{"id":"c710d47a68c4","type":"article","url":"https://hartvaat.nl/2026/10/01/oudere-hartfalenpatienten-herkennen-hun-diagnose-vaak-niet-maar-dit-is-geen-onaf/","title":"Oudere hartfalenpatiënten herkennen hun diagnose vaak niet, maar dit is geen onafhankelijke prognosefactor","title_en":"Disease Name Recognition and Prognosis in Older Patients With Heart Failure.","category":"hartfalen","category_label":"Hartfalen","professions":["cardioloog","huisarts","internist"],"tags":[],"journal":"Geriatrics & gerontology international","doi":"10.1111/ggi.70857","source_url":"https://doi.org/10.1111/ggi.70857","authors":["Tatsuro Tasaka","Makoto Saito","Megumi Hamada","Masaki Kinoshita","Kaori Fujimoto","Sumiko Sato","Takumi Sumimoto","Tomoki Fujisawa","Kazuhisa Nishimura"],"significance":4,"published":"2026-10-09","source_date":"2026-10-01","image":"","kennis":["https://hartvaat.nl/kennis/hartfalen/echocardiografie-bij-hartfalen/","https://hartvaat.nl/kennis/farmacologie/betablokkers-cardiale-indicaties/"],"congress":"","summary_en":"In a cohort of 188 hospitalized heart failure patients (median age 81), 38% could not recall their primary diagnosis at discharge. While those without diagnosis recognition scored lower on communicative and critical health literacy, this association disappeared after adjusting for age, cognitive function, and heart failure severity. The findings suggest that disease name recognition alone is not an independent prognostic factor in older patients with heart failure, highlighting the need for broader health literacy support rather than focusing solely on diagnostic awareness.","created":"2026-10-02T01:25:27Z","updated":"2026-10-02T01:25:27Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"In een cohort van 188 ziekenhuisopgenomen hartfalenpatiënten (mediaan 81 jaar) bleek 38% de eigen diagnose niet te herkennen bij ontslag. Patiënten zonder herkenning scoorden lager op communicatieve en kritische gezondheidsgeletterdheid, maar na correctie voor leeftijd, cognitieve functie en hartfalenstadium was er geen onafhankelijk verband met overlijden of heropname. Deze bevindingen benadrukken dat het verbeteren van ziekteherkenning alleen niet volstaat om de prognose in deze kwetsbare groep te verbeteren; integrale zorg en ondersteuning bij gezondheidsgeletterdheid blijven essentieel.","abstract_original":"OBJECTIVE: Health literacy is considered a prognostic determinant for patients with heart failure (HF), and the recognition of disease names could be fundamental to this. This study examined the proportion of patients with HF who recognized their disease name and its association with prognosis. METHODS: From January 2021 to June 2023, 188 hospitalized patients with HF (Stage B-D, median age 81 years) were asked to recall their disease name before discharge. Recognition accuracy was evaluated using a standardized scoring system, and interobserver agreement was confirmed. In a subset, communicative and critical health literacy (CCHL) was assessed. Prognostic outcomes included all-cause mortality and all-cause hospitalization after discharge. RESULTS: The recognition score showed high interobserver reliability (κ = 0.85). Seventy-two patients (38%) failed to recognize their primary diagnosis. Those without recognition had significantly lower CCHL scores than those with recognition (p < 0.01). During a median follow-up of 280 days, 76 patients (40%) experienced adverse events. In univariate analyses, lack of diagnosis recognition was associated with an increased risk of adverse outcomes, but this association disappeared after adjustment for age, cognitive function, and HF severity. CONCLUSION: A substantial number of older patients with HF did not recognize their primary diagnosis, but disease recognition was not an independent determinant of prognosis."}