Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 46547,
    "title": "Narrative Review of Emergency Medicine Clinical Research Examining Exclusion by Language",
    "subtitle": null,
    "abstract": "<p><strong>Introduction:</strong> Over 20% of the United States population speaks a language other than English, and many use the emergency department (ED) to access healthcare. However, there remains concern that patients preferring languages other than English are under-represented in clinical research. Thus, our goal was to assess the proportion of ED studies that excluded patients for recruitment due to language.</p>\n<p><strong>Methods: </strong>We conducted a narrative review using seven search engines for 2018–2023. We included studies if they mentioned language of participants and prospectively enrolled patients in an ED or prehospital setting. We excluded studies if they only included patients &lt;18 years and/or were conducted exclusively outside the US. Two independent reviewers reviewed studies. Analyses included descriptive statistics.</p>\n<p><strong>Results: </strong>Of the 10,513 studies we identified, 281 were eligible for review; 163 (58%) excluded non?English language preferred (NELP) patients. Among the 107 interventional studies, 69% excluded NELP patients. Of the 135 studies focused on health equity/social emergency medicine, 47% excluded NELP patients.</p>\n<p><strong>Conclusion: </strong>We found 163 (58%) studies conducted in the ED that mention language and excluded NELP patients. Additional work is needed to encourage and support inclusive study designs.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "health equity"
        },
        {
            "word": "language exclusion"
        },
        {
            "word": "language equity"
        },
        {
            "word": "research equity"
        }
    ],
    "section": "Health Equity",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8v13r30c",
    "frozenauthors": [
        {
            "first_name": "Alexa",
            "middle_name": "M.",
            "last_name": "Curt",
            "name_suffix": "",
            "institution": "Massachusetts General Hospital, Department of Emergency  Medicine, Boston, Massachusetts",
            "department": ""
        },
        {
            "first_name": "Olivia",
            "middle_name": "",
            "last_name": "Kahn-Boesel",
            "name_suffix": "",
            "institution": "Massachusetts General Hospital, Department of Medicine,  Boston, Massachusetts",
            "department": ""
        },
        {
            "first_name": "Melis",
            "middle_name": "",
            "last_name": "Lydston",
            "name_suffix": "",
            "institution": "Massachusetts General Hospital, Treadwell Virtual Library,  Boston, Massachusetts",
            "department": ""
        },
        {
            "first_name": "Melissa",
            "middle_name": "A.",
            "last_name": "Meeker",
            "name_suffix": "",
            "institution": "Massachusetts General Hospital, Department of Emergency  Medicine, Boston, Massachusetts",
            "department": ""
        },
        {
            "first_name": "Margaret",
            "middle_name": "E.",
            "last_name": "Samuels-Kalow",
            "name_suffix": "",
            "institution": "Massachusetts General Hospital, Department of Emergency  Medicine, Boston, Massachusetts",
            "department": ""
        }
    ],
    "date_submitted": "2025-03-04T15:34:25.162000+01:00",
    "date_accepted": "2025-07-02T23:06:27.558000+02:00",
    "date_published": "2025-09-26T04:07:00+02:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/46547/galley/40001/download/"
        }
    ]
}