Evidence map›Paper›PMID 34179407›Full record

ArticleJournal of patient experience2021

Readability of Patient Education Materials From High-Impact Medical Journals: A 20-Year Analysis.

Michael K Rooney, Gaia Santiago, Subha Perni, David P Horowitz, Anne R McCall, Andrew J Einstein, Reshma Jagsi, Daniel W Golden

Abstract read
In one paragraph

Article in Journal of patient experience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 187 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
187citing papers in PubMed, 4 pooled it
–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

187 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. A systematic review of patient decision aids for hypertension.BMC medical informatics and decision making · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Exploring the determinants of health literacy and its effects on health-related outcomes in family caregivers of patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  8. Trial
  9. Article
  10. Health literacy of the Deaf community: a scoping review.Journal of deaf studies and deaf education · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Bridging the Health Literacy Gap for Patients With Oral Cancer: Readability Enhancement With AI Chatbots.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2026
    Article
  16. Article
  17. Article
  18. Optimizing ChatGPT Applying prompt engineering to frequently asked questions in urologic oncology.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
    Article
  19. Article
  20. Article

127 more citing papers are in PubMed but not listed here.

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.

Michael K RooneyThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID https://orcid.org/0000-0002-2860-4653
Gaia SantiagoCollege of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Subha PerniHarvard Radiation Oncology Program, Boston, MA, USA.
David P HorowitzDepartment of Radiation Oncology and Herbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center and New York-Presbyterian Hospital, New York, NY, USA.
Anne R McCallDepartment of Radiation and Cellular Oncology, University of Chicago, Chicago, IL, USA.
Andrew J EinsteinDivision of Cardiology, Department of Medicine and Radiology, Columbia University Irving Medical Center and New York-Presbyterian Hospital, New York, NY, USA.
Reshma JagsiDepartment of Radiation Oncology and Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, MI, USA.
Daniel W GoldenDepartment of Radiation and Cellular Oncology, University of Chicago, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Comprehensive patient education is necessary for shared decision-making. While patient-provider conversations primarily drive patient education, patients also use published materials to enhance their understanding. In this investigation, we evaluated the readability of 2585 patient education materials published in high-impact medical journals from 1998 to 2018 and compared our findings to readability recommendations from national groups. For all materials, mean readability grade levels ranged from 11.2 to 13.8 by various metrics. Fifty-four (2.1%) materials met the American Medical Association recommendation of sixth grade reading level, and 215 (8.2%) met the National Institutes of Health recommendation of eighth grade level. When stratified by journal and material type, general medical education materials from

Indexed as

health literacymedical decision makingpatient educationpatient engagement

Identifiers

PMID34179407
PMCPMC8205335

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.