December 4, 2023

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Deficiency of Digital Health and fitness Literacy Linked to In general Survival in Grown ups With Most cancers

In general survival (OS) was poorer among the patients with most cancers who did not have an e-mail deal with or accessed their affected person portal. The examine results have been revealed in the journal JCO Scientific Cancer Informatics.1

Health and fitness literacy is the skill to accessibility and recognize well being info and products and services to take part in conclusions related to one’s personal health and fitness. Minimal digital wellness literacy was described in this analyze as the absence of an e-mail address in the patient’s digital individual history (EPR). Electronic wellness literacy requires currently being equipped to retrieve and recognize well being data electronically, and they famous that electronic health helps to empower clients through care.

“The negative effect of minimal health literacy on the survival of sufferers with diabetes or persistent heart failure has previously been shown, but to our awareness, it has never been talked about in clients with most cancers,” said the research investigators.

Keep on Examining

The study was a noninterventional investigation of grown ups taken care of at Centre Léon Bérard in Lyon, France, who had obtained a most cancers diagnosis among 2015 and 2017. Details received from individuals had been linked to sex, age, certain cancer characteristics and outcomes, presence or absence of an e-mail handle in the patient’s EPR, and no matter if or not the individual opened an account on the on line affected person portal. All round survival was the most important endpoint, with Kaplan-Meier analyses adjusted with inverse probability of therapy weighting centered on propensity scores. Multivariate analyses were being also executed to recognize predictors of OS.

The study evaluated a total of 15,244 people with cancer, 55% of whom were being women of all ages. Median patient age was 62 a long time (range, 19 to 103), and 35.5% of the people had metastatic ailment. EPRs showed e-mail addresses for 57.5% of individuals, and a small additional than one-quarter of people (26.4%) had opened their individual portal account.

With a median comply with-up of 3.6 yrs (variety, to 6.8), OS was significantly far better amid sufferers who experienced an email deal with in the EPR (P <.001). Multivariate analyses revealed various factors linked to poorer 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 e-mail address in the EPR (HR, 1.63 95% CI, 1.33-2.00 P <.001).

“The absence of an e-mail 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 study 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.


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