Muhammad M. Qureshi|Paul B. Romesser|Scharukh Jalisi|Ken S. Zaner|Timothy P. Cooley|Gregory A. Grillone|Lisa A. Kachnic|Minh Tam Truong
The influence of limited English proficiency on outcome in patients treated with radiotherapy for head and neck cancer
evaluate limited english proficiency affects treatment outcome head neck cancer hnc patients treated curative intent radiation therapy rtfrom 2004 2010 131 patients hnc underwent rt patients selfreported primary language raceethnicity obtained hospital registration english proficiency categorized english proficient ep limited english proficient lep raceethnicity categorized white black hispanics asians patients evaluated locoregional lrc distant control dc overall os diseasefree dfs survivalfewer lep patients 600 underwent chemoradiation compared ep 838 p0028 threeyear actuarial lrc ep lep patients 822 583 respectively p0038 lep patients increased risk locoregional failure univariate cox regression analysis hazard ratio hr 24 95 ci 1058 differences english proficiency seen dc os dfs raceethnicity associated lrc dc os dfsinferior locoregional control observed lep patients receiving rt hnc potential health disparities result limited english proficiency require investigationpatient education use culturally sensitive interpreter patient navigation services improved patient compliance considered head neck cancer patients receiving complex multidisciplinary care