The influence of limited English proficiency on outcome in patients treated with radiotherapy for head and neck cancer
| Autor: | Timothy P. Cooley, Ken S. Zaner, Lisa A. Kachnic, Minh Tam Truong, Paul B. Romesser, Muhammad M. Qureshi, Scharukh Jalisi, Gregory A. Grillone |
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| Rok vydání: | 2014 |
| Předmět: |
Oncology
Male medicine.medical_specialty Health Knowledge Attitudes Practice Urban Population medicine.medical_treatment Treatment outcome White People Article Internal medicine medicine Ethnicity Humans In patient Healthcare Disparities Aged Language Quality of Health Care Curative intent business.industry Head and neck cancer Communication Barriers General Medicine Health Status Disparities Hispanic or Latino Middle Aged medicine.disease Surgery Radiation therapy Black or African American Outcome and Process Assessment Health Care Treatment Outcome Socioeconomic Factors Head and Neck Neoplasms Limited English proficiency Female business |
| Zdroj: | Patient education and counseling. 97(2) |
| ISSN: | 1873-5134 |
| Popis: | To evaluate how limited English proficiency affects treatment outcome in head and neck cancer (HNC) patients treated with curative intent radiation therapy (RT).From 2004 to 2010, 131 patients with HNC underwent RT. Patient's self-reported primary language and race/ethnicity were obtained at hospital registration. English proficiency was categorized as being English proficient (EP) or limited English proficient (LEP). Race/ethnicity was categorized as white, black and other (Hispanics and Asians). Patients were evaluated for locoregional (LRC), distant control (DC), overall (OS) and disease-free (DFS) survival.Fewer LEP patients (60.0%) underwent chemoradiation compared to EP (83.8%), P=0.028. The three-year actuarial LRC for EP and LEP patients was 82.2% and 58.3%, respectively, P=0.038. LEP patients had an increased risk of locoregional failure on univariate Cox regression analysis (hazard ratio, HR 2.4, 95% CI, 1.0-5.8). No differences by English proficiency were seen for DC, OS and DFS. Race/ethnicity was not associated LRC, DC, OS and DFS.Inferior locoregional control was observed in LEP patients receiving RT for HNC. Potential health disparities as a result of limited English proficiency require further investigation.Patient education, use of culturally sensitive interpreter and patient navigation services, and improved patient compliance should be considered in head and neck cancer patients receiving complex multidisciplinary care. |
| Databáze: | OpenAIRE |
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