Connie Chow

48 statements · 2 topics

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Health literacy is defined as the degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions.
quote · Cancer
The presenter proposes that preoperative education and in-hospital education for nurses, combined with patient autonomy and agency to advocate for themselves regarding ERP components, may improve adherence.
opinion · Cancer
Travel nurses are not receiving the routine training that former GI surgery floor nurses had, and are not as well trained in enhanced recovery because they don't know the institutional system as well.
opinion · Inflammatory Bowel Disease
Enhanced recovery has previously been shown to close the gap in disparities in length of stay, and the finding that black race is now associated with increased length of stay warrants investigation.
opinion · Inflammatory Bowel Disease

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Connie's statements about Cancer 24 statements

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Best of the Best Gen Surg - Limited Health Literacy is Associated with Reduced Adherence to ERP Components. - Dr. Shao

Statement Seven ERP adherence variables were extracted from the NSQIP database and cross-referenced with the institution's health literacy database, which tracks patients' brief health literacy scores measured in clinic. Open
Statement Study patients had similar rates of private insurance and Medicare, mean ASA of about 3, most surgeries did not include ostomy placement, cases averaged about 3.5 hours, most were for benign indications and cancer, and most were done laparoscopically. Open
Statement Patients were on average adherent to about 6 or 7 ERP components. Open
Statement For postoperative outcomes, 12% had a surgical site infection within 30 days of surgery, average length of stay was about 5.5 days, and about 10% of patients were readmitted within 30 days. Open
Statement Only two factors were associated with increased ERP adherence: increased health literacy and a diagnosis of cancer. Open
Statement There is a direct linear correlation between increased health literacy score and increased percent adherence to the seven ERP components tracked. Open
Statement Multivariable regression showed that black race, case duration, ostomy placement, and diagnosis of IBD are associated with increased length of stay. Open
Statement The only protective factor for decreased length of stay was ERP adherence. Open
Statement Enhanced recovery has previously been shown to close the gap in disparities in length of stay, and the finding that black race is now associated with increased length of stay warrants investigation. Open
Statement Higher health literacy is independently associated with greater ERP adherence, which is the only factor associated with shorter length of stay. Open
Statement The presenter posits that increased health literacy leads to increased adherence to ERP and decreased length of stay. Open
Quotation Health literacy is defined as the degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions. Open
Statement Study patients were on average about 56 years old, about 70% white, a quarter black, majority female, with mean BMI about 30, majority non-diabetic, and about 15-17% with history of smoking within the past year. Open
Statement Health literacy is defined as the degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions. Open
Statement Health literacy is modifiable and health literacy-based interventions have been shown to improve outcomes and patient experience. Open
Statement Patients with lower health literacy are more likely to have higher health care costs, higher rates of hospital and emergency room visits, and higher mortality rates. Open
Statement Patients with lower health literacy are less likely to follow treatment plans. Open
Statement The presenter's group previously showed that limited health literacy is associated with increased complications compared to patients with higher health literacy. Open
Statement Many studies have shown that increased adherence to components of enhanced recovery is associated with improved postoperative outcomes. Open
Statement This was a retrospective cohort study from December 2018 to November 2021 of elective inpatient colorectal surgeries tracked by the institutional ACS NSQIP database. Open
Statement The presenter proposes that preoperative education and in-hospital education for nurses, combined with patient autonomy and agency to advocate for themselves regarding ERP components, may improve adherence. Open
Statement Enhanced recovery at UAB has been a major initiative for the last decade, with initially great uptake in teaching among nurses and successful outcomes including closing gaps in disparities between black and white patients. Open
Quotation My goal here also isn't to change patients' health literacy. I'm not a politician. I'm not a school principal. I'm not gonna be able to change people's education level or their health literacy level. Our goal is to meet patients where they're at. Open
Statement Travel nurses are not receiving the routine training that former GI surgery floor nurses had, and are not as well trained in enhanced recovery because they don't know the institutional system as well. Open
Connie's statements about Inflammatory Bowel Disease 24 statements

Open the Inflammatory Bowel Disease collection →

Best of the Best Gen Surg - Limited Health Literacy is Associated with Reduced Adherence to ERP Components. - Dr. Shao

Statement Patients with lower health literacy are more likely to have higher health care costs, higher rates of hospital and emergency room visits, and higher mortality rates. Open
Statement Patients with lower health literacy are less likely to follow treatment plans. Open
Statement The presenter's group previously showed that limited health literacy is associated with increased complications compared to patients with higher health literacy. Open
Statement Many studies have shown that increased adherence to components of enhanced recovery is associated with improved postoperative outcomes. Open
Statement This was a retrospective cohort study from December 2018 to November 2021 of elective inpatient colorectal surgeries tracked by the institutional ACS NSQIP database. Open
Statement Seven ERP adherence variables were extracted from the NSQIP database and cross-referenced with the institution's health literacy database, which tracks patients' brief health literacy scores measured in clinic. Open
Statement Study patients were on average about 56 years old, about 70% white, a quarter black, majority female, with mean BMI about 30, majority non-diabetic, and about 15-17% with history of smoking within the past year. Open
Statement Study patients had similar rates of private insurance and Medicare, mean ASA of about 3, most surgeries did not include ostomy placement, cases averaged about 3.5 hours, most were for benign indications and cancer, and most were done laparoscopically. Open
Statement Patients were on average adherent to about 6 or 7 ERP components. Open
Statement For postoperative outcomes, 12% had a surgical site infection within 30 days of surgery, average length of stay was about 5.5 days, and about 10% of patients were readmitted within 30 days. Open
Statement There is a direct linear correlation between increased health literacy score and increased percent adherence to the seven ERP components tracked. Open
Statement Multivariable regression showed that black race, case duration, ostomy placement, and diagnosis of IBD are associated with increased length of stay. Open
Statement Enhanced recovery has previously been shown to close the gap in disparities in length of stay, and the finding that black race is now associated with increased length of stay warrants investigation. Open
Statement Higher health literacy is independently associated with greater ERP adherence, which is the only factor associated with shorter length of stay. Open
Statement Health literacy is modifiable and health literacy-based interventions have been shown to improve outcomes and patient experience. Open
Statement The only protective factor for decreased length of stay was ERP adherence. Open
Statement The presenter posits that increased health literacy leads to increased adherence to ERP and decreased length of stay. Open
Statement Health literacy is defined as the degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions. Open
Quotation Health literacy is defined as the degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions. Open
Statement Only two factors were associated with increased ERP adherence: increased health literacy and a diagnosis of cancer. Open
Statement The presenter proposes that preoperative education and in-hospital education for nurses, combined with patient autonomy and agency to advocate for themselves regarding ERP components, may improve adherence. Open
Quotation My goal here also isn't to change patients' health literacy. I'm not a politician. I'm not a school principal. I'm not gonna be able to change people's education level or their health literacy level. Our goal is to meet patients where they're at. Open
Statement Enhanced recovery at UAB has been a major initiative for the last decade, with initially great uptake in teaching among nurses and successful outcomes including closing gaps in disparities between black and white patients. Open
Statement Travel nurses are not receiving the routine training that former GI surgery floor nurses had, and are not as well trained in enhanced recovery because they don't know the institutional system as well. Open