Kerri L. Cavanaugh|Rebecca L. Wingard|Raymond M. Hakim|Svetlana K. Eden|Ayumi Shintani|Kenneth A. Wallston|Mary Margaret Huizinga|Tom A. Elasy|Russell L. Rothman|T. Alp ?kizler
Low Health Literacy Associates with Increased Mortality in ESRD
Fresenius Medical Care (United States)|Fresenius Medical Care (United States)|Cancer Research And Biostatistics|Cancer Research And Biostatistics|Johns Hopkins Medicine|Johns Hopkins University|Vanderbilt University Medical Center
limited health literacy common united states associates poor clinical outcomes little known effect health literacy patients advanced kidney disease prospective cohort study describe prevalence limited health literacy examine association risk mortality hemodialysis patients enrolled 480 incident chronic hemodialysis patients 77 dialysis clinics 2005 2007 followed april 2008 measured using rapid estimate adult literacy medicine 32 patients limited 9th grade reading level 68 adequate health literacy 9th grade reading level limited health literacy likely patients male nonwhite fewer years education compared adequate literacy limited health literacy associated higher risk death hr 154 95 ci 101 236 even adjustment age sex race diabetes summary limited health literacy common associates higher mortality chronic hemodialysis patients addressing health literacy may improve survival patients