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Association of race and ethnicity with COVID‐19 outcomes in rheumatic disease: Data from the COVID‐19 global rheumatology alliance physician registry

Arthritis & Rheumatology Feb 09, 2021

Gianfrancesco MA, Leykina LA, Izadi Z, et al. - In this study, the correlation between race/ethnicity and COVID‐19 hospitalization, ventilation status, and mortality was assessed in people with rheumatic disease. Researchers enrolled US patients with rheumatic disease and COVID‐19 were entered into the COVID‐19 Global Rheumatology Alliance physician registry between March 24, 2020, and August 26, 2020. They applied multivariable regression models to calculate odds ratios and 95% confidence intervals (95% CIs) adjusted for age, gender, smoking status, rheumatic disease diagnosis, comorbidities, medication use prior to infection, and rheumatic disease activity. The study population consisted of 1,324 patients, of whom 36% were hospitalized and 6% died; 26% of hospitalized patients required mechanical ventilation. The data demonstrated that racial/ethnic minorities with rheumatic disease and COVID‐19 had increased odds of hospitalization and ventilatory support, similar to findings in the general US population. These outcomes indicated significant health disparities related to COVID‐19 in people with rheumatic diseases. During the pandemic, the rheumatology community should proactively address the needs of patients currently experiencing inequitable health outcomes.

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