ArticlePatient education and counseling2014
The influence of limited English proficiency on outcome in patients treated with radiotherapy for head and neck cancer.
Article in Patient education and counseling, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Inclusion of Participants With Limited English Proficiency in Autism Research.Autism research : official journal of the International Society for Autism Research · 2026Pooled it
- Disparities in Adult Otolaryngology Patients with Limited English Proficiency: A Systematic Review.The Laryngoscope · 2025Pooled it
- Assessing Clinical Factors and Communication Barriers Impacting Postoperative Regret in Patients with Pancreatic Cancer.Annals of surgical oncology · 2026Article
- The Treatment Experience of Culturally and Linguistically Diverse Cancer Patients: A Scoping Review To Inform Radiotherapy Communication.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025Review
- Cancer care disparities among patients with limited English proficiency: challenges and strategies for equity.BJC reports · 2025Review
- The Impact of Providing Evidence-Based Arabic Educational Resources to Head and Neck Cancer Patients Undergoing Radiotherapy in Saudi Arabia.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025Article
- Non-English Language Preference and Breast Cancer Outcomes.JAMA network open · 2025Article
- Evaluating cancer patient-reported experience measures against health literacy best practices.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Cultural and social barriers to hope in gastrointestinal cancer patients.Journal of gastrointestinal oncology · 2024Article
- Analgesia Administration by Sex Among Pediatric Emergency Department Patients with Abdominal Pain.JEM reports · 2024Article
- Interpretation services used for non-English language speaking patients with head and neck cancer: Findings from a tertiary London cancer centre.Oral oncology reports · 2024Article
- The Impact of Limited English Proficiency on Healthcare Access and Outcomes in the U.S.: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Race/ethnicity and socioeconomic position in emergency department utilization in patients with hepatocellular carcinoma.Future oncology (London, England) · 2024Article
- Characteristics of Cancer Hospitals with Written Language Access Policies.Journal of immigrant and minority health · 2023Article
- Differences in End-of-Life Care between COVID-19 Inpatient Decedents with English Proficiency and Limited English Proficiency.Journal of palliative medicine · 2022Article
- Exploring the Impact of Language Concordance on Cancer Communication.JCO oncology practice · 2022Article
- Article
- Observation unit use among patients with cancer following emergency department visits: Results of a multicenter prospective cohort from CONCERN.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022Article
- Language Proficiency and Survival in Pancreatic Cancer: a Propensity Score-Matched Analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo evaluate how limited English proficiency affects treatment outcome in head and neck cancer (HNC) patients treated with curative intent radiation therapy (RT).
methodsFrom 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.
resultsFewer 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.
conclusionInferior locoregional control was observed in LEP patients receiving RT for HNC. Potential health disparities as a result of limited English proficiency require further investigation. PRACTICE IMPLICATIONS: 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.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.