Evidence map›Paper›PMID 40198527›Full record

ArticleDigestive diseases and sciences2025

Higher Inpatient Racial and Ethnic Diversity Is Associated with Better Outcomes in Hispanic and Native American Patients for Gastrointestinal Diseases.

Bishoy Lawendy, Tayyaba Bhatti, Ayooluwatomiwa D Adekunle, Muni Rubens, Oyedotun Babajide, Mary Sedarous, Tahniyat Tariq, Philip N Okafor

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Article in Digestive diseases and sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Bishoy LawendyUniversity of Western Ontario, London, Canada.
Tayyaba BhattiUniversity of Western Ontario, London, Canada.
Ayooluwatomiwa D AdekunleDivision of Internal Medicine, St. Luke's Hospital, Chesterfield, MO, USA.
Muni RubensOffice of Clinical Research, Miami Cancer Institute, Miami, FL, USA.
Oyedotun BabajideDepartment of Gastroenterology, New York Medical College, New York City, NY, USA.
Mary SedarousDepartment of Medicine, Queen's University, Kingston, ON, Canada.
Tahniyat TariqDivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Redwood City, CA, USA.
Philip N OkaforDivision of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA. okafor.philip@mayo.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence suggests that outcomes are poorer among patients from historically marginalized racial and ethnic backgrounds. The impact of patient racial and ethnic diversity on gastrointestinal outcomes is understudied.

aimsTo investigate the impact of patient racial/ethnic diversity on gastrointestinal disease (GI) outcomes.

methodsUsing the 2019 National Inpatient Sample (NIS), hospital inpatient racial/ethnic diversity was defined as the percentage of Hispanic or Native American discharges. We included gastrointestinal bleeding, inflammatory bowel diseases, gastrointestinal obstruction, cirrhosis, and alcohol-associated hepatitis. Logistic regression was used to predict outcomes [major complications (MCC), long length of stay, high total charges], controlling for age, gender, location, income quartile, hospital size, and region.

resultsOur cohort included 537,830 hospitalizations. In the unadjusted analyses, MCC rates were higher among Hispanic (24.8%) and Native American patients (30.4%), compared to Whites (18.3%). In adjusted analyses, compared to Whites, Hispanic [adjusted odds ratio (OR) 1.21, 95% Confidence Interval (CI) 1.15-1.28] and Native American patients [OR 1.25, (95% CI) 1.09-1.43] had higher MCC rates. As hospital Hispanic diversity increased, MCC for Hispanics improved [OR 0.93, (95% CI) 0.87-1.14] and were even better among Native American patients as their diversity increased [OR 0.83, (95% CI) 0.73-0.94] (Table 1). A similar trend was observed in the 2018 validation cohort.

conclusionIncreasing hospital inpatient Hispanic and Native American diversity is associated with better outcomes for these groups. Further research is needed on the impact cultural competence and linguistic concordance on gastrointestinal outcomes.

Indexed as

American Indian or Alaska NativeCultural DiversityGastrointestinal DiseasesHealthcare DisparitiesHispanic or LatinoIndians, North AmericanInpatientsAdultAgedFemaleHospitalizationHumansMaleMiddle AgedUnited StatesWhiteDiversityHealth disparitiesLinguistic concordance

Identifiers

PMID40198527

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