Evidence map›Paper›PMID 40347201›Full record

ArticleThe Journal of hand surgery2026

Evaluating the Association Between Health Literacy and Patient-Reported Outcome Measures After Distal Radius Fracture.

Katherine R Miclau, Jeffrey W Kwong, Emma Tapp, Ashley Mulakaluri, sALLud Consortium, Lauren M Shapiro

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of hand surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07291492 (Examining the Relationship Between Health Literacy Level and Functional Outcomes in Patients With Hand and Forearm Injuries), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT07291492 recruitingnot on this map

Examining the Relationship Between Health Literacy Level and Functional Outcomes in Patients With Hand and Forearm Injuries

TypeobservationalSponsorPamukkale UniversityRan2026 to 2026Enrolled117ConditionsHand Injuries, Forearm FracturesArmsPatients who were referred to the hand rehabilitation unit for hand or forearm injuries will be followed for 12 weeks
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Katherine R MiclauDepartment of Orthopaedic Surgery, University of California, San Francisco, CA.
Jeffrey W KwongDepartment of Orthopaedic Surgery, University of California, San Francisco, CA.
Emma TappDepartment of Orthopaedic Surgery, University of California, San Francisco, CA.
Ashley MulakaluriDepartment of Orthopaedic Surgery, University of California, San Francisco, CA.
sALLud Consortium
Lauren M ShapiroDepartment of Orthopaedic Surgery, University of California, San Francisco, CA. Electronic address: lauren.shapiro@ucsf.edu.

Funding

Addressing Cross-Cultural Adaptation of Patient Reported Outcome Measures for Distal Radius FracturesK23AR082960 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Lauren M Shapiro · 2024 to 2026
$504k
NIAMS NIH HHS K23 AR082960
6 · The paper itself

Abstract

purposePatient-reported outcome measures (PROMs) are used to assess patients' outcomes during the treatment of distal radius fractures (DRFs). Limited health literacy is linked to poorer health outcomes. We asked whether limited health literacy is associated with PROM scores in patients with a DRF.

methodsThis cross-sectional study enrolled adults ≥18 years of age with an isolated DRF from two urban hospitals within 6 weeks of injury or surgery. Participants completed a demographics survey, brief health literacy screen, and three PROMs: Quick Disabilities of Arm, Shoulder, and Hand (QuickDASH); Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity v2.0 Short Form-7a (PROMIS-UE); and Numeric Rating Scale (NRS). Associations between social determinants of health (SDOH) factors (health literacy, income, education, and preferred language) and PROMs were assessed using multivariable linear regressions. Propensity score analyses to control for confounding and postmatching regressions were conducted.

resultsSixty-five patients participated in this study. In this sample, the mean age was 54 years, 65% were women, 26% had limited health literacy, 46% had public insurance, 18% completed at most a high school education, and 23% preferred a language other than English (PLOE). In multivariable analyses, limited health literacy and PLOE were associated with worse PROMIS-UE, and low income was associated with worse QuickDASH and NRS; associations between health literacy and QuickDASH and NRS were not statistically significant. Propensity score analyses indicated that all SDOH variables had confounding effects on associations between health literacy and PROMs. The postmatching regression analysis demonstrated that PLOE was associated with worse PROMIS-UE, and low income and PLOE with worse QuickDASH and NRS scores; limited health literacy was not significantly associated with any PROMs.

conclusionsLow income and PLOE were significant predictors of worse PROM scores. After adjusting for other SDOH variables, limited health literacy was not significantly associated with PROM scores. These findings underscore the importance of recognizing and addressing the multiple interconnected SDOH aspects associated with PROM scores. TYPE OF STUDY/LEVEL OF EVIDENCE: Prognosis IV.

Indexed as

Health LiteracyPatient Reported Outcome MeasuresRadius FracturesAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedWrist FracturesDistal radius fracturehealth literacyincomelanguagepatient-reported outcomes

Identifiers

PMID40347201
PMCPMC13459269

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Registered trials

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.