May 17, 2022

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Absence of Digital Health and fitness Literacy Linked to Total Survival in Grown ups With Most cancers

Total survival (OS) was poorer amid individuals with most cancers who experienced restricted digital wellbeing literacy, in accordance to review outcomes posted in JCO Scientific Cancer Informatics.

Well being literacy is the capacity to entry and realize health and fitness details and products and services to participate in selections relevant to one’s individual health and fitness. Electronic wellness literacy includes remaining ready to retrieve and recognize health and fitness facts electronically. Constrained electronic health literacy was described in this study as the deficiency of an email deal with in the patient’s electronic individual record (EPR).

“The destructive effect of confined health and fitness literacy on the survival of patients with diabetes or chronic heart failure has previously been demonstrated, but to our understanding, it has in no way been talked about in clients with cancer,” the investigators wrote.


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The review was a noninterventional assessment of grown ups handled at Centre Léon Bérard in Lyon, France, who experienced been given a most cancers analysis involving 2015 and 2017. The investigators obtained info on patients’ sex and age, specific cancer traits and results, the existence or absence of an electronic mail tackle in the patient’s EPR, and no matter if or not the individual opened an account on the on line affected individual portal. OS was the major endpoint.

The investigation included 15,244 people, 55% of whom had been women of all ages. The median individual age was 62 (assortment, 19 to 103) many years, and 35.5% of patients experienced metastatic disorder. EPRs showed e mail addresses for 57.5% of clients, and 26.4% had opened their patient portal account.

With a median follow-up of 3.6 (selection, to 6.8) many years, OS was drastically superior amid clients who experienced an e mail handle in the EPR (P <.001). Multivariate analyses revealed various factors linked to worse OS, including de novo metastatic disease (hazard ratio [HR], 2.63 95% CI, 2.47-2.79 P <.001), male sex (HR, 1.27 95% CI, 1.15-1.41 P <.001), older age (HR, 1.02 95% CI, 1.02-1.03 P <.001), and lack of an email address in the EPR (HR, 1.63 95% CI, 1.33-2.00 P <.001).

“The absence of an email address for patients with cancer can be considered as a modern factor of fragility taking into account the prognostic impact on the OS of this population,” the investigators concluded.

Disclosures: Some authors declared affiliations with biotech, pharmaceutical, and/or device companies. Please see the original study for a full list of authors’ disclosures.

Reference

Heudel PE, Delrieu L, Dumas E, et al. Impact of limited e-health literacy on the overall survival of patients with cancer. JCO Clin Cancer Inform. 20226:e2100174. doi:10.1200/CCI.21.00174

This article originally appeared on Oncology Nurse Advisor