Total survival (OS) was poorer between sufferers with cancer who experienced limited digital health literacy, in accordance to research outcomes published in JCO Clinical Cancer Informatics.

Well being literacy is the ability to entry and understand health and fitness details and expert services to take part in decisions associated to one’s possess overall health. Electronic wellness literacy entails remaining capable to retrieve and have an understanding of health and fitness data electronically. Confined electronic wellbeing literacy was defined in this research as the lack of an e-mail tackle in the patient’s electronic patient report (EPR).

“The damaging influence of constrained health and fitness literacy on the survival of clients with diabetes or continual heart failure has currently been shown, but to our knowledge, it has never ever been reviewed in clients with most cancers,” the investigators wrote.

Go on Looking through

The analyze was a noninterventional evaluation of older people treated at Centre Léon Bérard in Lyon, France, who had been given a cancer prognosis amongst 2015 and 2017. The investigators acquired details on patients’ intercourse and age, particular most cancers attributes and outcomes, the presence or absence of an e mail deal with in the patient’s EPR, and regardless of whether or not the affected person opened an account on the on-line affected person portal. OS was the primary endpoint.

The examination included 15,244 people, 55% of whom were women. The median client age was 62 (range, 19 to 103) years, and 35.5% of clients experienced metastatic disorder. EPRs confirmed e-mail addresses for 57.5% of people, and 26.4% experienced opened their individual portal account.

With a median abide by-up of 3.6 (assortment, to 6.8) many years, OS was substantially improved among the people who had an email deal with in the EPR (P <.001). Multivariate analyses revealed various factors linked to worse OS, including de novo metastatic disease (hazard ratio [HR], 2.63 95% CI, 2.47-2.79 P <.001), male sex (HR, 1.27 95% CI, 1.15-1.41 P <.001), older age (HR, 1.02 95% CI, 1.02-1.03 P <.001), and lack of an email address in the EPR (HR, 1.63 95% CI, 1.33-2.00 P <.001).

“The absence of an email address for patients with cancer can be considered as a modern factor of fragility taking into account the prognostic impact on the OS of this population,” the investigators concluded.

Disclosures: Some authors declared affiliations with biotech, pharmaceutical, and/or device companies. Please see the original study for a full list of authors’ disclosures.


Heudel PE, Delrieu L, Dumas E, et al. Impact of limited e-health literacy on the overall survival of patients with cancer. JCO Clin Cancer Inform. 20226:e2100174. doi:10.1200/CCI.21.00174

This article originally appeared on Oncology Nurse Advisor