Resources on lymphedema surgery: How effective are they for patients?
Artur Manasyan BS
Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorSasha Lasky BS
Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorEloise W. Stanton MD
Division of Plastic and Reconstructive Surgery, Keck School of Medicine of USC, Los Angeles, California, USA
Search for more papers by this authorBrigette Cannata BS
Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorTayla Moshal BS
Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorIdean Roohani BS
Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorEmma Koesters MD
Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorCorresponding Author
David A. Daar MD, MBA
Division of Plastic and Reconstructive Surgery, Keck School of Medicine of USC, Los Angeles, California, USA
Correspondence David A. Daar, MD, MBA, Department of Plastic and Reconstructive Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Email: [email protected]
Search for more papers by this authorArtur Manasyan BS
Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorSasha Lasky BS
Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorEloise W. Stanton MD
Division of Plastic and Reconstructive Surgery, Keck School of Medicine of USC, Los Angeles, California, USA
Search for more papers by this authorBrigette Cannata BS
Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorTayla Moshal BS
Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorIdean Roohani BS
Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorEmma Koesters MD
Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Search for more papers by this authorCorresponding Author
David A. Daar MD, MBA
Division of Plastic and Reconstructive Surgery, Keck School of Medicine of USC, Los Angeles, California, USA
Correspondence David A. Daar, MD, MBA, Department of Plastic and Reconstructive Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Email: [email protected]
Search for more papers by this authorAbstract
Online patient education materials (PEMs) on lymphedema surgery were assessed for quality, readability, and content. A total of 37 PEMs were identified, primarily authored by academic/medical organizations. Readability scores indicated materials were difficult to read, with an average Flesch-Kincaid Grade Level of 10.4. PEM Assessment Tools showed acceptable understandability (72.3%) but poor actionability (28.5%). PEMs often lacked information on surgical risks, postoperative care, and long-term follow-up. Simplifying language and adding visual aids could improve PEM effectiveness.
CONFLICT OF INTEREST STATEMENT
The authors do not have any financial relationships or conflicts of interest relevant to this paper to disclose.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.
REFERENCES
- 1Brouillard P, Witte MH, Erickson RP, et al. Primary lymphoedema. Nat Rev Dis Primers. 2021; 7(1): 77.
- 2Grada AA, Phillips TJ. Lymphedema. J Am Acad Dermatol. 2017; 77(6): 1009-1020.
- 3Lasinski BB. Complete decongestive therapy for treatment of lymphedema. Semin Oncol Nurs. 2013; 29(1): 20-27.
- 4Senger JLB, Kadle RL, Skoracki RJ. Current concepts in the management of primary lymphedema. Medicina. 2023; 59(5):894. doi:10.3390/medicina59050894
- 5Schaverien MV, Coroneos CJ. Surgical treatment of lymphedema. Plast Reconstruct Surg. 2019; 144(3): 738-758.
- 6Wang X, Cohen RA. Health Information Technology Use among Adults: United States, July-December 2022. National Center for Health Statistics (U.S.); 2023. doi:10.15620/cdc:133700
10.15620/cdc:133700 Google Scholar
- 7Rothwell J. Assessing the economic gains of eradicating illiteracy nationally and regionally in the United States. Vol. 1. Barbara Bush Foundation for Family Literacy; 2020: 3-9.
- 8Albright J, de Guzman C, Acebo P, Paiva D, Faulkner M, Swanson J. Readability of patient education materials: implications for clinical practice. Appl Nurs Res. 1996; 9(3): 139-143.
- 9Bluman EM, Foley RP, Chiodo CP. Readability of the patient education section of the AOFAS website. Foot Ankle Int. 2009; 30(4): 287-291.
- 10Polishchuk DL, Hashem J, Sabharwal S. Readability of online patient education materials on adult reconstruction web sites. J Arthroplasty. 2012; 27(5): 716-719.
- 11Phan A, Jubril A, Menga E, Mesfin A. Readability of the most commonly accessed online patient education materials pertaining to surgical treatments of the spine. World Neurosurg. 2021; 152: e583-e588.
- 12Badarudeen S, Sabharwal S. Readability of patient education materials from the American Academy of Orthopaedic Surgeons and Pediatric Orthopaedic Society of North America web sites. J Bone Joint Surg Am Vol. 2008; 90(1): 199-204.
- 13Cotugna N, Vickery CE, Carpenter-Haefele KM. Evaluation of literacy level of patient education pages in health-related journals. J Community Health. 2005; 30(3): 213-219.
- 14Casley-Smith JR. Alterations of untreated lymphedema and it's grades over time. Lymphology. 1995; 28(4): 174-185.
- 15Manrique OJ, Bustos SS, Ciudad P, et al. Overview of lymphedema for physicians and other clinicians: a review of fundamental concepts. Mayo Clin Proc. 2022; 97(10): 1920-1935.
- 16 Readability test. WebFX. Published September 6, 2022. Accessed April 21 2024. https://www.webfx.com/tools/read-able/check.php
- 17Shoemaker SJ, Wolf MS, Brach C. Development of the patient education materials assessment tool (PEMAT): a new measure of understandability and actionability for print and audiovisual patient information. Patient Educ Couns. 2014; 96(3): 395-403.
- 18Callender LF, Johnson AL, Pignataro RM. Patient-centered education in wound management: improving outcomes and adherence. Adv Skin Wound Care. 2021; 34(8): 1.
10.1097/01.ASW.0000753256.29578.6c Google Scholar
- 19 Health Literacy Interventions and Outcomes: An Update of the Literacy and Health Outcomes Systematic Review of the Literature. Agency for Healthcare Research and Quality; 2010.
- 20Manasyan A, Ross E, Cannata B, et al. Navigating scar care: an evaluation of scar treatment patient education materials. J Burn Care Res. 2024; 45: 1089. doi:10.1093/jbcr/irae039
- 21Friedman D, Hoffman-Goetz L, Arocha J. Readability of cancer information on the internet. J Cancer Educ. 2004; 19(2): 117-122.
- 22Wasserburg JR, Sayegh F, Sanati-Mehrizy P, Graziano FD, Taub PJ. Cleft care readability: can patients access helpful online resources? Cleft Palate Craniofac J. 2021; 58(10): 1287-1293.
- 23Lavin CV, Fahy EJ, Abbas DB, et al. Readability of online patient information relating to cleft palate surgery. Cleft Palate Craniofac J. 2022; 59(3): 330-335.
- 24Gruman J, Rovner MH, French ME, et al. From patient education to patient engagement: implications for the field of patient education. Patient Educ Couns. 2010; 78(3): 350-356.
- 25Wu D, An J, Yu P, et al. Patterns for patient engagement with the hypertension management and effects of electronic health care provider follow-up on these patterns: cluster analysis. J Med Internet Res. 2021; 23(9):e25630.
- 26Garrud P, Wood M, Stainsby L. Impact of risk information in a patient education leaflet. Patient Educ Couns. 2001; 43(3): 303-306.
10.1016/S0738-3991(00)00168-3 Google Scholar
- 27Chang D, Dayan J, Fried P, et al. Establishing standards for centers of excellence for the diagnosis and treatment of lymphatic disease. Lymphat Res Biol. 2021; 19(1): 4-10. doi:10.1089/lrb.2020.0022
- 28Lynn JV, Hespe GE, Akhter MF, David CM, Kung TA, Myers PL. Cross-sectional analysis of insurance coverage for lymphedema treatments in the United States. JAMA Surg. 2023; 158(9): 920-926. doi:10.1001/jamasurg.2023.2017
