ArticleUrologic oncology2020
Examining the association of health literacy and numeracy with prostate-related knowledge and prostate cancer treatment regret.
Article in Urologic oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Financial strain measures and associations with adult health: A systematic literature review.Social science & medicine (1982) · 2025Pooled it
- Pooled it
- Sociodemographic trends in prostate cancer: insights from the All of Us Research Program.JNCI cancer spectrum · 2026Article
- Decision regret in patients with rectal cancer undergoing multimodal therapy.Clinical and translational radiation oncology · 2026Article
- Assessing Clinical Factors and Communication Barriers Impacting Postoperative Regret in Patients with Pancreatic Cancer.Annals of surgical oncology · 2026Article
- Patient preferences for life expectancy cutoffs for aggressive treatment in clinically localized prostate cancer.Urologic oncology · 2025Article
- Readability and Information Quality in Cancer Information From a Free vs Paid Chatbot.JAMA network open · 2024Article
- Decision regret after prostate biopsy for prostate cancer diagnosis: a Korean multicenter cohort study.BMC public health · 2024Article
- Impact of health and digital health literacy on quality of life following radical prostatectomy for prostate cancer: prospective single-center cohort study.World journal of urology · 2024Article
- Decision regret of cancer patients after radiotherapy: results from a cross-sectional observational study at a large tertiary cancer center in Germany.Journal of cancer research and clinical oncology · 2024Observational
- Patient experiences with tissue-based genomic testing during active surveillance for prostate cancer.BJUI compass · 2024Article
- Assessment Tools for Measuring Health Literacy and Digital Health Literacy in a Hospital Setting: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- A literature review to understand health literacy in men with prostate cancer on active surveillance.Translational andrology and urology · 2023Review
- Context Matters: Emotional Sensitivity to Probabilities and the Bias for Action in Cancer Treatment Decisions.Medical decision making : an international journal of the Society for Medical Decision Making · 2023Article
- Unmet supportive care needs in prostate cancer survivors with advanced disease: A mixed-methods exploration.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022Article
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
Abstract
introductionEducational materials used in prostate cancer shared decision-making are often written above the health literacy levels of the patients that may benefit the most from such tools. Poor understanding the oncologic and functional outcomes of prostate cancer treatment may influence patient regret during this process. In this study, we assess the association between health literacy, numeracy, prostate-related knowledge and treatment regret in a diverse population. MATERIALS AND
methodsPatients obtaining care between June and August of 2016 at both community-based and academic tertiary care facilities were assessed for health literacy and numeracy using validated instruments. Prostate knowledge was tested in those patients without a history of prostate cancer using a 29-item questionnaire and patient-level predictors of knowledge were assessed. Prostate cancer treatment regret was assessed in those patients who had a history of prostate cancer.
resultsA total of 90 patients were enrolled, 38 (42%) of whom had a history of prostate cancer. African American race (I = 0.039), financial strain (P < 0.001), and educational attainment (P < 0.001) were all associated with lower health literacy on multivariable analysis. Possessing a professional degree (P = 0.021) and higher health literacy (P = 0.001) were associated with greater prostate-related knowledge. Of those with a history of prostate cancer, 9 (24%) expressed treatment regret. Patients with regret were more likely to be African American (n = 6, 66.7% vs. 5, 17.2%, P = 0.004), not married (P = 0.016), and score lower on the literacy (1.0 vs. 8.0, P = 0.009) and numeracy (10.0 vs. 16.0, P = 0.016) scales.
conclusionsWe identified lower health literacy among African American men, and lower prostate-related knowledge in those with poor health literacy. To our knowledge, this is the first study to show an association between health literacy and prostate cancer treatment regret.
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