Kaitlyn D’Onofrio

Urban Health Today

The effect of the COVID-19 pandemic on racial/ethnic minorities has been reported. <a href="https://www.docwirenews.com/home-page-editor-picks/the-pandemic-has-devastated-the-underserved-covid-19-and-the-undocumented-latino-community/">A commentary&nbsp;published last month</a>&nbsp;in&nbsp;The New England Journal of Medicine highlighted its devastating impact on the Latinx community in particular. Also of concern is the well-being of patients with <a href="https://www.docwirenews.com/rheumatology/do-autoimmune-diseases-impact-covid-19-outcomes/">autoimmune</a> and inflammatory diseases. And according to new research, minority patients with <a href="https://www.docwirenews.com/docwire-pick/rheumatology-picks/interview-autoimmune-covid-19-project-assesses-long-term-impact-of-covid-19-on-patients-with-ms-arthritis-and-more/">rheumatic disease</a> and COVID-19 are more likely than white patients to be hospitalized.The study included data on U.S. patients with rheumatic disease and COVID-19 who were included in the <a href="https://www.docwirenews.com/docwire-pick/rheumatology-picks/interview-suleman-bhana-md-talks-about-covid-19-global-rheumatology-alliance/">COVID-19 Global Rheumatology Alliance physician registry</a> between March 24 and August 26. Race was divided into White, Black, Latinx, Asian, and other/mixed race. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated with multivariable regression models adjusted for age, sex, smoking, rheumatic disease diagnosis, comorbidities, medications taken before infection, and rheumatic disease activity.The <a href="https://www.docwirenews.com/docwire-pick/rheumatology-picks/covid-19-global-rheumatology-alliance-calls-for-clinicians-to-share-data-on-patients-with-covid-19/">registry</a> yielded data on 1,324 patients. More than a third of the cohort (36%) were hospitalized, and 6% of patients died. Among the hospitalized patients, more than a quarter (26%) required mechanical ventilation. Upon multivariable analyses, compared to White patients, the odds of being hospitalized were greater for Black (OR=2.74; 95% CI, 1.90&ndash;3.95), Latinx (OR=1.71; 95% CI, 1.18&ndash;2.49), and Asian (OR=2.69; 95% CI, 1.16&shy;&ndash;6.24) patients. Latinx patients, compared to White patients, were significantly more likely to require ventilatory support (OR=3.25; 95% CI, 1.75&ndash;6.05). The study authors did not observe a correlation between race/ethnicity and mortality, but they acknowledged that the study may not have powered to identify any potential correlations.&ldquo;Similar to the general population, Black, Latinx, and Asian individuals with rheumatic diseases are more likely to experience severe outcomes of COVID-19. These data suggest that the current pandemic will further exacerbate the health disparities that already exist for many patients with rheumatic disease,&rdquo; said senior author Jinoos Yazdany, MD, MPH, of the University of California, San Francisco, <a href="https://www.eurekalert.org/pub_releases/2020-11/w-dob110220.php">in a press release</a>.The results were published in <a href="https://onlinelibrary.wiley.com/doi/10.1002/art.41567">Arthritis &amp; Rheumatology</a>.Dr. Yazdany and colleagues concluded in their paper, &ldquo;The rheumatology community should proactively address the needs of patients currently experiencing inequitable health outcomes during the pandemic.&rdquo;

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Black, Latinx, and Asian Patients with Rheumatic Disease Are More Likely to be Hospitalized for COVID-19

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According to new research, minority patients with rheumatic disease and COVID-19 are more likely than white patients to be hospitalized.

Rheumatic Disease and COVID-19 Outcomes Poorer in Minorities

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