头颈癌的语言障碍：非英语患者与英语患者治疗结果的配对分析。

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2024-07-24 DOI:10.1002/hed.27894

Allen M. Chen MD, MBA

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引用次数: 0

摘要

目的：随着社会文化多样性的发展，预计越来越多的患者来自非英语背景。本研究旨在比较非英语国家患者和英语国家患者接受头颈部癌症放射治疗后的临床疗效：根据患者和疾病变量，将 75 名不讲英语的头颈部鳞状细胞癌患者与讲英语的对照组进行配对；比较临床结果：非英语患者的3年总生存率（64% vs. 77%，p = 0.02）和无进展生存率（59% vs. 73%，p = 0.01）均低于英语患者。在逻辑回归中，非英语状态与总死亡风险显著增加有关（OR = 1.41; 95% CI, 1.09-1.92）：非英语患者和英语患者的预后差异很大。结论：不讲英语的患者和讲英语的患者的预后存在明显差异，应考虑针对不同文化背景的计划，以解决语言障碍，从而改善预后差异。

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Language barriers in head and neck cancer: Matched pair analysis of outcomes between non-English speaking and English-speaking patients

Purpose

As society grows in cultural diversity, an increasing proportion of patients are expected to be from non-English speaking backgrounds. This study sought to compare the clinical outcomes between non-English speakers and English speakers treated by radiation therapy for head and neck cancer.

Methods and materials

Seventy-five non-English speaking patients with squamous cell carcinoma of the head and neck were matched to English-speaking controls based on patient and disease variables; clinical outcomes were compared.

Results

Non-English speaking patients had inferior 3-year overall survival (64% vs. 77%, p = 0.02) and progression-free survival (59% vs. 73%, p = 0.01) compared with the English-speaking cohort. On logistical regression, non-English-speaking status was associated with a significantly increased risk of overall death (OR = 1.41; 95% CI, 1.09–1.92).

Conclusions

Prognosis differed significantly between non-English speaking and English-speaking patients. Culturally tailored programs to address language barriers should be considered to ameliorate disparities in outcome.

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.