Evidence map›Paper›PMID 34169120›Full record

ArticleApplied radiation oncology2018

RTAnswers Online Patient Education Materials Deviate From Recommended Reading Levels.

Stephen A Rosenberg, Ryan A Denu, David Francis, Craig R Hullett, Michael Fisher, Jessica M Schuster, Michael F Bassetti, Randall J Kimple

Abstract read
In one paragraph

Article in Applied radiation oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Stephen A RosenbergDepartment of Human Oncology, University of Wisconsin-Madison, Madison, WI, USA.
Ryan A DenuDepartment of Medicine, University of Wisconsin-Madison, Madison, WI, USA.
David FrancisDepartment of Human Oncology, University of Wisconsin-Madison, Madison, WI, USA.
Craig R HullettDepartment of Human Oncology, University of Wisconsin-Madison, Madison, WI, USA.
Michael FisherDepartment of Human Oncology, University of Wisconsin-Madison, Madison, WI, USA.
Jessica M SchusterDepartment of Human Oncology, University of Wisconsin-Madison, Madison, WI, USA.
Michael F BassettiDepartment of Human Oncology, University of Wisconsin-Madison, Madison, WI, USA.
Randall J KimpleDepartment of Human Oncology, University of Wisconsin-Madison, Madison, WI, USA.

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI AMY TRENTHAM-DIETZ · 1985 to 2026
$142.6M
Identifying causes and consequences of centrosome amplification in cancerF30CA203271 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI DENU, RYAN AUSTIN · 2016 to 2019
$124k
NCI NIH HHS F30 CA203271NCI NIH HHS P30 CA014520
6 · The paper itself

Abstract

objectivePatients are turning to the Internet more often for cancer-related information. Oncology organizations need to ensure that appropriately written information is available for patients online. The aim of this study was to determine whether the readability of radiation oncology online patient information (OPI) provided by RTAnswers (RTAnswers.org, created by the American Society for Radiation Oncology) is written at a sixth-grade level as recommended by the National Institutes of Health (NIH), the U.S Department of Health and Human Services (HHS), and the American Medical Association (AMA).

methodsRTanswers.org was accessed and online patient-oriented brochures for 13 specific disease sites were analyzed. Readability of OPI from RTAnswers was assessed using 10 common readability tests: New Dale-Chall Test, Flesch Reading Ease Score, Coleman-Liau Index, Flesch-Kinkaid Grade Level, FORCAST test, Fry Score, Simple Measure of Gobbledygook, Gunning Frequency of Gobbledygook, New Fog Count, and Raygor Readability Estimate.

resultsA composite grade level of readability was constructed using the 8 readability measures that provide a single grade-level output. The grade levels computed by each of these 8 tests were highly correlated (SI alpha = 0.98). The composite grade level for these disease site-specific brochures was 11.6 ± 0.83, corresponding to a senior in high school, significantly higher than the target sixth-grade level (p < 0.05) recommended by the NIH, HHS, and AMA.

conclusionPatient educational material provided by RTAnswers.org is written significantly above the target reading level. Simplifying and rewording this information could improve patients' understanding of radiation therapy and improve treatment adherence and outcomes.

Indexed as

health literacyonline patient informationpatient-centered careradiation oncologyreadability

Identifiers

PMID34169120
PMCPMC8221236

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.