Preferred Language, Patient‐Provider Interactions and Standardized Outcome Assessment in Patients With Pediatric Rheumatologic Conditions
Authors' conclusion
Reduced communication frequency between families with LPOE with care teams may drive language-related disparities, particularly during periods of system stress.
Study context
- Population
- Patients with juvenile idiopathic arthritis (JIA) or systemic lupus erythematosus (SLE) at a tertiary care center (2016–2024)matched cohort
- Participants
- 60 vs 107
- Exposure
- Language preference other than English vs English language preference
- LPOEn = 60
- English language preference (ELP)n = 107reference
- Outcome
- Rates of patient-initiated communications
Methodological detailsmatched one-to-two by age, diagnosis, polyarticular course and disease duration, multivariable negative binomial or logistic regression, tertiary care centre
- Matched one-to-two by age, diagnosis, polyarticular course and disease duration
- Multivariable negative binomial or logistic regression
- Tertiary care centre
Main finding
As reported in the abstract
Patient/family-initiated communications
LPOE vs ELPEstimate (95% CI)
Unadjusted
IRR 0.45(0.29–0.72)
Adjusted for disease severity indicators and COVID-19 pandemic period
aIRR 0.51(0.31–0.84)
Observational data: associations, not effects.
Further findings
| Outcome | aOR (CI) | |
|---|---|---|
| PhVAS completion | 0.58 (0.32–1.03) | |
| 0.20.5125Adjusted odds ratio (log scale) |
Patient-initiated communications during the COVID-19 pandemic
- Families with LPOE initiated 0.18-fold fewer communications during the COVID-19 pandemic
- P < 0.001 for interaction
Provider-initiated communication frequency
- No significant difference by language preference
Original publication
Preferred Language, Patient‐Provider Interactions and Standardized Outcome Assessment in Patients With Pediatric Rheumatologic Conditions. Arthritis Care Res (Hoboken). Published 6 August 2026. doi:10.
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