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World Journal of Surgery
Erschienen in: World Journal of Surgery 1/2019

13.08.2018 | Scientific Review

Health Literacy Among Surgical Patients: A Systematic Review and Meta-analysis

verfasst von: Mélissa Roy, Joseph P. Corkum, David R. Urbach, Christine B. Novak, Herbert P. von Schroeder, Steven J. McCabe, Karen Okrainec

Erschienen in: World Journal of Surgery | Ausgabe 1/2019

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Abstract

Health literacy is the extent to which patients are able to understand and act upon health information. This concept is important for surgeons as their patients have to comprehend the nature, risks and benefits of surgical procedures, adhere to perioperative instructions, and make complex care decisions about interventions. Our review aimed to determine the prevalence of limited health literacy of the surgical patient population. A search of MEDLINE and EMBASE was performed from inception until January 14th 2017 for experimental and observational studies reporting surgical patients’ health literacy measurement. Overall pooled proportion of surgical patients with limited health literacy was calculated using a random-effects model and methodologic quality was assessed. A total of 40 studies representing 18,895 surgical patients were included in our quantitative synthesis. Pooled estimate of limited health literacy was 31.7% (95%CI 24.7–39.2%, I2 99.0%). There was low risk of bias among the majority of the 51 studies included in the qualitative synthesis. Statistical heterogeneity could not be fully accounted for by methodologic quality or patient and surgical characteristics. However, some of the heterogeneity was accounted by measurement tool [combined proportions with the REALM and NVS of 35.6 (95%CI 31.5–39.9, I2 73.0%)]. A number of different health literacy measurement tools were used (19 overall). Our review demonstrates a high prevalence of limited health literacy among surgical patients with considerable heterogeneity. Our findings suggest the importance of recognizing and addressing surgical patients with limited health literacy and the need for standardization in measurement tools.
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Metadaten
Titel
Health Literacy Among Surgical Patients: A Systematic Review and Meta-analysis
verfasst von
Mélissa Roy
Joseph P. Corkum
David R. Urbach
Christine B. Novak
Herbert P. von Schroeder
Steven J. McCabe
Karen Okrainec
Publikationsdatum
13.08.2018
Verlag
Springer International Publishing
Erschienen in
World Journal of Surgery / Ausgabe 1/2019
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-018-4754-z

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