Evidence map›Paper›PMID 36326991›Full record

ArticleJournal of general internal medicine2023

Health Literacy and Treatment Satisfaction Among Patients with Venous Thromboembolism.

Matthew T Mefford, Hui Zhou, Dongjie Fan, Margaret C Fang, Priya A Prasad, Alan S Go, Cecilia Portugal, John M Chang, Kristi Reynolds

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Modelling anticoagulation and health-related quality of life in those with atrial fibrillation: a secondary analysis of AFFIRM.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Trial
  4. Article
  5. Article
  6. Clusters of Patient Empowerment and Mental Health Literacy Differentiate Professional Help-Seeking Attitudes in Online Mental Health Communities Users.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  7. Article
  8. Article
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

9 authors at 2 institutions in 1 country.

Matthew T MeffordDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA. matthew.t.mefford@kp.org.ORCID 0000-0002-0735-0340
Hui ZhouDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Dongjie FanDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Margaret C FangDivison of Hospital Medicine, University of California, San Francisco, San Francisco, CA, USA.
Priya A PrasadDivison of Hospital Medicine, University of California, San Francisco, San Francisco, CA, USA.
Alan S GoDepartment of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA.
Cecilia PortugalDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
John M ChangDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Kristi ReynoldsDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Kaiser Permanente · USUniversity of California, San Francisco · US

Funding

Use and outcomes of anticoagulants for the treatment and prevention of thrombosis among hospitalized patientsK24HL141354 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FANG, MARGARET C. · 2018 to 2022
$731k
NHLBI NIH HHS K24 HL141354
6 · The paper itself

Abstract

backgroundVenous thromboembolism (VTE) treatment requires complex management, and patients with limited health literacy (HL) may perceive higher burden and lower benefits associated with their treatment.

objectiveTo examine the association of HL with treatment satisfaction among patients with VTE.

designRetrospective cohort study

participantsKaiser Permanente Southern and Northern California members who were taking oral anticoagulants (OAC) for incident VTE between 2015 and 2018 were surveyed. Main Measures HL was assessed using a 3-item HL assessment and dichotomized as having adequate or limited HL. High treatment burden and low treatment benefit were defined as Anti-Clot Treatment Scale (ACTS) scores below the 25th percentile of the distributions for ACTS Burdens and Benefits survey components, respectively. Using Poisson regression, multivariable adjusted risk ratios (RR) and 95% confidence intervals (CI) were calculated for the association of HL with high treatment burden and low treatment benefits.

resultsAmong 2154 respondents, 397 (18.4%) had limited HL. Patients with limited vs adequate HL were older (47.9% vs 27.5% aged ≥ 75 years, p<0.001), more likely to use a non-English language when discussing their health (10.8% vs 1.7%, p<0.001), to have less than high school education (10.1% vs 1.7%, p<0.001), and to self-rate their health as fair or poor (47.6% vs 25.5%, p<0.001). After multivariable adjustment, patients with limited HL were more likely to have higher perceived treatment burden (RR 1.24, 95% CI 1.07, 1.45) and lower perceived treatment benefits (RR 1.21, 95% CI 1.08, 1.37).

conclusionsLimited HL was associated with lower OAC treatment satisfaction, though absolute differences in satisfaction scores were small. Further examination of the intersection of HL with VTE treatment satisfaction and compliance among older and non-English speaking patients is warranted.

Indexed as

Health LiteracyVenous ThromboembolismAnticoagulantsHumansPatient SatisfactionRetrospective StudiesAnticoagulantshealth literacysatisfactiontreatmentvenous thromboembolism

Identifiers

PMID36326991
PMCPMC10212857
OpenAlexW4308026765

What OpenQuestion holds

Textmetadata
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.