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Does Patient Primary Language Impact the Mode of Apical Pelvic Organ Prolapse Surgery?

Wednesday, October 4, 2023

4:15 PM – 4:25 PM US PST

Location: Oregon Ballroom

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Image Label: Mode of Prolapse Surgery by Patient Primary Language

Presenting Author(s)

Kaitlin Crawford, MD, MPH (she/her/hers)

OB/GYN Attending
Kaiser Downey Medical Center
Manhattan Beach, California, United States

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Co-Author(s)

Samantha DeAndrade, MD, MPH (she/her/hers)

Fellow
Harbor UCLA
Los Angeles, California, United States
KD

Krystal DePorto, MD

Resident
Kaiser Permanente
Los Angeles, California, United States
BZ

Botao Zhou, MS

Data Scientist
Kaiser Permanente
Los Angeles, California, United States
CT

Christopher F. Tenggardjaja, MD

Attending
Kaiser Permanente
Los Angeles, California, United States

Disclosure(s):

Kaitlin Crawford, MD, MPH: No financial relationships to disclose

Samantha DeAndrade, MD, MPH: No financial relationships to disclose

Krystal DePorto, MD: No financial relationships to disclose

Botao Zhou, MS: No financial relationships to disclose

Christopher F. Tenggardjaja, MD: No financial relationships to disclose

While race and ethnicity have been associated with surgical disparities in Urogynecology, less is known about how language differences contribute to these disparities. We investigated whether patient primary language is associated with mode of apical pelvic organ prolapse surgery performed within Kaiser Permanente Southern California Medical Group (KPSCMG), and found no difference between English and Spanish-speaking patients. Within a managed care system like KPSCMG, variables that contribute to differences in access to care are minimized. Our findings suggest that addressing structural factors in the health system will likely reduce surgical disparities related to language, and result in more equitable delivery of care.