Evidence map›Paper›PMID 35084116›Full record

ArticleACR open rheumatology2022

Non-English Language Preference Associated With Decreased Rheumatology Telehealth Use During the COVID-19 Pandemic.

Jenna Thomason, Alison Bays, Bryanna Mantilla, Irvin Huang, Rayan Najjar, Namrata Singh, Katherine Wysham, Grant Hughes

Abstract read
In one paragraph

Article in ACR open rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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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.

Jenna ThomasonDivision of Rheumatology, Department of Medicine, University of Washington, Seattle, Washington.ORCID https://orcid.org/0000-0002-3942-8982
Alison BaysDivision of Rheumatology, Department of Medicine, University of Washington, Seattle, Washington.ORCID https://orcid.org/0000-0002-7193-6303
Bryanna MantillaDivision of Rheumatology, Department of Medicine, University of Washington, Seattle, Washington.
Irvin HuangDivision of Rheumatology, Department of Medicine, University of Washington, Seattle, Washington.
Rayan NajjarDivision of Rheumatology, Department of Medicine, University of Washington, Seattle, Washington.ORCID https://orcid.org/0000-0002-9214-521X
Namrata SinghDivision of Rheumatology, Department of Medicine, University of Washington, Seattle, Washington.ORCID https://orcid.org/0000-0001-7149-363X
Katherine WyshamDivision of Rheumatology, Department of Medicine, University of Washington, Seattle, Washington.ORCID https://orcid.org/0000-0001-8707-7649
Grant HughesDivision of Rheumatology, Department of Medicine, University of Washington, Seattle, Washington.ORCID https://orcid.org/0000-0003-1856-2493

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe study objective was to assess sociodemographic disparities in telehealth use among patients in an urban adult rheumatology clinic during the coronavirus disease 2019 (COVID-19) pandemic.

methodsIn this retrospective cohort study, patient-level sociodemographic data associated with all rheumatology visits in the following two periods were reviewed: pre-COVID-19 (March 1, 2019 to February 28, 2020) and COVID-19 (April 1, 2020 to March 31, 2021). Data were extracted from the electronic health record. Multivariable logistic regression analyses were performed to determine sociodemographic factors associated with video visits during the COVID-19 period.

resultsIn the pre-COVID-19 period, 1503 patients completed 3837 visits (100% in person). In the COVID-19 period, 1442 patients completed 3406 visits: 41% in person, 30% video, and 29% telephone only. Several factors were associated with decreased video use: preference for Spanish language (adjusted odds ratio [aOR] 0.27, 95% confidence interval [CI] 0.15-0.47) or other non-English languages (aOR 0.34, 95% CI 0.21-0.55), Black or African American race/ethnicity (aOR 0.50, 95% CI 0.35-0.73), Medicaid payer, and increasing age.

conclusionDecreased video visit use among rheumatology patients was associated with non-English language preference, minority race/ethnicity, increasing age, and indicators of low income. Rapid deployment and expansion of telehealth during the COVID-19 pandemic likely has improved access for some but widened preexisting disparities for others. As medical care evolves toward ongoing digital care delivery, clarifying and addressing causes of telehealth disparities is essential for delivering equitable health care.

Identifiers

PMID35084116
PMCPMC9096515

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Registered trials

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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.