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Optimizing Thyroid Cytopathology Reports Focused on a Patient-Centered Approach: Mixed Methods Study.

Niranjna Swaminathan1, Prudence Wachira1, Alexandra Savage1

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Summary
This summary is machine-generated.

Endocrine surgery patients have high health literacy but limited numeracy, impacting understanding of thyroid cytopathology reports. Personalization and visual aids can improve patient comprehension.

Keywords:
Health literacyNumeracyPathology reportPatient understandingThyroid FNA

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Area of Science:

  • Medical Communication
  • Patient Education
  • Health Literacy Research

Background:

  • Effective comprehension of pathology reports is crucial for patient-provider communication.
  • Deficiencies in health literacy and numeracy can impede understanding of medical information.
  • Improving patient-centered communication in endocrine surgery is a key goal.

Purpose of the Study:

  • To assess health literacy and numeracy in endocrine surgery patients.
  • To evaluate patient comprehension of thyroid fine-needle aspiration (FNA) cytopathology reports.
  • To identify opportunities for enhancing cytopathology report design and patient understanding.

Main Methods:

  • Prospective study in an endocrine surgery clinic.
  • Pre- and post-procedure surveys assessing understanding of thyroid FNA cytopathology reports.
  • Surveys included demographics, pathology terminology understanding, health literacy, and numeracy assessments.

Main Results:

  • Most patients had high health literacy (73%) but limited numeracy (92%).
  • Higher numeracy correlated with better cytopathology report understanding (P=0.025).
  • Patients desired personalized explanations, visual aids, and glossaries for reports.

Conclusions:

  • Endocrine surgery patients demonstrate a significant gap in numeracy skills.
  • Numeracy, not prior exposure, is linked to better cytopathology report comprehension.
  • Personalized reports with visual enhancements are recommended to improve patient understanding.