Mp12-10 the Impact of Health and Ehealth Literacy on Quality of Life and Adherence to Follow-Up in Patients With Primary Non-Muscle Invasive Bladder Cancer After Transurethral Resection: A Prospective, Single-Center Study

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making I (MP12)1 May 2024MP12-10 THE IMPACT OF HEALTH AND EHEALTH LITERACY ON QUALITY OF LIFE AND ADHERENCE TO FOLLOW-UP IN PATIENTS WITH PRIMARY NON-MUSCLE INVASIVE BLADDER CANCER AFTER TRANSURETHRAL RESECTION: A PROSPECTIVE, SINGLE-CENTER STUDY Ahmet Keles, Umit Furkan Somun, Muhammed Kose, Meftun Culpan, and Asif Yildirim Ahmet KelesAhmet Keles , Umit Furkan SomunUmit Furkan Somun , Muhammed KoseMuhammed Kose , Meftun CulpanMeftun Culpan , and Asif YildirimAsif Yildirim View All Author Informationhttps://doi.org/10.1097/01.JU.0001009376.16371.fb.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The importance of health literacy (HL) and e-health literacy (eHL) in promoting healthy behavior and informed decision-making is becoming increasingly apparent. However, there is a paucity of research examining its impact on bladder cancer populations. This study aimed to assess the effect of HL and e-HL on quality of life (QoL) and treatment adherence in men who underwent transurethral resection of bladder tumors (TUR-B) for primary non-muscle invasive bladder cancer (NIMBC). METHODS: We performed an observational study of 107 patients who underwent TUR-B for noninvasive bladder cancer (NIMBC). Before the procedure, we evaluated the patients' eHL/HL using the eHealth Literacy Scale (eHEALS) and the HLS-Q12 short version of the European Health Literacy Survey Questionnaire. Six months postoperatively, we used the EORTC QLQ-C30 to assess the patient's physical, psychological, social, and overall quality of life. Cystoscopic follow-up was conducted according to the European Association of Urology (EAU) guidelines, and treatment adherence was assessed at six months. The exclusion criterion was any difficulties in language and comprehension. RESULTS: Multivariate analyses showed that poorer eHL and HL were associated with being older (p=0.019), having less education (p<0.001), and not having access to the internet (p<0.001). Increased levels of both eHL and HL were positively associated with higher treatment adherence based on subsequent cystoscopic examination (p<0.001). Logistic regression analysis demonstrated significant associations between improved eHL and HL and better global health status (eHL: p=0.043; HL: p=0.023), as well as higher emotional (eHL, HL: p<0.001) and social functioning (eHL, HL: p<0.001). However, the symptom scales did not show significant differences between the eHL and HL groups. CONCLUSIONS: In our study, we found a positive correlation between self-reported HL/eHL levels and treatment adherence, as well as quality of life for patients with NIMBC. To the best of our knowledge, this is the first study to focus on the effect of eHL/HL on quality of life and adherence in men who underwent TUR-B for NIMBC. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e204 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Ahmet Keles More articles by this author Umit Furkan Somun More articles by this author Muhammed Kose More articles by this author Meftun Culpan More articles by this author Asif Yildirim More articles by this author Expand All Advertisement PDF downloadLoading ...