J Alex B Gibbons, Cynthia A Kahlenberg, Deanna P Jannat-Khah, Alexander B Christ, Susan M Goodman, Peter K Sculco, Mark P Figgie, Bella Y Mehta
Tumors Constitute a Majority of Total Knee Arthroplasty in Patients <21 Years Old: A United States Nationwide Analysis
The Journal of arthroplasty
online patient education materials exist inform patient medical decisions yet average adult united states reads eighthgrade level 50 medicaid patients read fifthgrade level appropriately meet us health literacy needs american medical association national institutes health recommend patient education materials exceed sixthgrade level purpose study assess compare readability english spanish online patient education materials pertaining shoulder instability surgery google searches terms shoulder instability surgery ciruga de inestabilidad de hombro conducted include 25 eligible opems per language english opem readability calculated using fleschkincaid grade level flesch reading ease flesch reading ease grade level gunningfog index colemanliau index simple measure gobbledygook spanish opem readability assessed using fernandezhuerta index spanish equivalent flesch reading ease fernandezhuerta index grade level gutirrez de polinis frmula de comprensibilidad inflesz readability index analysis revealed mean flesch reading ease english online patient education materials significantly lower mean fernandezhuerta index spanish online patient education materials english materials also found written significantly higher grade level spanish materials shoulder instability surgery online patient education materials english spanish written higher reading levels recommended ama nih though spanish online patient education materials readable average