Comparison of cataract surgery outcomes in English proficient and limited English proficiency patients.
Journal
Journal of cataract and refractive surgery
ISSN: 1873-4502
Titre abrégé: J Cataract Refract Surg
Pays: United States
ID NLM: 8604171
Informations de publication
Date de publication:
01 06 2023
01 06 2023
Historique:
received:
03
08
2022
accepted:
31
01
2023
medline:
2
6
2023
pubmed:
14
2
2023
entrez:
13
2
2023
Statut:
ppublish
Résumé
To determine differences in cataract surgery outcomes between English proficient (EP) and limited English proficiency (LEP) patients. Sue Anschutz-Rodgers Eye Center, Aurora, Colorado. Retrospective. Patients who underwent phacoemulsification at the Sue Anschutz-Rogers Eye Center between January 2014 and February 2020 were included. Patients who self-identified as needing or preferring an interpreter in medical encounters were defined as LEP. Differences in surgical characteristics and outcomes including cataract maturity, surgical complexity, and surgical complications were analyzed. 868 eyes (6.4%) were identified from LEP patients. LEP patients were more likely to have mature cataracts (5.1% vs 2.3%, P < .0001). LEP patients' surgeries were more likely to be considered complex (27.8% vs 15.3%, P < .0001) and use higher cumulative dissipated energy (mean of 9.5 [SD = 9.5] vs 7.2 [SD = 7.1], P < .0001). Preoperative visual acuity was worse in LEP patients (logMAR 0.566 [SD = 0.64] vs 0.366 [SD = 0.51], P < .0001) but showed greater improvement after surgery (logMAR 0.366 [SD = 0.54] vs 0.254 [SD = 0.41], P < .0001). There were no significant differences in operative time, intraoperative or postoperative complications. More LEP patients were on steroids 4 weeks postoperatively when compared with EP patients (14.6% vs 10.1%, P < .0002). LEP patients were less likely to undergo subsequent YAG capsulotomy (7.3% vs 12.8%, P < .0001). Disparities in cataract outcomes between EP and LEP patients was demonstrated. Further research into ophthalmic health disparities for LEP patients is needed to understand the root causes and how they can be addressed.
Identifiants
pubmed: 36779806
doi: 10.1097/j.jcrs.0000000000001164
pii: 02158034-202306000-00010
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
595-601Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR002535
Pays : United States
Informations de copyright
Copyright © 2023 Published by Wolters Kluwer on behalf of ASCRS and ESCRS.
Références
Shin HB, Kominski RA. Language Use in the United States: 2007. 2010: 2007 (American Community Survey Reports, ACS-12). Washington, DC: United States Census Bureau. Available at: http://www.census.gov/hhes/socdemo/language/data/acs/ACS-12.pdf . Accessed November 17, 2021.
Derose KP, Baker DW. Limited English proficiency and Latinos' use of physician services. Med Care Res Rev 2000;57:76–91
DuBard CA, Gizlice Z. Language spoken and differences in health status, access to care, and receipt of preventive services among US Hispanics. Am J Public Health 2008;98:2021–2028
Fernandez A, Schillinger D, Warton EM, Adler N, Moffet HH, Schenker Y, Salgado MV, Ahmed A, Karter AJ. Language barriers, physician-patient language concordance, and glycemic control among insured Latinos with diabetes: the Diabetes Study of Northern California (DISTANCE). J Gen Intern Med 2011;26:170–176
Fiscella K, Franks P, Doescher MP, Saver BG. Disparities in health care by race, ethnicity, and language among the insured: findings from a national sample. Med Care 2002;40:52–59
Flores G, Abreu M, Tomany-Korman SC. Limited English proficiency, primary language at home, and disparities in children's health care: how language barriers are measured matters. Public Health Rep 2005;120:418–430
Jacobs EA, Karavolos K, Rathouz PJ, Ferris TG, Powell LH. Limited English proficiency and breast and cervical cancer screening in a multiethnic population. Am J Public Health 2005;95:1410–1416
Kandula NR, Lauderdale DS, Baker DW. Differences in self-reported health among Asians, Latinos, and non-Hispanic Whites: the role of language and nativity. Ann Epidemiol 2007;17:191–198
Kandula NR, Wen M, Jacobs EA, Lauderdale DS. Low rates of colorectal, cervical, and breast cancer screening in Asian Americans compared with non-Hispanic whites: cultural influences or access to care? Cancer 2006;107:184–192
Timmins CL. The impact of language barriers on the health care of Latinos in the United States: a review of the literature and guidelines for practice. J Midwifery Womens Health 2002;47:80–96
Wilson E, Chen AH, Grumbach K, Wang F, Fernandez A. Effects of limited English proficiency and physician language on health care comprehension. J Gen Intern Med 2005;20:800–806
Adler NE, Rehkopf DH. U.S. disparities in health: descriptions, causes, and mechanisms. Annu Rev Public Health 2008;29:235–252
C Brach FC. Demographics and Health Care Access and Utilization of Limited-English-Proficient and English-Proficient Hispanics. Research Findings No. 28. 2008. Available at: http://meps.ahrq.gov/mepsweb/data_files/publications//rf28/rf28.pdf . Accessed November 17, 2021.
