Health literacy and patient participation in multidisciplinary tumor conferences in breast cancer care: a multilevel modeling approach.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100967800 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2407 (Electronic) Linking ISSN: 14712407 NLM ISO Abbreviation: BMC Cancer
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
    • Abstract:
      Background: Decisions made in multidisciplinary tumor conferences (MTC) that consider patient preferences result in better patient outcomes. Furthermore, it has been shown that in some breast cancer centers in Germany, patients participate in MTCs and that participation is associated with sociodemographic and breast cancer center-related factors. Health literacy (HL) has been shown to be predictive for individual health behavior and is an important prerequisite for patient participation in healthcare. However, so far nothing is known about the association between HL and MTC patient participation. To close this gap in research, we analyzed which patient characteristics affect participation in MTCs and whether participation varies between breast cancer centers.
      Methods: In a prospective, multicenter cohort study, newly diagnosed breast cancer patients were surveyed directly after surgery (T1) as well as 10 weeks (T2) and 40 weeks (T3) after surgery. After descriptive analysis, t-tests were conducted, correlations for independent variables were run, and logistic multilevel regression analysis was applied to estimate the association between patient participation in MTCs at T1 and HL (HLS-EU-Q16 [1]), sociodemographic and disease-related characteristics (n = 863 patients) and the variation between breast cancer centers (n = 43 centers).
      Results: Descriptive results show that 6.8% of breast cancer patients took part in a MTC. The logistic multilevel regression model revealed that patients with an inadequately HL are less likely to participate in MTCs (OR = 0.31, 95%-CI = 0.1-0.9, Pseudo-R2 = 0.06), and participation is dependent on the breast cancer center (ICC = 0.161).
      Conclusions: These findings are the first to show significant differences in HL and patient participation in MTCs in a large sample of breast cancer patients. In future research on patient participation in MTCs and HL, questions concerning the organization, communication and decision-making in MTCs with and without patient participation have to be addressed, and patient and provider perspectives must be equally considered.
      Trial Registration: Database Health Services Research, VfD_PIAT_12_001630 , registered prospectively on 01.03.2012.
    • Contributed Indexing:
      Keywords: Breast Cancer; Health literacy; Health services research; Multidisciplinary tumor conference; Multilevel regression analysis; Patient participation; Tumor board
    • Publication Date:
      Date Created: 20190410 Date Completed: 20190813 Latest Revision: 20190813
    • Publication Date:
      20190814
    • Accession Number:
      10.1186/s12885-019-5546-z
    • Accession Number:
      30961598
  • Citations
    • ABNT:
      HEUSER, C. et al. Health literacy and patient participation in multidisciplinary tumor conferences in breast cancer care: a multilevel modeling approach. BMC Cancer, [s. l.], v. 19, n. 1, p. 330, 2019. Disponível em: . Acesso em: 18 out. 2019.
    • AMA:
      Heuser C, Diekmann A, Kowalski C, et al. Health literacy and patient participation in multidisciplinary tumor conferences in breast cancer care: a multilevel modeling approach. BMC Cancer. 2019;19(1):330. doi:10.1186/s12885-019-5546-z.
    • APA:
      Heuser, C., Diekmann, A., Kowalski, C., Enders, A., Conrad, R., Pfaff, H., … Ernstmann, N. (2019). Health literacy and patient participation in multidisciplinary tumor conferences in breast cancer care: a multilevel modeling approach. BMC Cancer, 19(1), 330. https://doi.org/10.1186/s12885-019-5546-z
    • Chicago/Turabian: Author-Date:
      Heuser, Christian, Annika Diekmann, Christoph Kowalski, Anna Enders, Rupert Conrad, Holger Pfaff, Lena Ansmann, and Nicole Ernstmann. 2019. “Health Literacy and Patient Participation in Multidisciplinary Tumor Conferences in Breast Cancer Care: A Multilevel Modeling Approach.” BMC Cancer 19 (1): 330. doi:10.1186/s12885-019-5546-z.
    • Harvard:
      Heuser, C. et al. (2019) ‘Health literacy and patient participation in multidisciplinary tumor conferences in breast cancer care: a multilevel modeling approach’, BMC Cancer, 19(1), p. 330. doi: 10.1186/s12885-019-5546-z.
    • Harvard: Australian:
      Heuser, C, Diekmann, A, Kowalski, C, Enders, A, Conrad, R, Pfaff, H, Ansmann, L & Ernstmann, N 2019, ‘Health literacy and patient participation in multidisciplinary tumor conferences in breast cancer care: a multilevel modeling approach’, BMC Cancer, vol. 19, no. 1, p. 330, viewed 18 October 2019, .
    • MLA:
      Heuser, Christian, et al. “Health Literacy and Patient Participation in Multidisciplinary Tumor Conferences in Breast Cancer Care: A Multilevel Modeling Approach.” BMC Cancer, vol. 19, no. 1, Apr. 2019, p. 330. EBSCOhost, doi:10.1186/s12885-019-5546-z.
    • Chicago/Turabian: Humanities:
      Heuser, Christian, Annika Diekmann, Christoph Kowalski, Anna Enders, Rupert Conrad, Holger Pfaff, Lena Ansmann, and Nicole Ernstmann. “Health Literacy and Patient Participation in Multidisciplinary Tumor Conferences in Breast Cancer Care: A Multilevel Modeling Approach.” BMC Cancer 19, no. 1 (April 8, 2019): 330. doi:10.1186/s12885-019-5546-z.
    • Vancouver/ICMJE:
      Heuser C, Diekmann A, Kowalski C, Enders A, Conrad R, Pfaff H, et al. Health literacy and patient participation in multidisciplinary tumor conferences in breast cancer care: a multilevel modeling approach. BMC Cancer [Internet]. 2019 Apr 8 [cited 2019 Oct 18];19(1):330. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=30961598