Gynecologic oncology · 2026
An analysis of the readability of Gynecologic Cancer patient education materials.
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Dillon Bridget S, Hood Olivia, Chanda Shreya, Madill Morgann, Tessier Katelyn M, Erickson Britt K, O'Shea Andrea
Аннотация
OBJECTIVE: The National Institute of Health (NIH) and American Medical Association (AMA) recommend patient education material be written at or below a 7th grade reading level. The objective of this study was to assess the reading level of gynecologic cancer patient education material published by National Cancer Institute designated cancer centers (NCI-DCCs) and patient-directed non-profit organizations (NPOs).
METHODS: We identified online patient education material related to ovarian, uterine, cervical, vaginal, and vulvar cancer from NCI-DCCs and NPOs. We calculated the Flesch-Kincaid reading level (FKGL), Simple Measure of Gobbledygook (SMOG), and Coleman-Liau reading level using the three online calculators. Results were compared with linear mixed models.
RESULTS: We identified 61 NCI-DCCs and 6 NPOs with patient focused information regarding cervical, ovarian, uterine, vulvar, and vaginal cancer. The mean (standard deviation [SD]) FKGL across all NCI-DCCs (n = 202) was 10.2 (1.9). Only 5.4% were at or below a 7th grade reading level for any gynecologic cancer. The FKGL from the NPOs (n = 29) was 10.0 (1.9), with 0% at or below a 7th grade reading level. The average Coleman-Liau and SMOG reading levels were also higher than a 6-7th grade reading level for both NPOs and NCI-DCCs.
CONCLUSION: Only 5.4% of NCI-DCC's and 0% of NPO's patient education sites for gynecologic cancers are at the recommended reading level of the NIH and AMA, and the majority were at or above a high school reading level. NCI-DCCs and NPOs should improve the readability of their patient education materials to ensure all patients can understand their disease.
METHODS: We identified online patient education material related to ovarian, uterine, cervical, vaginal, and vulvar cancer from NCI-DCCs and NPOs. We calculated the Flesch-Kincaid reading level (FKGL), Simple Measure of Gobbledygook (SMOG), and Coleman-Liau reading level using the three online calculators. Results were compared with linear mixed models.
RESULTS: We identified 61 NCI-DCCs and 6 NPOs with patient focused information regarding cervical, ovarian, uterine, vulvar, and vaginal cancer. The mean (standard deviation [SD]) FKGL across all NCI-DCCs (n = 202) was 10.2 (1.9). Only 5.4% were at or below a 7th grade reading level for any gynecologic cancer. The FKGL from the NPOs (n = 29) was 10.0 (1.9), with 0% at or below a 7th grade reading level. The average Coleman-Liau and SMOG reading levels were also higher than a 6-7th grade reading level for both NPOs and NCI-DCCs.
CONCLUSION: Only 5.4% of NCI-DCC's and 0% of NPO's patient education sites for gynecologic cancers are at the recommended reading level of the NIH and AMA, and the majority were at or above a high school reading level. NCI-DCCs and NPOs should improve the readability of their patient education materials to ensure all patients can understand their disease.