Fatima Warsame|Christine E. Haugen|Ying Hua|Jacqueline Garonzik?Wang|Niraj M. Desai|Rasheeda K. Hall|Rekha Kambhampati|Deidra C. Crews|Tanjala S. Purnell|Dorry L. Segev|Mara McAdams?DeMarco
Limited health literacy and adverse outcomes among kidney transplant candidates
Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Duke University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University
onethird us adults limited health literacy putting risk adverse clinical outcomes evaluated prevalence limited health literacy among 1578 adult kidney transplant kt candidates may 2014november 2017 examined association listing transplant waitlist mortality pilot study limited health literacy assessed kt evaluation using standard cutoff score 5 brief health literacy screen score range 012 lower scores indicate worse health literacy used logistic regression adjusted cox proportional hazards models identify risk factors limited health literacy quantify association listing waitlist mortality found 89 candidates limited health literacy risk factors included less college education adjusted odds ratio aor 287 95 confidence interval ci186443 frailty aor 185 95 ci122280 comorbidity charlson comorbidity index 1point increase aor112 95 ci 104120 cognitive impairment aor 345 95 ci 220541 adjusting age sex race income candidates limited health literacy 30 adjusted hazard ratio070 95 ci 054091 decreased likelihood listing 242fold 95 ci 116 505fold increased risk waitlist mortality limited health literacy may salient mechanism access kt programs aid candidates limited health literacy may improve outcomes reduce disparities