ArticleAmerican journal of surgery2022
The association of health literacy and postoperative complications after colorectal surgery: A cohort study.
Article in American journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health literacy and patient outcomes in acute care surgery: A systematic review.The journal of trauma and acute care surgery · 2026Pooled it
- Effect of a patient-driven perioperative intervention on health literacy: A stepped-wedge cluster randomised sub-study.PloS one · 2026Trial
- The readability of total elbow arthroplasty educational materials.Journal of shoulder and elbow arthroplasty · 2026Article
- Improving postoperative outcomes in gynecologic oncology through a standardized telehealth intervention: experience from an urban safety-net hospital system.Gynecologic oncology reports · 2026Article
- Perioperative Ostomy Care and Education Experiences by Patient and Caregiver Health Literacy.The Journal of surgical research · 2026Article
- Racial disparities in healthcare-associated infections: a systematic review and meta-analysis.Infection control and hospital epidemiology · 2026Article
- The Association Between Preoperative Education Level and Long-Term Outcomes After Hip Arthroscopy.Orthopaedic journal of sports medicine · 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
- Bridging the Gap: A Pilot Study Using Artificial Intelligence to Make Plastic Surgery Research Accessible.Plastic and reconstructive surgery. Global open · 2026Article
- Training a Bilingual Artificial Intelligence Model on Pediatric Orthopaedic Resources to Enhance the Readability of Patient Education Materials.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- The Impact of Social Determinants of Health on Severe Colorectal Complications.Clinics in colon and rectal surgery · 2026Review
- Health literacy of patients hospitalized for digestive surgeries.Revista da Escola de Enfermagem da U S P · 2026Article
- Measuring health literacy among older inpatients after elective surgery: evaluation of the European Health Literacy Survey Questionnaire-short form (HLS-EU-Q16).Frontiers in psychology · 2026Article
- Beyond Bleeding, Infection, Damage to Surrounding Structures: Challenges and Opportunities When Communicating about Surgical Risks.Clinics in colon and rectal surgery · 2026Review
- Neighborhood disadvantage predicts health resource utilization after lumbar spine surgery: a cohort study.Acta neurochirurgica · 2025Article
- The ABCs of PEMs: Using Artificial Intelligence to Enhance the Readability of Patient Educational Materials in Pediatric Orthopaedics.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Navigating care: a multicentre US survey of health literacy in paediatric perioperative care.British journal of anaesthesia · 2025Observational
- Patients' perceptions of bariatric surgery in the Deep South: the impact of health literacy.Surgical endoscopy · 2025Article
- Article
- Sleeve gastrectomy with same-day discharge: a propensity score-matched analysis of independent predictors of complication.Surgical endoscopy · 2025Article
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Abstract
backgroundHealth literacy is a determinant of health. Few studies characterize its association with surgical outcomes.
methodsRetrospective cohort study of patients undergoing elective colorectal surgery 2015-2020. Health literacy assessed using Brief Health Literacy Screening Tool. Outcomes were postoperative complications, LOS, readmissions, mortality.
resultsOf 552 patients, 46 (8.3%) had limited health literacy, 506 (91.7%) non-limited. Median age 57.7 years, 305 (55.1%) patients were female, 148 (26.8%) were Black. Limited patients had higher rates of overall complications (43.5% vs. 24.3%, p = 0.004), especially surgical site infections (21.7% vs. 11.3%, p = 0.04). Limited patients had longer LOS (5 vs 3.5 days, p = 0.006). Readmissions and mortality did not differ. On multivariable analysis, limited health literacy was independently associated with increased risk of complications (OR 2.03, p = 0.046), not LOS (IRR 1.05, p = 0.67).
conclusionLimited health literacy is associated with increased likelihood of complications after colorectal surgery. Opportunities exist for health literate surgical care to improve outcomes for limited health literacy patients.
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