Are patients with limited English proficiency less likely to undergo parathyroidectomy for primary hyperparathyoidism?

Broekhuis, Jordan M.; Chaves, Natalia; Chen, Hao Wei; Drake, Frederick Thurston; James, Benjamin C.

doi:10.1016/j.amjsurg.2022.06.001

Cited by 10 publications

(1 citation statement)

References 24 publications

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“…One center recently reported the implementation of a culturally sensitive transplant program for Spanish-speaking patients, noting a 79% increase in referrals attributed to the program [21]. These data are concordant with referral patterns in language-discordant care among other nontransplant surgical specialties in which non-English speaking patients face barriers to receiving and presenting for referral visits as well as ultimately undergoing the necessary operation [22,23]. While there are no studies evaluating differences in transplant-specific outcomes among non-English speaking patients, previous studies have found no differences in postoperative outcomes among English and non-English speaking patients undergoing other types of surgery [24,25].…”

Section: Discussionmentioning

confidence: 67%

Preferred language and disease severity predict evaluation for liver transplantation among patients admitted with alcohol-associated hepatitis

Cloonan

Broekhuis

Coe

et al. 2023

European Journal of Gastroenterology &Amp; Hepatology

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Background: Liver transplantation (LT) for alcohol-associated hepatitis (AH) is a relatively new practice and limited work exists surrounding the role social determinants of health may play in evaluation. This includes language that defines how patients interact with the healthcare system. We explored characteristics of patients with AH evaluated for LT within an integrated health system. Methods Using a system-wide registry, we identified admissions for AH from 1 January 2016 to 31 July 2021. A multivariable logistic regression model was developed to evaluate independent predictors of LT evaluation. Results Among 1723 patients with AH, 95 patients (5.5%) underwent evaluation for LT. Evaluated patients were more likely have English as their preferred language (95.8% vs 87.9%, P = 0.020), and had higher INR (2.0 vs 1.4, P < 0.001) and bilirubin (6.2 vs 2.9, P < 0.001). AH patients who underwent evaluation had a lower burden of mood and stress disorders (10.5% vs 19.2%, P < 0.05). Patients with English preferred language had a greater than three times adjusted odds of LT evaluation compared with all others when adjusting for clinical disease severity, insurance status, sex, and psychiatric comorbid conditions (OR, 3.20; 95% CI, 1.14–9.02). Conclusion Patients with AH evaluated for LT were more likely to have English as their preferred language, more psychiatric comorbidities, and more severe liver disease. Despite adjustment for psychiatric comorbidities and disease severity, English preferred language remained the strongest predictor of evaluation. As programs expand LT for AH, it is vital to build equitable systems that account for the interaction between language and healthcare in transplantation.

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Section: Discussionmentioning

confidence: 67%

Preferred language and disease severity predict evaluation for liver transplantation among patients admitted with alcohol-associated hepatitis

Cloonan

Broekhuis

Coe

et al. 2023

European Journal of Gastroenterology &Amp; Hepatology

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Same‐day parathyroidectomy for primary hyperparathyroidism –an over 20‐year practice

Annesi,

Gillis,

Fazendin

et al. 2024

World j. surg.

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IntroductionThere has been a shift in recent years toward same‐day parathyroidectomies due to the decrease in mutual costs with few significant differences in postoperative morbidity or mortality. We sought to determine if demographics, preoperative patient risk factors, or comorbidities were associated with a patient's likelihood of having same‐day or inpatient surgery.Materials and MethodsA prospective database of parathyroid operations from 2001 to 2022 (n = 2948 patients) was reviewed for surgeries completed for primary hyperparathyroidism. Patients were categorized as same‐day or inpatient surgery; demographics, risk factors, and co‐morbidities were examined and differences across practice patterns during the 21‐year period were studied and also analyzed in a subset of patients from 2013 to 2022.ResultsIn a recent subset of patients from 2013 to 2022, patients having inpatient surgery were more likely to be Black and use anticoagulation or antiplatelet therapy. Multivariable regression confirmed increased odds of aging and black patients requiring inpatient parathyroidectomy. Compared to 2001–2003, there was a significantly increased proportion of patients undergoing same‐day surgery; compared to 2010–2012, there was a similar proportion of patients undergoing outpatient surgery between 2013 and 2018, and there was an increased proportion from 2019 through 2022.ConclusionSame‐day parathyroidectomies have been shown to be safe and has become the typical practice for high‐volume parathyroid surgeons over the last decade. Complications such as postoperative hematoma or hypocalcemia were previously shown to be incompletely mitigated by increased LOS or inpatient surgery, although demographics are considered to increase the odds of inpatient parathyroidectomy.

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Disparities in Endocrine Surgery Care

Finn,

Kelz

2024

Contemporary Surgical Clerkships

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Are patients with limited English proficiency less likely to undergo parathyroidectomy for primary hyperparathyoidism?

Cited by 10 publications

References 24 publications

Preferred language and disease severity predict evaluation for liver transplantation among patients admitted with alcohol-associated hepatitis

Preferred language and disease severity predict evaluation for liver transplantation among patients admitted with alcohol-associated hepatitis

Same‐day parathyroidectomy for primary hyperparathyroidism –an over 20‐year practice

Disparities in Endocrine Surgery Care

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