Evidence map›Paper›PMID 37744476›Full record

SynthesisFrontiers in public health2023

Disparities in COVID-19 related outcomes in the United States by race and ethnicity pre-vaccination era: an umbrella review of meta-analyses.

Khanh N C Duong, Lan M Le, Sajesh K Veettil, Pantakarn Saidoung, Warintorn Wannaadisai, Richard E Nelson, Mike Friedrichs, Barbara E Jones, Andrew T Pavia, Makoto M Jones and 2 more

Open access · goldAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
8.0field-weighted citation impact, top 2% 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

20 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Investigating Longitudinal Trajectories of COVID-19 Disruption: Methodological Challenges and Recommendations.Prevention science : the official journal of the Society for Prevention Research · 2026
    Article
  5. Association of Area Deprivation Index with perinatal and COVID-19 outcomes during the early pandemic: a secondary analysis of a prospective cohort study.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2025
    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

12 authors at 5 institutions in 3 countries.

Khanh N C DuongDepartment of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, United States.
Lan M LeDepartment of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, United States.
Sajesh K VeettilInternational Medical University, School of Pharmacy, Department of Pharmacy Practice, Kuala Lumpur, Malaysia.
Pantakarn SaidoungDepartment of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, United States.
Warintorn WannaadisaiFaculty of Pharmacy, Mahidol University, Bangkok, Thailand.
Richard E NelsonDivision of Epidemiology, School of Medicine, University of Utah, Salt Lake City, UT, United States.
Mike FriedrichsUtah Department of Health, Salt Lake City, UT, United States.
Barbara E JonesIDEAS Center, Veterans Affairs Salt Lake City Health Care System, Salt Lake City, UT, United States.
Andrew T PaviaDivision of Pediatric Infectious Diseases, University of Utah, Salt Lake City, UT, United States.
Makoto M JonesDivision of Epidemiology, School of Medicine, University of Utah, Salt Lake City, UT, United States.
Matthew H SamoreDivision of Epidemiology, School of Medicine, University of Utah, Salt Lake City, UT, United States.
Nathorn ChaiyakunaprukDepartment of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, United States.
University of Utah · USInternational Medical University · MYMahidol University · THUtah Department of Health · USVA Salt Lake City Healthcare System · US

Funding

CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
NCATS NIH HHS UM1 TR004409
6 · The paper itself

Abstract

Background: Meta-analyses have investigated associations between race and ethnicity and COVID-19 outcomes. However, there is uncertainty about these associations' existence, magnitude, and level of evidence. We, therefore, aimed to synthesize, quantify, and grade the strength of evidence of race and ethnicity and COVID-19 outcomes in the US. Methods: In this umbrella review, we searched four databases (Pubmed, Embase, the Cochrane Database of Systematic Reviews, and Epistemonikos) from database inception to April 2022. The methodological quality of each meta-analysis was assessed using the Assessment of Multiple Systematic Reviews, version 2 (AMSTAR-2). The strength of evidence of the associations between race and ethnicity with outcomes was ranked according to established criteria as convincing, highly suggestive, suggestive, weak, or non-significant. The study protocol was registered with PROSPERO, CRD42022336805. Results: Of 880 records screened, we selected seven meta-analyses for evidence synthesis, with 42 associations examined. Overall, 10 of 42 associations were statistically significant ( Conclusion: Individuals of Black and Hispanic groups had a higher risk of COVID-19 infection and hospitalization compared to their White counterparts. These associations of race and ethnicity and COVID-19 outcomes existed more obviously in the pre-hospitalization stage. More consideration should be given in this stage for addressing health inequity.

Indexed as

COVID-19Health InequitiesSocial Determinants of HealthBlack or African AmericanEthnicityHispanic or LatinoHospitalizationHumansOutcome Assessment, Health CareRace FactorsUnited StatesVaccinationWhiteCOVID-19health equityrace/ethnicitythe USumbrella review

Identifiers

PMID37744476
PMCPMC10513444
OpenAlexW4386511827

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.