Patient Race, Ethnicity, Language, and Pain Severity in Primary Care: A Retrospective Electronic Health Record Study.
Patient Race, Ethnicity, Language, and Pain Severity in Primary Care: A Retrospective Electronic Health Record Study.
复制标题
DOI：
10.1016/j.pmn.2022.01.007
复制
发表时间：
2022-08
影响因子：
1.7
通讯作者：
Koleck, Theresa A.
中科院分区：
文献类型：
--
作者：
Lor, Maichou;Koleck, Theresa A.
患者人种、种族和文化（包括语言）相互交织，可能影响患者报告的疼痛严重程度。按照人种、种族和语言描述患者自我报告的疼痛存在和严重程度的记录-特别是需要翻译或英语的西班牙语、苗族、老挝语或高棉语。回顾性，电子健康记录临床数据挖掘研究的79,195例患者就诊记录疼痛评分从一个初级保健诊所。使用障碍回归来探索人种、种族和语言对疼痛评分≥1的访视中出现任何疼痛（与无疼痛相比）的机会和疼痛严重程度的影响，控制年龄、性别和疼痛诊断记录。使用Mann-Whitney检验探索英语与非英语语言对人种或种族类别内疼痛严重程度的影响。与讲英语的亚裔或西班牙裔/拉丁裔患者相比，英语水平有限的患者的疼痛评分更高。年龄较大，女性，疼痛诊断，黑人或非裔美国人种族，西班牙语或老挝语增加了任何疼痛的机会。这些相同的因素，加上美洲印第安人或阿拉斯加原住民种族，导致更高的疼痛严重程度。相比之下，亚洲人种报告任何疼痛的机会减少，导致疼痛严重程度降低。种族，除了一个新的重点领域，语言，影响报告任何疼痛和疼痛严重程度的机会。需要进一步研究语言障碍对疼痛严重程度报告、记录以及疼痛结局差异和差异的影响。
Patient race, ethnicity, and culture including language are intertwined and may influence patient reporting of pain severity. To describe documentation of patient’s self-reported pain presence and severity by race, ethnicity, and language – specifically, Spanish, Hmong, Lao, or Khmer requiring an interpreter or English. Retrospective, electronic health record clinical data mining study of 79,195 patient visits with documented pain scores from one primary care clinic. Hurdle regression was used to explore the effect of race, ethnicity, and language on the chances of having any pain (versus no pain) and pain severity for visits with pain scores ≥1, controlling for age, gender, and documentation of a pain diagnosis. Mann-Whitney tests were used to explore the influence of English versus non-English language on pain severity within a race or ethnicity category. Pain scores were higher for limited English proficiency, compared to English-speaking, patients within the Asian race or Hispanic/Latino ethnicity category. Older age, female gender, pain diagnosis, Black or African American race, and Spanish or Lao language increased the chance of having any pain. These same factors, plus American Indian or Alaska Native race, contributed to higher pain severity. Asian race, in contrast, decreased the chance of reporting any pain and contributed to lesser pain severity. Race, in addition to a new area of focus, language, impacted both the chances of reporting any pain and pain severity. Additional research is needed on the impact of language barriers on pain severity reporting, documentation, and differences in pain outcomes and disparities.
登录
查看更多内容
影响因子：
5.8
作者：
Dhingra, Lara;Lam, Kin;Portenoy, Russell
通讯作者：
Portenoy, Russell
影响因子：
3.6
作者：
Dorflinger, L. M.;Gilliam, W. P.;Kerns, R. D.
通讯作者：
Kerns, R. D.
影响因子：
7.4
作者：
Hirsh, Adam T.;George, Steven Z.;Robinson, Michael E.
通讯作者：
Robinson, Michael E.
影响因子：
2.2
作者：
Burhansstipanov, L;Hollow, W
通讯作者：
Hollow, W
影响因子：
2.8
作者：
Lamas, Daniela;Panariello, Natalie;Block, Susan
通讯作者：
Block, Susan