SynthesisJournal of general internal medicine2022
Limited English Proficiency and Clinical Outcomes After Hospital-Based Care in English-Speaking Countries: a Systematic Review.
Synthesis in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.
What it found
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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
23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Is Limited English Proficiency Associated With Differences in Care Processes and Treatment Outcomes in Patients Undergoing Orthopaedic Surgery? A Systematic Review.Clinical orthopaedics and related research · 2024Pooled it
- Association between language discordance and unplanned hospital readmissions or emergency department revisits: a systematic review and meta-analysis.BMJ quality & safety · 2024Pooled it
- Systematic Review of Pain Research Among Limited English Proficiency Patient Populations in Health care.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2024Pooled it
- Association of Language Barriers With Perioperative and Surgical Outcomes: A Systematic Review.JAMA network open · 2023Pooled it
- Remote interpretation during in-person medical encounters: Perspectives from professional Spanish-language interpreters.Patient education and counseling · 2026Article
- Outcomes Among Patients with Systolic Heart Failure and Limited English Proficiency.Journal of immigrant and minority health · 2026Article
- From "No Mortality Difference" to "No Communication Debt": Operationalizing Language Access as a Heart Failure Quality Metric.Journal of immigrant and minority health · 2026Article
- Beyond Words: A Call to Action for Language Inclusivity in Prospective Research.Journal of general internal medicine · 2026Article
- Acute-Care Utilization and Cost Offsets Associated With Language-Concordant, Pharmacist-Integrated Care Management Among High-Need, High-Cost Adults.Health services research · 2026Article
- Operationalizing machine-assisted translation in healthcare.NPJ digital medicine · 2025Review
- Associations Between Patients' Primary Spoken Language and Perioperative Outcomes After Hip Fracture.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Linguistic exclusion in orthopedic research: Cultural adaptation, multilingual innovations, and pathways to global health equity.World journal of orthopedics · 2025Article
- Evaluating the quality and equity of patient hospital discharge instructions.BMC health services research · 2025Article
- Tools to improve discharge equity: Protocol for the pilot TIDE trial.Contemporary clinical trials communications · 2025Article
- CORR Insights®: Is Limited English Proficiency Associated With Differences in Care Processes and Treatment Outcomes in Patients Undergoing Orthopaedic Surgery? A Systematic Review.Clinical orthopaedics and related research · 2024Article
- Evaluating Prognostic Bias of Critical Illness Severity Scores Based on Age, Sex, and Primary Language in the United States: A Retrospective Multicenter Study.Critical care explorations · 2024Article
- A multi-language qualitative study of limited English proficiency patient experiences in the United States.PEC innovation · 2023Article
- Language Matters: on the Inclusion of a Patient's Preferred Language in the One-Liner.Journal of general internal medicine · 2023Article
- Association of limited English proficiency with emergency department irregular departures and return visits: A cross-sectional cohort study in the Upper Midwest between January 2018 and December 2021.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023Article
- Pharmacists, nurses, and physicians' perspectives and use of formal and informal interpreters during medication management in the inpatient setting.Patient education and counseling · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundLimited English proficiency (LEP) is common among hospitalized patients and may impact care. We synthesized the literature comparing clinical outcomes after in-hospital care for English-proficient(EP) versus LEP patients.
methodsThis systematic review searched PubMed, Embase, and Web of Science from database inception through June 7, 2020, to identify research investigating clinical outcomes in patients receiving hospital-based care (in the emergency department, inpatient ward, surgical/procedural suite, or intensive care unit) that compared patients with LEP to an EP group. We assessed mortality, length of stay (LOS), readmissions/revisits, and complications. Study quality was evaluated using the Newcastle-Ottawa Scale.
resultsTwenty-six studies met eligibility criteria. Study settings and populations were heterogeneous. Determination of primary language varied; a majority of studies (16/26) used patient self-report directly or via hospital records. Of 16 studies examining LEP and all-cause mortality, 13 found no significant association. Of 17 studies measuring LOS, 9 found no difference, 4 found longer LOS, 3 found shorter LOS, and 1 had mixed LOS results among patients with LEP. Several investigations suggested that LOS differences may be mediated at the hospital level. Nine studies evaluated inpatient readmissions. Among patients with LEP, there was evidence for increased readmissions in the setting of chronic medical conditions such as heart failure, but no evidence for increased readmissions among cohorts undergoing surgeries/procedures or with acute medical conditions. Five studies evaluated complications or harm related to a hospitalization, and no differences were found between language groups. DISCUSSION: The research community lacks a standardized definition of LEP. Most studies did not find an association between English proficiency and mortality or complications. LOS findings were mixed and may be influenced at the hospital level. Differences in readmissions by language were concentrated in chronic medical conditions. Given the paucity of studies examining LEP populations, additional research is imperative. PROSPERO REGISTRATION NUMBER: CRD42020143477.
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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.