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Study cites impact of health literacy on outcomes in patients with CKD
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According to recently published results, there is limited evidence on the impact of health literacy on patient outcomes in CKD. However, the evidence that is available demonstrated adverse clinical events, increased health care use and mortality are associated with CKD.
Researchers conducted a systematic review of 29 studies on health literacy and clinical outcomes among adults with CKD. One study was on patients outside of the United States. Investigators noted out of the 29 studies, five were cohort studies and 24 were cross-sectional studies, with a total of 18,300 patients studied. There were 4,367 patients with CKD who were not on dialysis, 13,202 dialysis patients, 290 transplantation surgery patients and 341 unspecified patients. The median study size was 127 interquartiles; however, for cohort studied it was 480 interquartiles. There was a 48% median proportion of nonwhite participants. Six health literacy measures were used in the study.
Outcomes assessed included patient attributes, care processes, clinical and laboratory parameters and “hard” clinical outcomes. There was a significant association between limited health literacy and hospitalizations, emergency department use, missed dialysis sessions, cardiovascular events and mortality. One study had high study quality, three studies had moderate study quality and 25 studies had poor study quality. These were limited by sampling methods, variable adjustment for confounders and decreased methodological detail provided in conference abstracts. – by Monica Jaramillo
Disclosures: Taylor reports no relevant financial disclosures. Please see the full study for all other authors’ relevant financial disclosures.
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