current state of science on adult health literacy in surgery and to identify knowledge gaps for future research.
methodsUsing the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a systematic search was conducted to identify all studies from January 2002 through May 2018 that used validated instruments to assess health literacy among adult patients undergoing surgery. Studies were assessed for quality using the Newcastle-Ottawa scale and evaluated on findings by their focus on identifying health literacy levels, understanding associations with surgical outcomes, and/or developing interventions to address low health literacy. KEY
resultsThere were 51 studies on health literacy with data from 22,139 patients included in this review. Low health literacy was present in more than one-third of surgical patients (34%, interquartile range 16%-50%). The most commonly used validated instrument for assessment of health literacy in the surgical population was the Newest Vital Sign. Most studies were focused on identifying the prevalence of low health literacy within a surgery population (84%, n = 43). Few studies focused on understanding the association of health literacy to surgical outcomes (12%, n = 6) and even fewer studies developed interventions to address health literacy (4%, n = 2). DISCUSSION: Low health literacy is common among surgical patients. Important opportunities exist to better understand the role of health literacy in determining surgical outcomes and to develop more health literacy-sensitive models of surgical care. [HLRP: Health Literacy Research and Practice. 2020;4(1):e45-e65.] PLAIN LANGUAGE SUMMARY: Health literacy has not been well-studied in surgery but likely plays an important role. In this article, we reviewed all current research on health literacy in surgery to help us understand where we are at and where we need to go. We found that low health literacy is common and we need more ways to address it in surgery.
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What OpenQuestion holds
Registered trials
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.