Evidence map›Paper›PMID 41294699›Full record

Observational studyCurrent oncology (Toronto, Ont.)2025

Electronic Health Literacy, Psychological Distress, and Quality of Life in Urological Cancer Patients: A Longitudinal Study During Transition from Inpatient to Outpatient Care.

Dominik Fugmann, Steffen Holsteg, Ralf Schäfer, Günter Niegisch, Ulrike Dinger, André Karger

Abstract readObservational Study
In one paragraph

Observational study in Current oncology (Toronto, Ont.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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.

Dominik FugmannClinical Institute of Psychosomatic Medicine and Psychotherapy, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Centre for Integrated Oncology Düsseldorf (CIO ABCD), 40225 Düsseldorf, Germany.ORCID 0000-0003-2282-3932
Steffen HolstegClinical Institute of Psychosomatic Medicine and Psychotherapy, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Centre for Integrated Oncology Düsseldorf (CIO ABCD), 40225 Düsseldorf, Germany.ORCID 0009-0007-9409-4229
Ralf SchäferClinical Institute of Psychosomatic Medicine and Psychotherapy, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Centre for Integrated Oncology Düsseldorf (CIO ABCD), 40225 Düsseldorf, Germany.
Günter NiegischCentre for Integrated Oncology Aachen Bonn Cologne Düsseldorf (CIO ABCD), 40225 Düsseldorf, Germany.ORCID 0000-0001-6929-8691
Ulrike DingerClinical Institute of Psychosomatic Medicine and Psychotherapy, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Centre for Integrated Oncology Düsseldorf (CIO ABCD), 40225 Düsseldorf, Germany.
André KargerClinical Institute of Psychosomatic Medicine and Psychotherapy, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Centre for Integrated Oncology Düsseldorf (CIO ABCD), 40225 Düsseldorf, Germany.ORCID 0000-0002-4819-0144

Funding

Heigl Foundation, Düsseldorf, Germany n/a
6 · The paper itself

Abstract

Urological cancers are associated with reduced quality of life and high psychological burden, yet affected patients receive less psychosocial support than other cancer groups. Electronic health literacy (eHL) may facilitate independent access to resources, but its role for psychological outcomes and quality of life in this group is unclear. This study examined associations between eHL, psychological symptoms, and quality of life during transition from inpatient to outpatient care. A prospective, single-centre observational study was conducted. Eligible inpatients (urological cancer, Distress Thermometer ≥5 and/or request for psycho-oncological support) received an initial psycho-oncology consultation and completed surveys during inpatient treatment (T1) and three months later (T2). Measures included socio-demographics, PO-BADO, eHL (eHEALS), distress, depression (PHQ-2), anxiety (GAD-2), and quality of life (EORTC QLQ-C30). Of 108 patients completing T1, 71 completed T2. After controlling for age, eHL was not significantly associated with distress, depression, anxiety, or quality of life. Age did not moderate these relationships. In this sample, eHL showed no significant associations with psychological outcomes or quality of life. However, higher age was linked to lower eHL, suggesting that older patients may face barriers to digital health engagement. Age-related differences in eHL should be considered when designing digital support services for urological cancer patients.

Indexed as

Health LiteracyPsychological DistressQuality of LifeStress, PsychologicalUrologic NeoplasmsAdultAgedAmbulatory CareFemaleHumansInpatientsLongitudinal StudiesMaleMiddle AgedOutpatientsProspective StudieseHealth literacyinternet-based interventionkidney neoplasmsprostate neoplasmspsychological distresspsycho-oncologyquality of lifetesticular neoplasmsurinary bladder neoplasmsurology

Identifiers

PMID41294699
PMCPMC12651074

What OpenQuestion holds

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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.