Biological Sex Inequality in Rheumatology Wait Times During the COVID-19 Pandemic

J RheumatolPublished Retrospective cohort study

Main finding · Wait time by biological sex, peri-COVID periodResult — go to the resultDifference 10.03 days 95% CI 6.98–13.09

Authors' conclusion

Women and younger patients appear to have been affected by wait time increases during the COVID-19 pandemic.

Study context

Population
All patients referred to a rheumatology central triage system, November 2019 to June 2022
Participants
12,817 referrals
Exposure
Women vs men; pre-COVID vs peri-COVID period
Outcome
Wait time from referral to first rheumatology appointment by biological sex
Methodological detailscentral triage system, electronic medical record data
  • Central triage system
  • Electronic medical record data

Main finding

Wait time by biological sex, peri-COVID period

Difference

10.03 days

95% CI 6.98–13.09

P < 0.001

Womenvs Men
difference 10.03 days (95% CI 6.98–13.09); P < 0.001

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeDifference (days) (95% CI)
Wait time by age, peri-COVID period (per 10-year increase in age)Older patients had shorter wait times−4.64 (−5.49 to −3.78)
OutcomeDifference, daysP value
Change in wait times, peri-COVID vs pre-COVID periodWait times increased24.23P < 0.001
Wait time by triage urgency, pre-COVID periodSemiurgent vs Routine · seen sooner8.94 (95% CI −15.90 to −1.99)
Wait time by triage urgency, pre-COVID periodUrgent vs Routine · seen sooner25.42 (95% CI −50.36 to −0.47)

Wait time by age, peri-COVID period (per 10-year increase in age)

Triage urgency continued to be a predictor of wait time (peri-COVID)

Original publication

Biological Sex Inequality in Rheumatology Wait Times During the COVID-19 Pandemic. J Rheumatol. Published 15 March 2023. doi:10.3899/jrheum.221213

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