Hong Zhao, Chenan Liu, Guotian Ruan, Xin Zheng, Yue Chen, Shiqi Lin, Xiaoyue Liu, Jinyu Shi, Xiangrui Li, Shuqun Li, Hanping Shi
The quality of life impacting factors in malnourished patients with gastric cancer
Frontiers in oncology
deficiency patient education correlated increased diseaserelated morbidity decreased access care however associations educational level preoperative disease severity postoperative outcomes patients lumbar spondylolisthesis yet explored spondylolisthesis dataset quality outcomes database qoda cohort prospectively collected data spinecore study team 12 highest enrolling sites 81 followup 5 years utilized stratified educational level patients classified three categories high school less graduate postgraduate patientreported outcome measures proms documented baseline followup included oswestry disability index odi score eq5d qualityadjusted life years numeric rating scale nrs scores back leg pain disease severity measured proms postoperatively patients also completed north american spine society assessment measure satisfaction surgery multivariable regression analysis used compare education level disease severity postoperative outcomes total 608 patients underwent analysis 260 individuals 428 educational level high school less univariate analysis baseline disease severity worse among patients lower levels education multivariable regression analysis patients postgraduate level education significantly lower odi scores 375 95 ci 731 02 p 0039 compared graduates proms associated significant differences baseline five years postoperatively patients various educational backgrounds exhibited similar rates minimal clinically important differences proms nevertheless patients lowest educational level higher odi scores 271 p 001 lower eq5d scores 0701 p 001 higher nrs leg pain 30 p 001 back pain 40 p 001 scores compared graduate postgraduate levels education odds postoperative satisfaction also comparable cohorts 5 years reference graduate level high school less 087 95 ci 046164 p 0659 postgraduate 16 95 ci 07365 p 0262 lower patient education level associated greater baseline disease severity patients lumbar spondylolisthesis surgery demonstrated similar benefits irrespective educational background however individuals lower educational level reported lower outcomes overall emphasizes need enhanced health literacy mitigate disparities reported outcomes