Evidence map›Paper›PMID 38780763›Full record

Observational studyUrolithiasis2024

Exploring the impact of digital health literacy on quality of life in patients undergoing retrograde intrarenal surgery for kidney stone treatment: a prospective, single-center study.

Ahmet Keles, Ozgur Arikan, İlkin Hamid-Zada, Umit Furkan Somun, Kursad Nuri Baydili, Asif Yildirim

Abstract readObservational Study
In one paragraph

Observational study in Urolithiasis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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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

6 authors.

Ahmet KelesDepartment of Urology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey. drkeles2009@yahoo.com.ORCID http://orcid.org/0000-0001-5436-1803
Ozgur ArikanDepartment of Urology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-4647-4864
İlkin Hamid-ZadaDepartment of Urology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.ORCID http://orcid.org/0009-0000-0550-250X
Umit Furkan SomunDepartment of Urology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.ORCID http://orcid.org/0009-0005-1527-8042
Kursad Nuri BaydiliDepartment of Biostatistics, School of Medicine, University of Health Sciences, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-2785-0406
Asif YildirimDepartment of Urology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-3386-971X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Retrograde intrarenal surgery (RIRS) is the recommended treatment for renal stones up to two cm in size. As digital health literacy (e-HL) has become increasingly important in promoting informed health decisions and healthy behaviors, it is necessary to investigate its impact on RIRS treatment outcomes. We aimed to explore the influence of patients' e-HL level on their postoperative quality of life (QoL). We conducted an observational prospective study of 111 patients who underwent RIRS for renal pelvis stones. Before RIRS, we evaluated patients' e-HL using the electronic health literacy scale (eHEALS). QoL was evaluated using the five-level EuroQol five-dimensional questionnaire (EQ-5D-5L) one month after RIRS. SFR was determined by a negative CT scan or asymptomatic patients with stone fragments < 3 mm. Adult individuals aged 18 years or older with typical calyceal anatomy met the eligibility criteria for enrollment. Exclusion criteria for the study included patients with ureteric stones, anomalous kidneys, or bilateral renal stones. The relationship between patients' QoL and stone-free rate was explored using Spearman's rank correlation coefficient. The mean stone burden was 14 ± 3 mm (6-19 mm). The overall SFR was 83.3% after one month. The median EQ-5D-5L utility index and VAS score were 0.826 (0.41-1) and 70 (20-100) respectively, for the overall population. We found that poorer e-HL was associated with being older (p = 0.035), having less education (p = 0.005), and not having access to the internet (p < 0.001). A significant difference was observed between patients with sufficient e-HL and patients with limited e-HL in the self-care (p = 0.02) and anxiety/depression (p = 0.021) dimensions. To date, no study has examined the impact of patients' e-HL levels on postoperative QoL in patients undergoing RIRS. This study also revealed that e-HL levels in patients undergoing RIRS were related to postoperative QoL, especially self-care and anxiety/depression dimensions, whereas there was no relationship between them and SFR.

Indexed as

Health LiteracyKidney CalculiQuality of LifeAdultAgedFemaleHumansMaleMiddle AgedProspective StudiesSurveys and QuestionnairesTreatment OutcomeDigitalHealthKidney stoneLiteracyOutcomePatientQuality of lifeReported

Identifiers

PMID38780763
PMCPMC11116255

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Registered trials

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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.