Ferraro Tatiana, Villarin Colin, Jung Christian, Venkatesh Sanjena, Peng-Hwa Tiffany
Drexel University College of Medicine, Philadelphia, Pennsylvania, U.S.A.
University of Pennsylvania - Perelman School of Medicine, Philadelphia, Pennsylvania, U.S.A.
Laryngoscope. 2025 Apr;135(4):1248-1258. doi: 10.1002/lary.31871. Epub 2024 Nov 7.
Limited English proficiency (LEP) has become increasingly recognized as an independent predictor of adverse health outcomes in the United States. We aim to examine trends and summarize current insights into LEP-related disparities in adult otolaryngology.
Web of Science, PubMed, and Scopus.
A systematic review of US-based, peer-reviewed literature evaluating outcomes in adult otolaryngology across primary language or varying levels of English proficiency; results were analyzed for study design, subspecialty, cohort demographics, and outcomes; findings were further assessed with the Kilbourne conceptual framework for health care disparities.
An initial search yielded 3886 articles. After removal of duplicates, 2906 articles were screened and 31 studies were included after full-text analysis. Head and Neck Oncology (25.8%) and Otology (16.1%) were the most highly represented subspecialty topics. Patients with LEP represented an average of 21.71% (Range 2.21% - 51%) of the study populations. Definitions of LEP were variable. Furthermore, studies specifying patient-reported LEP status reported significant findings more often than those using electronic health record-derived data (p < 0.01). Under the Kilbourne framework, all studies were "detecting" (N = 21, 67.7%) and "understanding" (N = 10, 32.3%) disparities. In outcomes-focused studies, patients with LEP presented with a higher burden of oncologic disease, more severe hearing loss, and disparities in treatment access/implementation.
Patients with LEP are adversely impacted across various otolaryngology subspecialties. Defining these inequities is vital to provide more targeted and comprehensive care for patients with LEP.
NA Laryngoscope, 135:1248-1258, 2025.
有限的英语能力（LEP）在美国已日益被视为不良健康结局的独立预测因素。我们旨在研究相关趋势，并总结当前对成人耳鼻喉科中与LEP相关差异的见解。
科学网、PubMed和Scopus。
对美国同行评审文献进行系统综述，评估以主要语言或不同英语水平划分的成人耳鼻喉科结局；对研究设计、亚专业、队列人口统计学和结局进行分析；使用Kilbourne医疗保健差异概念框架对研究结果进行进一步评估。
初步检索得到3886篇文章。去除重复项后，筛选了2906篇文章，经过全文分析后纳入31项研究。头颈肿瘤学（25.8%）和耳科学（16.1%）是代表性最强的亚专业主题。LEP患者平均占研究人群的21.71%（范围2.21% - 51%）。LEP的定义各不相同。此外，明确患者报告的LEP状态的研究比使用电子健康记录衍生数据的研究更常报告有显著发现（p < 0.01）。在Kilbourne框架下，所有研究均为“发现”（N = 21，67.7%）和“理解”（N = 10，32.3%）差异。在以结局为重点的研究中，LEP患者的肿瘤疾病负担更高、听力损失更严重，且在治疗获取/实施方面存在差异。
LEP患者在耳鼻喉科各亚专业中均受到不利影响。明确这些不平等对于为LEP患者提供更有针对性和全面的护理至关重要。
NA 《喉镜》，135:1248 - 1258，2025年。
