Patience Gyamenah Okyere Asante, Adobea Yaa Owusu, Joseph Ransford Oppong, Kingsley E Amegah, Edward Nketiah-Amponsah
An assessment of the direct and indirect costs of breast cancer treatment in leading cancer hospitals in Ghana
PloS one
internet important source information patients effectiveness relies readability content patient education materials pems written sixthgrade reading level outlined agencies american medical association study assessed pems readability novel anterior vertebral body tethering avbt distractionbased methods posterior spinal fusion psf treating pediatric spinal deformity online search identified pems using terms anterior vertebral body tethering growing rods scoliosis posterior spinal fusion pediatric scoliosis selected first 20 general medical websites gmws 10 academic health institution websites ahiws discussing treatment 90 websites total readability tests webpage conducted using readability studio software reading grade levels rgls correspond us grade one expected comprehend text calculated sources independent tests compared rgls treatment types mean rgl 121 20 articles sixthgrade reading level 22 sixthgrade reading level avbt articles higher rgl distractionbased methods 127 16 vs 119 19 p 0082 psf 127 16 vs 116 23 p 0032 materials distractionbased methods psf comparable 119 19 vs 116 23 p 0566 among gmws avbt materials higher rgl distractionbased methods 129 14 vs 121 18 p 0133 psf 129 14 vs 114 24 p 0016 patients health literacy important shared decisionmaking assessing readability scoliosis treatment pems guides physicians sharing resources discussing treatment patients gmws ahiws exceed recommended rgls may limit patient parent understanding within gmws avbt materials written higher rgl treatments may hinder informed decisionmaking patient outcomes efforts made create online resources appropriate rgl least patients parents may directed toward ahiws rgls consistent