Evidence map›Paper›PMID 27442596›Full record

ArticlePediatric blood & cancer2016

The impact of language barriers and immigration status on the care experience for Spanish-speaking caregivers of patients with pediatric cancer.

Eduardo R Zamora, Sapna Kaul, Anne C Kirchhoff, Vannina Gwilliam, Ornella A Jimenez, Deborah K Morreall, Roberto E Montenegro, Anita Y Kinney, Mark N Fluchel

Abstract read
In one paragraph

Article in Pediatric blood & cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Screening of Pediatric Patients at Cardiology Clinic Identifies High Prevalence of Food Insecurity.International journal of environmental research and public health · 2026
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  11. Sociodemographic and Socioeconomic Factors Correlate with Late-Stage Pediatric Hodgkin Lymphoma and Rhabdomyosarcoma: A Report from the Children's Oncology Group Registries.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
  12. Article
  13. Article
  14. Immigrant assimilation in health care utilisation in Spain.The European journal of health economics : HEPAC : health economics in prevention and care · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Eduardo R ZamoraUtah Department of Health, Salt Lake City, Utah. ezamora@utah.gov.
Sapna KaulDepartment of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas.
Anne C KirchhoffCancer Control and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah.
Vannina GwilliamPrimary Children's Hospital, Salt Lake City, Utah.
Ornella A JimenezColorado School of Public Health, Aurora, Colorado.
Deborah K MorreallCancer Control and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah.
Roberto E MontenegroSeattle Children's Hospital, University of Washington, Seattle, Washington.
Anita Y KinneyUniversity of New Mexico Comprehensive Cancer Center, Albuquerque, New Mexico.
Mark N FluchelCancer Control and Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah.

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Jared P Rutter · 1986 to 2026
$72.6M
UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
NCATS NIH HHS UL1 TR000105NCI NIH HHS P30 CA042014NCRR NIH HHS UL1 RR025764
6 · The paper itself

Abstract

backgroundAn increasing proportion of pediatric cancer patients in the United States are Latino and many have Spanish-speaking immigrant parents with limited English proficiency (LEP). Little is known about how language or undocumented immigration status impacts their care experience. PROCEDURE: A cross-sectional survey was administered to English (N = 310) and Spanish-speaking LEP (N = 56) caregivers of pediatric cancer patients. To assess differences in healthcare experiences between the language groups, t-tests and chi-square statistics were used. Multivariable logistic regression evaluated associations between primary language and knowledge of clinical trial status.

resultsSpanish-speaking caregivers were more likely to report higher rates of quitting or changing jobs as a direct result of their child's cancer, and their children were more likely to experience a delay in education. Although Spanish-speaking caregivers reported higher satisfaction with care, 32% reported feeling that their child would have received better care if English was their primary language. Spanish-speaking caregivers were more likely to incorrectly identify whether their child was on a clinical trial compared with English-speaking caregivers. The majority of Spanish-speaking caregivers reported at least one undocumented caregiver in the household and 11% of them avoided or delayed medical care for their child due to concerns over their undocumented immigration status.

conclusionsLanguage barriers and undocumented immigration status may negatively impact the quality of informed decision-making and the care experience for Spanish-speaking LEP caregivers of pediatric cancer patients. These families may benefit from culturally appropriate Spanish language resources to improve communication and open a dialogue regarding undocumented immigration status.

Indexed as

CaregiversEmigration and ImmigrationLanguageAdolescentAdultChildChild, PreschoolClinical Trials as TopicCommunicationCross-Sectional StudiesFemaleHumansInfantInfant, NewbornMaleNeoplasmscaregiverscommunication barriersdecision-makinglanguage barriersLatino

Identifiers

PMID27442596
PMCPMC11542102

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.