This study explores how English proficiency impacts manometry performance in patients with esophageal motility disorders. We retrospectively analyzed inpatient data (2023–2024), comparing outcomes between English as a second language (Group A) and native speakers (Group B). Using propensity score matching, we isolated the effect of language on procedure duration and failed swallows, aiming to highlight how language barriers may influence diagnostic accuracy and clinical outcomes.

We performed a retrospective study analyzing inpatient data from 2023 to 2024 at our institute, focusing on patients undergoing manometry. The study compared outcomes between patients with English as a second language (Group A) and native English speakers (Group B). We applied propensity score matching to equalize baseline characteristics between groups, examining the impact of race and language on manometry performance indicators such as procedure duration and failed swallows. Descriptive statistics evaluated performance across demographics, while logistic regression was employed to analyze the influences of gender, race, and language, reporting coefficients and p-values for statistical relevance.

Our analysis included 26 patients who underwent manometry: 14 in Group A and 12 in Group B. We assessed outcomes based on procedure duration and the number of failed swallows. Results showed that Group A experienced longer procedure times (45 ± 5 min) compared to Group B (30 ± 3 min, p < 0.01) and more failed swallows (10 ± 3 vs. 4 ± 2, p < 0.021). Additionally, Hispanic patients had increased procedure duration (p = 0.032) and failed swallows (p = 0.012). Regression analysis indicated a significant positive correlation between English proficiency and reduced procedure duration and failed swallows (Coefficient = 3.59).

Our retrospective study highlights significant differences in manometry performance based on English proficiency. Non-native speakers experienced longer procedure times and higher rates of failed swallows, indicating challenges faced by these patients. These findings suggest that language barriers can affect healthcare quality and patient safety. To address these issues, improving communication through language services and culturally sensitive care is essential. Targeted interventions for non-native speakers could improve procedural outcomes and ensure more equitable healthcare for all.