Erich Kummerfeld, Galin L Jones
One data set, many analysts: Implications for practicing scientists
Frontiers in psychology
low health literacy hl associated poor surgical outcomes patients abdominal tumors despite enhanced recovery programs however relationship hl postoperative outcomes including healthrelated quality life hrqol physical functions unclear patients abdominal tumors receiving perioperative rehabilitation programs prps objective identify associations hl postoperative functional general outcomes patients abdominal tumors undergoing surgery prps controlling critical covariates prospective cohort study conducted april 2020 december 2021 single acute care hospital akita city japan 112 consecutive older adults abdominal tumors referred prps surgery tumors 101 participated three patients declined undergoing followup assessment thus 97 analyzed demographic data comorbidities education surgical procedure frailty status cognitive functions physical activity nutritional status tumor sites types stages collected covariates baseline participants underwent prps hl measured using japanese version european health literacy survey questionnaire comprehensive hl measurement primary endpoints changes hrqol measured using euroqol 5dimension 5level eq5d5l index euroqolvisual analog scale eqvas physical functions chairstand ability usual gait speed grip strength surgery discharge secondary endpoints 90day readmissions postoperative complications length hospital stay multivariate regression inverse probability weighting using propensity scores estimeted associations hl outcomes 97 patients 36 371 women mean standard deviation age 744 63 years 42 433 reported low hl baseline patients low hl exhibited worse eq5d5l scores p 001 eqvas values p 03 chairstand ability p 001 gait speed p 03 controls low hl associated low risk grip strength declines risk ratio 013 95 confidence interval 012099 outcome appeared apparent associations hl surgical outcomes patients abdominal tumors receiving prps thus hl might crucial predictor surgical outcomes combined prps