Patients With Limited Health Literacy Have Similar Preferences but Different Perceptions in Surgical Decision-making for Carpal Tunnel Release

Clinical Orthopaedics and Related Research
Young Hak RohGoo Hyun Baek

Abstract

Health literacy is the ability to obtain, process, and understand health information needed to make appropriate health decisions. The proper comprehension by patients regarding a given disease, its treatment, and the physician's instructions plays an important role in shared decision-making. Studies have disagreed over the degree to which differences in health literacy affect patients' preferences for shared decision-making; we therefore sought to evaluate this in the context of shared decision-making about carpal tunnel release. (1) Do patients with limited health literacy have different preferences of shared decision-making for carpal tunnel release than those with greater levels of health literacy? (2) How do patients with limited health literacy retrospectively perceive their role in shared decision-making after carpal tunnel release? Over a 32-month period, one surgeon surgically treated 149 patients for carpal tunnel syndrome. Patients were eligible if they had cognitive and language function to provide informed consent and complete a self-reported questionnaire and were not eligible if they had nerve entrapment other than carpal tunnel release or had workers compensation issues; based on those, 140 (94%) were approached ...Continue Reading

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Citations

Nov 16, 2018·The Journal of Hand Surgery Asian-Pacific Volume·Yo-Han LeeKee Jeong Bae
Feb 14, 2020·Health Literacy Research and Practice·Michelle E ChangDaniel I Chu
Sep 15, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Charlie Dee Wilson, Robert A Probe
Oct 6, 2020·The Journal of Hand Surgery·Matthew TarabochiaDavid Ring

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