Health Literacy in Neurosurgery: A Scoping Review

Shlobin, Nathan A.; Huang, Jonathan; Lam, Sandi

doi:10.1016/j.wneu.2022.07.023

Cited by 12 publications

(4 citation statements)

References 88 publications

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“…They must also communicate with patients and caregivers to promote understanding, empowerment, and satisfaction. Neurosurgeons should use patient and caregiver health literacy as a foundation for their discussions, provide clear communication, and utilize multimodal educational interventions 54–56,62–64 …”

Section: Discussionmentioning

confidence: 99%

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Deep brain stimulation and intrathecal/intraventricular baclofen for glutaric aciduria type 1: A scoping review, individual patient data analysis, and clinical trials review

Shlobin

Hofmann

Keating

et al. 2023

J of Inher Metab Disea

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Glutaric aciduria type 1 (GA1) is an autosomal recessive disease frequently leading to dystonia. Deep brain stimulation (DBS), intrathecal baclofen (ITB), and intraventricular baclofen (IVB) are the current interventional treatment options for refractory dystonia. We performed a scoping review, individual patient data (IPD) analysis, and clinical trials review to summarize the existing literature on these interventions in this population, characterize outcomes, and suggest directions for future investigation. PubMed, Embase, and Scopus were searched following PRISMA guidelines. IPD were extracted from studies providing IPD for GA1 patients. http://clinicaltrials.gov was reviewed. Of 139 articles, 7 studies with 10 patients were included. In study‐level data, 2/4 (50.0%) DBS studies found no improvement in dystonia and 3/3 (100%) on baclofen found decreased dystonia and enteral medication regimen. In the IPD analysis, four studies with 5 patients (2 IVB, 2 DBS, 1 ITB) were included. The average percent reduction in dystonia was 29.9% ± 32.5% (median:18%, IQR:18%–29.2%). Function improved in 4 (80.0%) patients. All patients with reported changes in enteral dystonia‐related medication regimen (3/3, 100%) reported reduction in medication usage. No patients (0%) had perioperative complications. Mean follow‐up length was 14.8 ± 12.2 months. No interventional clinical trials were found. ITB, IVB, and DBS represent present neuromodulatory approaches for the treatment of GA1. ITB and IVB reduce dystonia, while DBS has a heterogeneous effect. ITB and IVB improved function and reduced enteral medication regimens. These findings must be viewed with caution considering limited data and a serious risk of bias. Further large‐scale studies are necessary to determine indications for ITB, IVB, and DBS and elucidate treatment algorithms.

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Section: Discussionmentioning

confidence: 99%

“…Neurosurgeons should use patient and caregiver health literacy as a foundation for their discussions, provide clear communication, and utilize multimodal educational interventions. [54][55][56][62][63][64]…”

Section: Implications For Clinical Decisionmaking and Patient Educationmentioning

confidence: 99%

Deep brain stimulation and intrathecal/intraventricular baclofen for glutaric aciduria type 1: A scoping review, individual patient data analysis, and clinical trials review

Shlobin

Hofmann

Keating

et al. 2023

J of Inher Metab Disea

Self Cite

View full text Add to dashboard Cite

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“…5 Finally, it was defined in 2020 as: "Health literacy is the degree to which individuals can find, understand, and use information and services to inform themselves and others about health-related decisions. " 6 It may be essential to reveal the health literacy level in a community to improve the health of every citizen and plan an appropriate allocation of healthcare services. 7, 8 In addition, an increase in community-wide health literacy is thought to end up with the more efficient use of healthcare services.…”

Section: Introductionmentioning

confidence: 99%

Exploring health literacy and associated factors among individuals registered in family health centers in Batman province

BULUT ÇELİK,

ERTEN BUCAKTEPE

2023

J Med Palliat Care / JOMPAC / jompac

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Introduction: Health literacy is often defined as one’s capacity to obtain, interpret, and understand basic health information and services to preserve, improve, or recover their health and their ability to make the right choices regarding their health. In this study, we attempted to explore health literacy and associated factors among individuals registered in primary health centers. Materials and Methods: We carried out this cross-sectional study with individuals registered infamily health centers in Batman province between October 2018 and March 2019. After obtaining ethical approval from the relevant ethics committee, we collected the data from the participants with a sociodemographic information form and the Turkish version of the European Health Literacy Survey Questionnaire (HLS-EU-Q). Findings: Our findings revealed that 62.3% (n = 301) of the participants were females, 52.0% (n= 251) held an undergraduate or higher degree, and 17.6% (n = 85) had a high monthly income.The mean age of the participants was found to be 33.1±11.8 years (18-78 years), and 62.1% (n =300) were younger than 35 years. We discovered that the younger participants (p = 0.003), thosewith higher educational attainment (p = 0.001), and those without chronic disease (p = 0.005)had significantly greater health literacy. Given gender and other sociodemographic characteristics demonstrating significant relationships with health literacy, our logistic regression findings also showed that income level, perceived socioeconomic and health status, and reading enjoyment had significant impacts on the participants’ sufficient/excellent health literacy level. Conclusion: Thus, the results of this research and prospective studies would further facilitate developing policies for boosting health literacy to protect public health and to alleviate inequalities in accessing healthcare services.

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“…This is especially problematic as low health literacy has been linked to poor patient outcomes, increased healthcare costs, and overutilization of emergency rooms. 3 , 6 , 21 , 23 , 28 …”

mentioning

confidence: 99%

Most patient education materials on shoulder conditions from the American Academy of Orthopaedic Surgeons exceed recommended readability levels

et al. 2023

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Health Literacy in Neurosurgery: A Scoping Review

Cited by 12 publications

References 88 publications

Deep brain stimulation and intrathecal/intraventricular baclofen for glutaric aciduria type 1: A scoping review, individual patient data analysis, and clinical trials review

Deep brain stimulation and intrathecal/intraventricular baclofen for glutaric aciduria type 1: A scoping review, individual patient data analysis, and clinical trials review

Exploring health literacy and associated factors among individuals registered in family health centers in Batman province

Most patient education materials on shoulder conditions from the American Academy of Orthopaedic Surgeons exceed recommended readability levels

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