PD04-09 DOES HEALTH LITERACY IMPACT PATIENT SATISFACTION FOLLOWING ARTIFICIAL URINARY SPHINCTER SURGERY?

Abstract

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Male Incontinence: Therapy I (PD04)1 Sep 2021PD04-09 DOES HEALTH LITERACY IMPACT PATIENT SATISFACTION FOLLOWING ARTIFICIAL URINARY SPHINCTER SURGERY? Rohan Bhalla, William Furuyama, Madeleine Ball, Joshua Calvert, Benjamin Dropkin, Douglas Milam, Melissa Kaufman, and Niels Johnsen Rohan BhallaRohan Bhalla More articles by this author , William FuruyamaWilliam Furuyama More articles by this author , Madeleine BallMadeleine Ball More articles by this author , Joshua CalvertJoshua Calvert More articles by this author , Benjamin DropkinBenjamin Dropkin More articles by this author , Douglas MilamDouglas Milam More articles by this author , Melissa KaufmanMelissa Kaufman More articles by this author , and Niels JohnsenNiels Johnsen More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001968.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Health care providers often overestimate a patient’s understanding of health conditions and treatments which can impact preoperative counseling, communication between providers and patients, and ultimately widen health care disparities. We sought to determine whether a patient’s health literacy impacts satisfaction following Artificial Urinary Sphincter (AUS) placement for male urinary incontinence. METHODS: Electronic medical records of men who underwent AUS surgery between January 1st 2016 and July 31st 2020 were retrospectively reviewed. We administered a patient satisfaction phone questionnaire that measured overall satisfaction with the procedure using a Likert scale, as well as whether patients would again undergo AUS surgery. The Brief Health Literacy Screen (BHLS), a validated 3 question Likert-style questionnaire, was administered to evaluate health literacy. Ordinal logistic regression was used to determine the association between health literacy and patient satisfaction, adjusting for the following predetermined confounders: patient age, preoperative American Urological Association Symptom Index (AUASI), time from surgery to phone questionnaire, and device functionality. RESULTS: Seventy-six men who underwent AUS surgery and met inclusion criteria were identified. The median age was 70 years with an interquartile range (IQR) of 66-74 years and 88.1% were Caucasian. The median preoperative AUASI was 13 (IQR: 9-19) with a median quality of life score of 5 (IQR: 4-6). Eighty-six percent of men were either satisfied or very satisfied with their surgical procedure, and 86% of men stated that they would again undergo AUS surgery. The median BHLS score was 15 (IQR: 12-15). After adjusting for predetermined confounders, BHLS score was significantly associated with patient satisfaction (OR 1.25, 95% CI 1.02-1.56; p=0.034); however, it was not associated with likelihood to again undergo surgery (p-value = 0.403) (Table 1). CONCLUSIONS: Lower health literacy is associated with lower satisfaction scores following AUS surgery. Understanding a patient’s baseline health literacy and level of comprehension of medical treatments and expectations can aid to individualize preoperative counseling, improve subjective patient outcomes, and reduce health disparities. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e53-e53 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Rohan Bhalla More articles by this author William Furuyama More articles by this author Madeleine Ball More articles by this author Joshua Calvert More articles by this author Benjamin Dropkin More articles by this author Douglas Milam More articles by this author Melissa Kaufman More articles by this author Niels Johnsen More articles by this author Expand All Advertisement Loading ...