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Limited health literacy in advanced kidney disease

Lookup NU author(s): Dr Charlie Tomson


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© 2016 Limited health literacy may reduce the ability of patients with advanced kidney disease to understand their disease and treatment and take part in shared decision making. In dialysis and transplant patients, limited health literacy has been associated with low socioeconomic status, comorbidity, and mortality. Here, we investigated the prevalence and associations of limited health literacy using data from the United Kingdom–wide Access to Transplantation and Transplant Outcome Measures (ATTOM) program. Incident dialysis, incident transplant, and transplant wait-listed patients ages 18 to 75 were recruited from 2011 to 2013 and data were collected from patient questionnaires and case notes. A score >2 in the Single-Item Literacy Screener was used to define limited health literacy. Univariate and multivariate analyses were performed to identify patient factors associated with limited health literacy. We studied 6842 patients, 2621 were incident dialysis, 1959 were wait-listed, and 2262 were incident transplant. Limited health literacy prevalence was 20%, 15%, and 12% in each group, respectively. Limited health literacy was independently associated with low socioeconomic status, poor English fluency, and comorbidity. However, transplant wait-listing, preemptive transplantation, and live-donor transplantation were associated with increasing health literacy.

Publication metadata

Author(s): Taylor DM, Bradley JA, Bradley C, Draper H, Johnson R, Metcalfe W, Oniscu G, Robb M, Tomson C, Watson C, Ravanan R, Roderick P

Publication type: Article

Publication status: Published

Journal: Kidney International

Year: 2016

Volume: 90

Issue: 3

Pages: 685-695

Print publication date: 01/09/2016

Online publication date: 10/08/2016

Acceptance date: 26/05/2016

ISSN (print): 0085-2538

ISSN (electronic): 1523-1755

Publisher: Elsevier BV


DOI: 10.1016/j.kint.2016.05.033

PubMed id: 27521115


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