Racial and Ethnic Distribution of Rheumatic Diseases in Health Systems of the National Patient-Centered Clinical Research Network
Authors' conclusion
These data provide important information on the prevalence of RMDs by race and ethnicity in the United States.
Study context
- Population
- Adults with ≥ 2 diagnosis codes for rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), osteoporosis, granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), eosinophilic granulomatosis with polyangiitis (EGPA), giant cell arteritis (GCA) or TAK in PCORnet EHRs, 2013–2018
- Participants
- 28,059,546 adults
- Exposure
- Prevalence of 8 rheumatic and musculoskeletal diseases (RMDs) across racial and ethnic groups
- Outcome
- Relative prevalence of 8 RMDs across racial and ethnic groups
Methodological detailselectronic health records, multicentre (PCORnet institutions and systems)
- Electronic health records
- Multicentre (PCORnet institutions and systems)
Main finding
As reported in the abstract
Prevalence of RMDs by race and ethnicity
- Osteoporosis (OP), RA and the vasculitides all more common in White vs Black or African American
Observational data: associations, not effects.
Further findings
| Outcome | Values | OR (95% CI) | |
|---|---|---|---|
| RA prevalence (/1000)American Indian or Alaska Nativevs White | American Indian or Alaska Native 11.57 /1000 · White 10.11 /1000 | 1.15 (1.09–1.22) | |
| SLE prevalence (/1000) by raceBlack or African Americanvs White | Black or African American 6.73 /1000 · American Indian or Alaska Native 3.82 /1000 · Asian 3.39 /1000 · White 2.80 /1000 | 2.43 (2.39–2.46) | |
| SLE prevalence (/1000) by raceAmerican Indian or Alaska Nativevs White | 1.39 (1.25–1.53) | ||
| SLE prevalence (/1000) by raceAsianvs White | 1.26 (1.21–1.31) | ||
| SLE prevalence (/1000) by ethnicityHispanicvs Non-Hispanic | Hispanic 3.93 /1000 · Non-Hispanic 3.45 /1000 | 1.14 (1.12–1.16) | |
| TAK prevalence (/1000)Asianvs White | Asian 0.05 /1000 · White 0.04 /1000 | 1.43 (1.00–2.03) | |
| 0.512Odds ratio (log scale) |
Original publication
Racial and Ethnic Distribution of Rheumatic Diseases in Health Systems of the National Patient-Centered Clinical Research Network. J Rheumatol. Published 1 September 2023. doi:10. 3899/ jrheum. 2022-1300
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