Racial disparities in acute care utilization among individuals with myasthenia gravis
ObjectiveIn myasthenia gravis (MG), evidence on the impact of social determinants of health on disparities in disease burden and healthcare resource utilization is limited. This study aimed to investigate the independent association between race/ethnicity and acute care utilization during the 2 year...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-02-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1448803/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832542753323483136 |
|---|---|
| author | Cynthia Qi Pushpa Narayanaswami Ashley E. L. Anderson Deborah Gelinas Yuebing Li Jeffrey T. Guptill Dakshinamoorthy Amirthaganesan Charlotte Ward Rupesh Panchal Amit Goyal Glenn Phillips |
| author_facet | Cynthia Qi Pushpa Narayanaswami Ashley E. L. Anderson Deborah Gelinas Yuebing Li Jeffrey T. Guptill Dakshinamoorthy Amirthaganesan Charlotte Ward Rupesh Panchal Amit Goyal Glenn Phillips |
| author_sort | Cynthia Qi |
| collection | DOAJ |
| description | ObjectiveIn myasthenia gravis (MG), evidence on the impact of social determinants of health on disparities in disease burden and healthcare resource utilization is limited. This study aimed to investigate the independent association between race/ethnicity and acute care utilization during the 2 years post-diagnosis among patients with MG.MethodsA retrospective cohort study was conducted among adults (≥18 years) with newly diagnosed MG in the United States using Optum’s de-identified Market Clarity Data from January 1, 2010, to December 31, 2019. Multivariable regression models were used to assess the association between acute care utilization and race/ethnicity, insurance, exacerbation at index, and other covariates.ResultsA total of 7,058 patients met the study inclusion criteria, of whom 57% (n = 4,052) identified as Caucasian, 6% (n = 445) African American, 3% (n = 235) Hispanic, 1% (n = 94) Asian, and 32% (n = 2,232) with missing race/ethnicity information. Compared with patients identifying as Caucasian, those identifying as African American had 37% higher odds of having an emergency department visit in year 1, and those identifying as Hispanic had 70% increase in odds of having a hospitalization event in year 2 post-diagnosis. Among other covariates, Medicaid usage, exacerbation at index, and number of outpatient visits were significantly associated with acute care utilization.ConclusionRacial disparities significantly impacted acute care utilization in the first 2 years post-MG diagnosis. Future studies should aim to examine specific factors that may contribute to disparities such as barriers to healthcare access, greater severity of MG symptoms, and poorly controlled disease. |
| format | Article |
| id | doaj-art-d7d82dabb857487b967300419111d064 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-d7d82dabb857487b967300419111d0642025-02-03T17:34:06ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-02-011310.3389/fpubh.2025.14488031448803Racial disparities in acute care utilization among individuals with myasthenia gravisCynthia Qi0Pushpa Narayanaswami1Ashley E. L. Anderson2Deborah Gelinas3Yuebing Li4Jeffrey T. Guptill5Dakshinamoorthy Amirthaganesan6Charlotte Ward7Rupesh Panchal8Amit Goyal9Glenn Phillips10Argenx US Inc., Boston, MA, United StatesDepartment of Neurology, Beth Israel Deaconess Medical Center, Boston, MA, United StatesDepartment of Neurology, Houston Methodist, Houston, TX, United StatesArgenx US Inc., Boston, MA, United StatesNeuromuscular Center, Cleveland Clinic, Cleveland, OH, United StatesArgenx US Inc., Boston, MA, United StatesZS Associates, Bengaluru, Karnataka, IndiaZS Associates, Bethesda, MD, United StatesZS Associates, Thousand Oaks, CA, United StatesZS Associates, Princeton, NJ, United StatesArgenx US Inc., Boston, MA, United StatesObjectiveIn myasthenia gravis (MG), evidence on the impact of social determinants of health on disparities in disease burden and healthcare resource utilization is limited. This study aimed to investigate the independent association between race/ethnicity and acute care utilization during the 2 years post-diagnosis among patients with MG.MethodsA retrospective cohort study was conducted among adults (≥18 years) with newly diagnosed MG in the United States using Optum’s de-identified Market Clarity Data from January 1, 2010, to December 31, 2019. Multivariable regression models were used to assess the association between acute care utilization and race/ethnicity, insurance, exacerbation at index, and other covariates.ResultsA total of 7,058 patients met the study inclusion criteria, of whom 57% (n = 4,052) identified as Caucasian, 6% (n = 445) African American, 3% (n = 235) Hispanic, 1% (n = 94) Asian, and 32% (n = 2,232) with missing race/ethnicity information. Compared with patients identifying as Caucasian, those identifying as African American had 37% higher odds of having an emergency department visit in year 1, and those identifying as Hispanic had 70% increase in odds of having a hospitalization event in year 2 post-diagnosis. Among other covariates, Medicaid usage, exacerbation at index, and number of outpatient visits were significantly associated with acute care utilization.ConclusionRacial disparities significantly impacted acute care utilization in the first 2 years post-MG diagnosis. Future studies should aim to examine specific factors that may contribute to disparities such as barriers to healthcare access, greater severity of MG symptoms, and poorly controlled disease.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1448803/fullmyasthenia gravisracial disparitiessocial inequalitiessocial determinants of healthhealthcare resource utilizationacute care |
| spellingShingle | Cynthia Qi Pushpa Narayanaswami Ashley E. L. Anderson Deborah Gelinas Yuebing Li Jeffrey T. Guptill Dakshinamoorthy Amirthaganesan Charlotte Ward Rupesh Panchal Amit Goyal Glenn Phillips Racial disparities in acute care utilization among individuals with myasthenia gravis Frontiers in Public Health myasthenia gravis racial disparities social inequalities social determinants of health healthcare resource utilization acute care |
| title | Racial disparities in acute care utilization among individuals with myasthenia gravis |
| title_full | Racial disparities in acute care utilization among individuals with myasthenia gravis |
| title_fullStr | Racial disparities in acute care utilization among individuals with myasthenia gravis |
| title_full_unstemmed | Racial disparities in acute care utilization among individuals with myasthenia gravis |
| title_short | Racial disparities in acute care utilization among individuals with myasthenia gravis |
| title_sort | racial disparities in acute care utilization among individuals with myasthenia gravis |
| topic | myasthenia gravis racial disparities social inequalities social determinants of health healthcare resource utilization acute care |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1448803/full |
| work_keys_str_mv | AT cynthiaqi racialdisparitiesinacutecareutilizationamongindividualswithmyastheniagravis AT pushpanarayanaswami racialdisparitiesinacutecareutilizationamongindividualswithmyastheniagravis AT ashleyelanderson racialdisparitiesinacutecareutilizationamongindividualswithmyastheniagravis AT deborahgelinas racialdisparitiesinacutecareutilizationamongindividualswithmyastheniagravis AT yuebingli racialdisparitiesinacutecareutilizationamongindividualswithmyastheniagravis AT jeffreytguptill racialdisparitiesinacutecareutilizationamongindividualswithmyastheniagravis AT dakshinamoorthyamirthaganesan racialdisparitiesinacutecareutilizationamongindividualswithmyastheniagravis AT charlotteward racialdisparitiesinacutecareutilizationamongindividualswithmyastheniagravis AT rupeshpanchal racialdisparitiesinacutecareutilizationamongindividualswithmyastheniagravis AT amitgoyal racialdisparitiesinacutecareutilizationamongindividualswithmyastheniagravis AT glennphillips racialdisparitiesinacutecareutilizationamongindividualswithmyastheniagravis |