Evidence map›Paper›PMID 36155644›Full record

ArticlePloS one2022

Describing characteristics and treatment patterns of patients hospitalized with COVID-19 by race and ethnicity in a national RWD during the early months of the pandemic.

Sarah E Vititoe, Imaani J Easthausen, Tamar Lasky, Aloka Chakravarty, Marie C Bradley, Laura M Roe, Nicolle M Gatto, Andrew R Weckstein, Elizabeth M Garry

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 56% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

9 authors at 4 institutions in 1 country.

Sarah E VititoeScientific Research & Strategy, Aetion, Inc., New York, New York, United States of America.ORCID 0000-0003-3466-9928
Imaani J EasthausenScientific Research & Strategy, Aetion, Inc., New York, New York, United States of America.
Tamar LaskyOffice of the Commissioner, U.S. Food and Drug Administration, Silver Spring, Maryland, United States of America.
Aloka ChakravartyOffice of the Commissioner, U.S. Food and Drug Administration, Silver Spring, Maryland, United States of America.ORCID 0000-0003-2331-3053
Marie C BradleyDivision of Epidemiology, Office of Surveillance and Epidemiology, Center For Drug Evaluation and Research, Food and Drug Administration, Silver Spring, Maryland, United States of America.
Laura M RoeDivision of Epidemiology, Office of Surveillance and Epidemiology, Center For Drug Evaluation and Research, Food and Drug Administration, Silver Spring, Maryland, United States of America.
Nicolle M GattoScientific Research & Strategy, Aetion, Inc., New York, New York, United States of America.
Andrew R WecksteinScientific Research & Strategy, Aetion, Inc., New York, New York, United States of America.
Elizabeth M GarryScientific Research & Strategy, Aetion, Inc., New York, New York, United States of America.ORCID 0000-0002-5871-1599
Aetion (United States) · USCenter for Drug Evaluation and Research · USUnited States Food and Drug Administration · USTulane University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe differences by race and ethnicity in treatment patterns among hospitalized COVID-19 patients in the US from March-August 2020.

methodsAmong patients in de-identified Optum electronic health record data hospitalized with COVID-19 (March-August 2020), we estimated odds ratios of receiving COVID-19 treatments of interest (azithromycin, dexamethasone, hydroxychloroquine, remdesivir, and other steroids) at hospital admission, by race and ethnicity, after adjusting for key covariates of interest.

resultsAfter adjusting for key covariates, Black/African American patients were less likely to receive dexamethasone (adj. OR [95% CI]: 0.83 [0.71, 0.96]) and more likely to receive other steroids corticosteroids (adj. OR [95% CI]: 2.13 [1.90, 2.39]), relative to White patients. Hispanic/Latino patients were less likely to receive dexamethasone than Not Hispanic/Latino patients (adj. OR [95% CI]: 0.69 [0.58, 0.82]).

conclusionsOur findings suggest that COVID-19 treatments patients received in Optum varied by race and ethnicity after adjustment for other possible explanatory factors. In the face of rapidly evolving treatment landscapes, policies are needed to ensure equitable access to novel and repurposed therapeutics to avoid disparities in care by race and ethnicity.

Indexed as

COVID-19COVID-19 Drug TreatmentPandemicsAzithromycinDexamethasoneEthnicityHumansHydroxychloroquineSARS-CoV-2United StatesWhite PeopleAzithromycinDexamethasoneHydroxychloroquine

Identifiers

PMID36155644
PMCPMC9512177
OpenAlexW4297259799

What OpenQuestion holds

Textmetadata
LicenceCC0
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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.