Details

Autor(en) / Beteiligte

• Broekhuis, Jordan M.
• Chaves, Natalia
• Chen, Hao Wei
• Drake, F. Thurston
• James, Benjamin C.

Titel

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

Ist Teil von

• The American journal of surgery, 2023-02, Vol.225 (2), p.236-241

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2023

Quelle

MEDLINE

Beschreibungen/Notizen

• Despite meeting operative indications for primary hyperparathyroidism (PHPT), many patients never undergo parathyroidectomy. We hypothesized that patients with limited English proficiency (LEP) would be less likely to undergo parathyroidectomy than English-proficient (EP) patients. We retrospectively analyzed patients with PHPT from an institution-wide registry who met operative criteria between 2010 and 2018. The cohort was stratified by English proficiency. Univariate associations between sociodemographic and clinical factors with parathyroidectomy were assessed. A multivariable logistic regression model was created to assess independent predictors of parathyroidectomy. Among a cohort of 1,104 patients, 262 (24%) underwent parathyroidectomy. LEP patients (n = 135, 12%) were significantly younger (mean age 62 vs. 69, p < 0.001), more likely non-white race and ethnicity (p < 0.001), and less likely to have private insurance (p < 0.001). After adjusting for covariates, non-English and non-Spanish preferred language was an independent negative predictor of undergoing parathyroidectomy (OR 0.46, 95% CI 0.21–0.95, p = 0.037). Limited English proficiency may be an independent barrier to appropriate surgical management of PHPT. Systems-level and disease-specific interventions are needed to address this disparity faced by patients with LEP. [Display omitted] •Patients with limited English proficiency may be less likely to undergo parathyroidectomy for primary hyperparathyroidism (PHPT).•Additional social determinants may contribute to lack of surgical care for PHPT.•Consideration of these disparities and their intersectionality is important for interventions aimed at improving care for PHPT.