Jang Y, Yoon H, Park NS, Chiriboga DA. Health vulnerability of immigrants with limited English proficiency: a study of older Korean Americans. J Am Geriatr Soc 2016;64:1498–1502
Kim EJ, Kim T, Paasche-Orlow MK, Rose AJ, Hanchate AD. Disparities in hypertension associated with limited English proficiency. J Gen Intern Med 2017;32:632–639
John-Baptiste A, Naglie G, Tomlinson G, Alibhai SMH, Etchells E, Cheung A, Kapral M, Gold WL, Abrams H, Bacchus M, Krahn M. The effect of English language proficiency on length of stay and in-hospital mortality. J Gen Intern Med 2004;19:221–228
Crane JA. Patient comprehension of doctor-patient communication on discharge from the emergency department. J Emerg Med 1997;15:1–7
Foiles Sifuentes AM, Robledo Cornejo M, Li NC, Castaneda-Avila MA, Tjia J, Lapane KL. The role of limited English proficiency and access to health insurance and health care in the Affordable Care Act Era. Health Equity 2020;4:509–517
Yard C, Walter KR, Zhao NO, Chuang A, Mankiewicz KA, Crowell EL. Cataract surgery outcomes and patient postoperative compliance in limited English proficiency patients at a county hospital. Invest Ophthalmol Vis Sci 2020;61:1662
Vickstrom E. How Well Do You Speak English? Assessing the Validity of the American Community Survey English-Ability Question. Available at: https://www.census.gov/newsroom/blogs/research-matters/2015/10/how-well-do-you-speak-english-assessing-the-validity-of-the-american-community-survey-english-ability-question.html . Accessed November 17, 2021.
Jie Zong JB. The Limited English Proficient Population in the United States in 2013. 2015. Available at: https://www.migrationpolicy.org/article/limited-english-proficient-population-united-states-2013 . Accessed November 17, 2021.
Chen EM, Andoh JE, Nwanyanwu K. Socioeconomic and demographic disparities in the use of telemedicine for ophthalmic care during the COVID-19 pandemic. Ophthalmology 2022;129:15–25
Rossi T, Romano MR, Iannetta D, Romano V, Gualdi L, D'Agostino I, Ripandelli G. Cataract surgery practice patterns worldwide: a survey. BMJ Open Ophthalmol 2021;6:e000464
Keeffe JE, Weih LM, McCarty CA, Taylor HR. Utilisation of eye care services by urban and rural Australians. Br J Ophthalmol 2002;86:24–
Broman AT, Hafiz G, Muñoz B, Rodriguez J, Snyder R, Klein R, West SK. Cataract and barriers to cataract surgery in a US Hispanic population: proyecto VER. Arch Ophthalmol 2005;123:1231–1236
Cahill M, Eustace P, de Jesus V. Pupillary autonomic denervation with increasing duration of diabetes mellitus. Br J Ophthalmol 2001;85:1225–1230
Kelkar A, Kelkar J, Mehta H, Amoaku W. Cataract surgery in diabetes mellitus: a systematic review. Indian J Ophthalmol 2018;66:1401–1410
Lin SC, Murakami Y, Lee BW, Duncan M, Kao A, Huang JY, Singh K. Increased risk of noncompliance with medication use and follow-up exams in glaucoma patients in a county hospital population. Invest Ophthalmol Vis Sci 2011;52:5040
Williams ER, Claire Miller D, Lynch AM, Davidson RS, Kahook MY, Seibold LK. Iris manipulation during phacoemulsification: intraoperative and postoperative complications. Int J Ophthalmol 2021;14:676–683
Reddy AK, Patnaik JL, Miller DC, Lynch AM, Palestine AG, Pantcheva MB. Risk factors associated with persistent anterior uveitis after cataract surgery. Am J Ophthalmol 2019;206:82–86
Kaya M, Edward DP, Tessler H, Hendricks RL. Augmentation of intraocular inflammation by melanin. Invest Ophthalmol Vis Sci 1992;33:522–531
Richter GM, Chung J, Azen SP, Varma R, Los Angeles Latino Eye Study G. Prevalence of visually significant cataract and factors associated with unmet need for cataract surgery: Los Angeles Latino Eye Study. Ophthalmology 2009;116:2327–2335
West SK, Muñoz B, Schein OD, Duncan DD, Rubin GS. Racial differences in lens opacities: the Salisbury Eye Evaluation (SEE) project. Am J Epidemiol 1998;148:1033–1039
Colorado Department of Transportation Civil Rights & Business Resource Center. Limited English Proficiency (LEP) Plan. 2021. Available at: https://www.codot.gov/business/civilrights/titlevi/title-vi-assets/cdot-lep-guidance_2018.pdf . Accessed October 25, 2022.
Denver Regional Council of Governments. Denver Regional Council of Government Limited English Proficiency (LEP) Plan. Report. Available at: https://drcog.org/sites/default/files/resources/FINAL%20DRCOG%20LEP%20Plansept182013.pdf . Accessed October 15, 2022