The Impact of Health Literacy on the ERCP Process

Yıl 2021, Cilt: 3 Sayı: 3, 134 - 140, 29.07.2021

Ufuk Arslan , Hacı Çaycı

https://doi.org/10.46310/tjim.957263

Cited By: 1

Öz

Background: Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive method commonly used for the diagnosis and treatment of hepatopancreaticobiliary diseases. The aim of this study is to assess whether there is a relationship between Health Literacy (HL) levels and the ERCP process.
Material and Methods: The study prospectively evaluated the HL data of 72 patients who had ERCP in our hospital between July-November 2020. The Turkish version of the 47-item European Health Literacy Survey Questionnaire (HLS-EU-Q47) was used to assess health literacy. The patients’ demographic characteristics, duration of referral to hospital, duration of the ERCP procedure, white blood cells (WBC), alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), gamma glutamyl transferase (GGT), and total-direct bilirubin levels and HLS-EU-Q47 results were recorded and evaluated.
Results: In our study, 77.7% of the patients had insufficient HL levels. The median body mass index (BMI) was statistically higher in patients with an insufficient HL level (p= .046). GGT, total and direct bilirubin levels were higher in patients with a low HL level (p= .009, p= .031, p= .008, respectively). The assessment of the duration of referral for ERCP revealed that the median duration of referral was statistically significantly longer in patients with an insufficient HL level (p< .001). The median duration of cannulation during ERCP was statistically higher in patients with an insufficient HL level (p= .002).
Conclusions: The level of Health Literacy affects the early diagnosis and the success of the procedure in hepatopancreaticobiliary diseases that require ERCP.

Anahtar Kelimeler

Health literacy, Ercp, endoscopy, hepatopancreaticobiliary system, early diagnosis

