Evidence map›Paper›PMID 32778445›Full record

ArticleJournal of the National Medical Association2021

National Disparities in COVID-19 Outcomes between Black and White Americans.

Michael Poulson, Alaina Geary, Chandler Annesi, Lisa Allee, Kelly Kenzik, Sabrina Sanchez, Jennifer Tseng, Tracey Dechert

Open access · greenAbstract read
In one paragraph

Article in Journal of the National Medical Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.

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  15. Association between Racial Residential Segregation and COVID-19 Mortality.Journal of urban health : bulletin of the New York Academy of Medicine · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Michael PoulsonDepartment of Surgery, Boston University/Boston Medical Center; Boston University School of Medicine.
Alaina GearyDepartment of Surgery, Boston University/Boston Medical Center; Boston University School of Medicine.
Chandler AnnesiBoston University School of Medicine.
Lisa AlleeDepartment of Surgery, Boston University/Boston Medical Center.
Kelly KenzikDepartment of Surgery, Boston University/Boston Medical Center; Institute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, Birmingham, AL, USA.
Sabrina SanchezDepartment of Surgery, Boston University/Boston Medical Center; Boston University School of Medicine.
Jennifer TsengDepartment of Surgery, Boston University/Boston Medical Center; Boston University School of Medicine.
Tracey DechertDepartment of Surgery, Boston University/Boston Medical Center; Boston University School of Medicine. Electronic address: Tracey.Dechert@bmc.org.
Boston University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is very limited comprehensive information on disparate outcomes of black and white patients with COVID-19 infection. Reports from cities and states have suggested a discordant impact on black Americans, but no nationwide study has yet been performed. We sought to understand the differential outcomes for black and white Americans infected with COVID-19.

methodsWe obtained case-level data from the Centers for Disease Control and Prevention on 76,442 white and 48,338 non-Hispanic Black patients diagnosed with COVID-19, ages 0 to >80+, outlining information on hospitalization, ICU admission, ventilation, and death outcomes. Multivariate Poisson regressions were used to estimate the association of race, treating white as the reference group, controlling for sex, age group, and the presence of comorbidities.

resultsBlack patients were generally younger than white, were more often female, and had larger numbers of comorbidities. Compared to white patients with COVID-19, black patients had 1.4 times the risk of hospitalization (RR 1.42, p < 0.001), and almost twice the risk of requiring ICU care (RR 1.68, p < 0.001) or ventilatory support (RR 1.81, p < 0.001) after adjusting for covariates. Black patients saw a 1.36 times increased risk of death (RR 1.36, p < 0.001) compared to white. Disparities between black and white outcomes increased with advanced age.

conclusionDespite the initial descriptions of COVID-19 being a disease that affects all individuals, regardless of station, our data demonstrate the differential racial effects in the United States. This current pandemic reinforces the need to assess the unequal effects of crises on disadvantaged populations to promote population health.

Indexed as

COVID-19Health Status DisparitiesAdultAged, 80 and overBlack or African AmericanCritical CareFemaleHealthcare DisparitiesHospitalizationHumansInfant, NewbornMaleMortalityOutcome Assessment, Health CareSeverity of Illness IndexSocial Determinants of HealthBlack healthBuilt environmentCOVID-19DisparitiesStructural inequitiesUnited States

Identifiers

PMID32778445
PMCPMC7413663
OpenAlexW3048110236

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.