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Limited English Proficiency Is Associated With Diabetic Retinopathy in Patients Presenting for Cataract Surgery

PURPOSE: To investigate the relationship between limited English proficiency (LEP) and diabetic retinopathy (DR) in patients presenting for cataract surgery. METHODS: This is a retrospective observational study of patients who underwent cataract surgery between January 2014 and February 2020. Patien...

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Autores principales: Gill, Zafar S., Marin, A. Itzam, Caldwell, Anne Strong, Mehta, Nihaal, Grove, Nathan, Seibold, Leonard K., Puente, Michael A., De Carlo Forest, Talisa E., Oliver, Scott C. N., Patnaik, Jennifer L., Manoharan, Niranjan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Association for Research in Vision and Ophthalmology 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10561792/
https://www.ncbi.nlm.nih.gov/pubmed/37796496
http://dx.doi.org/10.1167/tvst.12.10.4
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author Gill, Zafar S.
Marin, A. Itzam
Caldwell, Anne Strong
Mehta, Nihaal
Grove, Nathan
Seibold, Leonard K.
Puente, Michael A.
De Carlo Forest, Talisa E.
Oliver, Scott C. N.
Patnaik, Jennifer L.
Manoharan, Niranjan
author_facet Gill, Zafar S.
Marin, A. Itzam
Caldwell, Anne Strong
Mehta, Nihaal
Grove, Nathan
Seibold, Leonard K.
Puente, Michael A.
De Carlo Forest, Talisa E.
Oliver, Scott C. N.
Patnaik, Jennifer L.
Manoharan, Niranjan
author_sort Gill, Zafar S.
collection PubMed
description PURPOSE: To investigate the relationship between limited English proficiency (LEP) and diabetic retinopathy (DR) in patients presenting for cataract surgery. METHODS: This is a retrospective observational study of patients who underwent cataract surgery between January 2014 and February 2020. Patients who self-identified as needing or preferring an interpreter were defined as having LEP. Differences in demographics, characteristics, and outcomes including history of type 2 diabetes (T2DM), DR, preoperative best corrected visual acuity (BCVA), macular edema, and anti-vascular endothelial growth factor injections were analyzed. Statistical comparisons were assessed using logistic regression with generalized estimating equations. RESULTS: We included 13,590 eyes. Of these, 868 (6.4%) were from LEP patients. Patients with LEP were more likely to be Hispanic (P < 0.001), female sex (P = 0.008), or older age (P = 0.003) and have worse mean BCVA at presentation (P < 0.001). Patients with LEP had a significantly higher rate of T2DM (P < 0.001), macular edema (P = 0.033), and DR (18.1% vs. 5.8%, P < 0.001). Findings remained significant when controlling for age, sex, race/ethnicity, and type of health insurance. Patients with LEP and DR were more likely to have had later stages of DR (P = 0.023). CONCLUSIONS: Patients with LEP presenting for cataract surgery had a higher rate of DR and associated complications compared to patients with English proficiency. Further studies are needed to understand how language disparities influence health and what measures could be taken to improve healthcare in this vulnerable population TRANSLATIONAL RELEVANCE: Our study highlights healthcare disparities within ophthalmology and emphasizes the importance of advocating for improved healthcare delivery for patients with LEP.
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spelling pubmed-105617922023-10-10 Limited English Proficiency Is Associated With Diabetic Retinopathy in Patients Presenting for Cataract Surgery Gill, Zafar S. Marin, A. Itzam Caldwell, Anne Strong Mehta, Nihaal Grove, Nathan Seibold, Leonard K. Puente, Michael A. De Carlo Forest, Talisa E. Oliver, Scott C. N. Patnaik, Jennifer L. Manoharan, Niranjan Transl Vis Sci Technol Retina PURPOSE: To investigate the relationship between limited English proficiency (LEP) and diabetic retinopathy (DR) in patients presenting for cataract surgery. METHODS: This is a retrospective observational study of patients who underwent cataract surgery between January 2014 and February 2020. Patients who self-identified as needing or preferring an interpreter were defined as having LEP. Differences in demographics, characteristics, and outcomes including history of type 2 diabetes (T2DM), DR, preoperative best corrected visual acuity (BCVA), macular edema, and anti-vascular endothelial growth factor injections were analyzed. Statistical comparisons were assessed using logistic regression with generalized estimating equations. RESULTS: We included 13,590 eyes. Of these, 868 (6.4%) were from LEP patients. Patients with LEP were more likely to be Hispanic (P < 0.001), female sex (P = 0.008), or older age (P = 0.003) and have worse mean BCVA at presentation (P < 0.001). Patients with LEP had a significantly higher rate of T2DM (P < 0.001), macular edema (P = 0.033), and DR (18.1% vs. 5.8%, P < 0.001). Findings remained significant when controlling for age, sex, race/ethnicity, and type of health insurance. Patients with LEP and DR were more likely to have had later stages of DR (P = 0.023). CONCLUSIONS: Patients with LEP presenting for cataract surgery had a higher rate of DR and associated complications compared to patients with English proficiency. Further studies are needed to understand how language disparities influence health and what measures could be taken to improve healthcare in this vulnerable population TRANSLATIONAL RELEVANCE: Our study highlights healthcare disparities within ophthalmology and emphasizes the importance of advocating for improved healthcare delivery for patients with LEP. The Association for Research in Vision and Ophthalmology 2023-10-05 /pmc/articles/PMC10561792/ /pubmed/37796496 http://dx.doi.org/10.1167/tvst.12.10.4 Text en Copyright 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
spellingShingle Retina
Gill, Zafar S.
Marin, A. Itzam
Caldwell, Anne Strong
Mehta, Nihaal
Grove, Nathan
Seibold, Leonard K.
Puente, Michael A.
De Carlo Forest, Talisa E.
Oliver, Scott C. N.
Patnaik, Jennifer L.
Manoharan, Niranjan
Limited English Proficiency Is Associated With Diabetic Retinopathy in Patients Presenting for Cataract Surgery
title Limited English Proficiency Is Associated With Diabetic Retinopathy in Patients Presenting for Cataract Surgery
title_full Limited English Proficiency Is Associated With Diabetic Retinopathy in Patients Presenting for Cataract Surgery
title_fullStr Limited English Proficiency Is Associated With Diabetic Retinopathy in Patients Presenting for Cataract Surgery
title_full_unstemmed Limited English Proficiency Is Associated With Diabetic Retinopathy in Patients Presenting for Cataract Surgery
title_short Limited English Proficiency Is Associated With Diabetic Retinopathy in Patients Presenting for Cataract Surgery
title_sort limited english proficiency is associated with diabetic retinopathy in patients presenting for cataract surgery
topic Retina
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10561792/
https://www.ncbi.nlm.nih.gov/pubmed/37796496
http://dx.doi.org/10.1167/tvst.12.10.4
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