Evidence map›Paper›PMID 34168054›Full record

Observational studyJournal of epidemiology and community health2022

Ethnic disparities in preventable hospitalisation in England: an analysis of 916 375 emergency admissions.

Jakob Petersen, Jens Kandt, Paul Longley

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Journal of epidemiology and community health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 5 citations in OpenAlex.

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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

3 authors at 2 institutions in 1 country.

Jakob PetersenGeography, UCL, London, UK jakob.petersen1@lshtm.ac.uk.ORCID 0000-0002-6659-7028
Jens KandtThe Bartlett Centre for Advanced Spatial Analysis (CASA), University College London, London, UK.
Paul LongleyGeography, UCL, London, UK.
University College London · GBSchool of Advanced Study · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo study ethnic inequalities in ambulatory care sensitive conditions (ACSC) in England.

designObservational study of inpatient hospital admission database enhanced with ethnicity coding of patient surnames. The primary diagnosis of the first episode in spells with emergency admission were coded with definitions for acute ACSC, chronic ACSC and vaccine-preventable diseases.

settingNational Health Service England.

participants916 375 ACSC emergency admissions in 7 39 618 patients were identified between April 2011 and March 2012.

main outcome measuresORs of ACSC for each ethnic group relative to the White British majority group adjusted for age, sex and area deprivation.

resultsAcute ACSC admission risk adjusted for age and sex was particularly high among Other (OR 1.73; 95% CI 1.69 to 1.77) and Pakistani (1.51; 95% CI 1.48 to 1.54) compared with White British patients. For chronic ACSC, high risk was found among Other (2.02; 95% CI 1.97 to 2.08), Pakistani (2.07; 95% CI 2.02 to 2.12) and Bangladeshi (1.36; 95% CI 1.30 to 1.42). For vaccine-preventable diseases, other (2.42; 95% CI 2.31 to 2.54), Pakistani (1.94; 95% CI 1.85 to 2.04), Bangladeshi (1.48; 95% CI 1.36 to 1.62), Black African (1.45; 95% CI 1.36 to 1.54) and white other (1.38; 95% CI 1.33 to 1.43) groups. Elevated risk was only partly explained in analyses also adjusting for area deprivation.

conclusionsACSC admission was especially high among individuals of Bangladeshi, Pakistani, Black African, white other or other background with up to twofold differences compared with the white British group. This suggests that these ethnic groups are not receiving optimal primary care.

Indexed as

EthnicityState MedicineEnglandHospitalizationHumansWhite Peopleepidemiologyethnic groupshealth servicespreventive medicine

Identifiers

PMID34168054
PMCPMC8666822
OpenAlexW3175781606

What OpenQuestion holds

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LicenceCC BY-NC
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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.