Destekleyen Kurum

None

Kaynakça

• Reference1. Felux J, Sturm E, Busch A, Zerabruck E, Graepler F, Stüker D, Manger A, Kirschner HJ, Blumenstock G, Malek NP, Goetz M. ERCP in infants, children and adolescents is feasible and safe: results from a tertiary care center. United European gastroenterology journal. 2017; 5(7), 1024-29. doi: 10.1177/2050640616687868
• Reference2. Meseeha M, Attia M. Endoscopic retrograde cholangiopancreatography (ERCP). StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2020
• Reference3. Rahman MM, Sharif MSB, Rahman A, Khan MR, Mandal MA. Success and Limitations of ERCP in the Management of Obstructive Jaundice. KYAMC Journal. 2017; 8(1), 38-42. doi: 10.3329/kyamcj.v8i1.33872
• Reference4. World Health Organization (WHO), Division of health promotion, education and communications health education and health promotion unit. Health Promotion Glossary. World Health Organization, Geneva, 1998.
• Reference5. Morris NS, MacLean CD, Littenberg B. Literacy and health out- comes: a cross-sectional study in 1002 adults with diabetes. BMC Fam Pract. 2006; 7(1): 49. doi: 10.1186/1471-2296-7-49
• Reference6. Caycı HM, Erdogdu UE, Demirci H, Ardic A, Topak NY, Taymur İ. Effect of Health Literacy on Help-seeking Behavior in Morbidly Obese Patients Agreeing to Bariatric Surgery. Obes Surg. 2018; 28(3):791-97. doi: 10.1007/s11695-019-04060-7
• Reference7. Busch EL, Martin C, DeWalt DA, Sandler RS. Functional Health Literacy, Chemotherapy Decisions, and Patient Outcomes within a Cohort of Colorectal Cancer Patients. Cancer Control. 2015; 22:95-101. doi: 10.1177/107327481502200112
• Reference8. Caruso R, Magon A, Baroni I, Dellafiore F, Arrigoni C , Pittella F, Ausili D. Health literacy in type 2 diabetes patients: a systematic review of systematic reviews. Acta diabetologica. 2018; 55:1-12. doi: 10.1007/s00592-017-1071-1
• Reference9. Erdogdu, UE, Erkinuresin T, Caycı HM, Akar M, Demirci H, Arslan U, Tardu A. Health literacy and Helicobacter Pylori in patients who underwent endoscopic examination for dyspepsia. Annals of Medical Research. 2020; 27(1), 151-8. doı:10.5455/annalsmedres.2019.10.661
• Reference10. Ozgünay ŞE, Demirci H, Eminoğlu Ş, Dülger S, Yılmaz C, Karasu D, Dikis OS. Quitting smoking before surgical interventions and its relationship to health literacy. The European Research Journal. 2018; 5(2), 244-249. doi: 10.18621/eurj.418313
• Reference11. HLS-EU Consortium. Comparative report of health literacy in eight EU member states. The European Health Literacy Survey HLS-EU 2012. http://www.healthliteracy.eu.
• Reference12. Arslan U, Caycı HM, Erdogdu UE, Tardu A. Evaluation of our first–year endoscopic retrograde cholangiopancreatography results. Laparoscopic Endoscopic Surgical Science. 2020; 27.2: 92-97. doi: 10.14744/less.2020.82712
• Reference13. Arslan U. Pankreasın Ekzokrin Tümörleri. In: Kefeli A. Hepatobiliyer Sistem ve Pankreas Hastalıkları. ed. 1 st, Ankara; 2020: p. 567-86.
• Reference14. Sheppard DP, Craddock SJ, Warner BD, Wilkinson ML. ERCP cannulation success benchmarking: implications for certification and validation. Frontline gastroenterology. 2015; 6.2: 141-146. doi: 10.1136/flgastro-2014-100473
• Reference15. Scott TL, Gazmararian JA, Williams MV, Baker DW. Health literacy and preventive health care use among Medicare enrollees in a managed care organization. Med Care. 2002; 40(5):395-404). doi: 10.1097/00005650-200205000-00005.
• Reference16. Lee HY, Lee J, Kim NK. Gender differences in health literacy among Korean adults: do women have a higher level of health literacy than men? American journal of men's health. 2015; 9.5 370-379. doi: 10.1177/1557988314545485.
• Reference17. Chesser AK, Woods NK, Smothers K, Rogers N. Health literacy and older adults: a systematic review. Gerontology and geriatric medicine. 2016; 2, 2333721416630492. doi: 10.1177/2333721416630492
• Reference18. Akbal E, Gökler ME. COVID-19 Salgını Sürecinde Eksikliği Ortaya Çıkan Bir Gerçek: Sağlık Okuryazarlığı. ESTÜDAM Halk Sağlığı Dergisi. 2020;5(COVID-19 Özel Sayısı):148-55. doi: 10.35232/estudamhsd.763717
• Reference19. Schutz SM, Abbott RM. Grading ERCPs by degree of difficulty: a new concept to produce more meaningful outcome data. Gastrointest Endosc. 2000; 51:535–9. doi: 10.1016/s0016-5107(00)70285-9
• Reference20. Pham A, Forsmark C. Chronic pancreatitis: review and update of etiology, risk factors, and management. F1000Res. 2018; 7: F1000 Faculty Rev-607. doi: 10.12688/f1000research.12852.1
• Reference21. Bektas H, Gurbulak B, Sahin ZD, Duzkoylu Y, Colak S, Gurbulak EK, Gunes ME, Cakar E. Multiple plastic biliary stent placement in the management of large and multiple choledochal stones: single center experience and review of the literature. Videosurgery and Other Miniinvasive Techniques. 2017;12:231 -237. doi: 10.5114/wiitm.2017.69107
• Reference22. Al-Ruthia YS, Balkhi B, AlGhadeer S, Mansy W, AlSanawi H, AlGasem R, Almutairi L, Sales I. Relationship between health literacy and body mass index among Arab women with polycystic ovary syndrome. Saudi Pharmaceutical Journal. 2017; 25(7), 1015-18. doi: 10.1016/j.jsps.2017.04.003
• Reference23. Michou Maria, Panagiotakos DB, Costarelli V. Low health literacy and excess body weight: A systematic review. Central European journal of public health. 2018; 26.3: 234-41. doi: 10.21101/cejph.a5172.