Evidence map›Paper›PMID 40533721›Full record

ArticleJournal of racial and ethnic health disparities2026

Health Status And Delays In Referral-To-Treatment Waiting Times for Elective Admissions of Adults From Deprived Areas And Ethnic Minority Backgrounds: A Study of Healthcare Inequalities.

David Fluck, Emma Jackson, Ana Llamas-Montoya, Amandeep S Chana, Kevin Kelly, Gareth I Jones, Jacqui N Rees, Julia Tudose, Yvonne Jones, Jo S Finch and 6 more

Abstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

16 authors.

David FluckMedical Director's Office, Cardiff and Vale University Health Board, Heath Park, Cardiff, CF14 4XW, UK.ORCID http://orcid.org/0000-0003-3434-1500
Emma JacksonDepartment of Operations - Restoration and Improvement, Ashford and St Peter's Hospitals NHS Foundation Trust, Guildford Road, Chertsey, Surrey, KT16 0PZ, UK.
Ana Llamas-MontoyaSurrey Heartlands ICB, Surrey Heartlands, Duke's Court Duke Street, Woking, GU21 5BH, UK.
Amandeep S ChanaDepartment of Equality, Ashford and St Peter's Hospitals NHS Foundation Trust, Diversity & InclusionGuildford Road, Chertsey, Surrey, KT16 0PZ, UK.
Kevin KellyDepartment of Information Technology, Ashford and St Peter's Hospitals NHS Foundation Trust, Guildford Road, Chertsey, Surrey, KT16 0PZ, UK.
Gareth I JonesDepartment of Improvement Partnership Team, Ashford and St Peter's Hospitals NHS Foundation Trust, Guildford Road, Chertsey, Surrey, KT16 0PZ, UK.
Jacqui N ReesDepartment of Quality, Ashford and St Peter's Hospitals NHS Foundation Trust, Guildford Road, Chertsey, Surrey, KT16 0PZ, UK.
Julia TudoseDepartment of Quality, Ashford and St Peter's Hospitals NHS Foundation Trust, Guildford Road, Chertsey, Surrey, KT16 0PZ, UK.
Yvonne JonesDepartment of Quality, Ashford and St Peter's Hospitals NHS Foundation Trust, Guildford Road, Chertsey, Surrey, KT16 0PZ, UK.
Jo S FinchDepartment of Quality, Ashford and St Peter's Hospitals NHS Foundation Trust, Guildford Road, Chertsey, Surrey, KT16 0PZ, UK.
Jennifer DavisonDepartment of Quality, Ashford and St Peter's Hospitals NHS Foundation Trust, Guildford Road, Chertsey, Surrey, KT16 0PZ, UK.
Julian RuseDepartment of Performance & Operations, Ashford and St Peter's Hospitals NHS Foundation Trust, Guildford Road, Chertsey, Surrey, KT16 0PZ, UK.
Chris JonesDepartment of Medicine, Ashford and St Peter's Hospitals NHS Foundation Trust, Guildford Road, Chertsey, Surrey, KT16 0PZ, UK.
Jonathan RobinDepartment of Medicine, Ashford and St Peter's Hospitals NHS Foundation Trust, Guildford Road, Chertsey, Surrey, KT16 0PZ, UK.
Christopher H FrySchool of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0003-3647-5983
Thang S HanDepartment of Endocrinology, Ashford and St Peter's Hospitals NHS Foundation Trust, Guildford Road, Chertsey, Surrey, KT16 0PZ, UK. thang.han@rhul.ac.uk.ORCID http://orcid.org/0000-0003-2570-0938

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We studied all patients (total 53,611) whose referral-to-treatment (RTT) ended in hospital admission ("admitted pathways") between 01/2019 and 12/2023. Their health status and RTT waiting times were related to indices of deprivation (IMD: combined data from income, employment, education, health, crime, barriers to housing and services, and living environment) and to ethnicities (87% Caucasians; 6% South Asians; 5.1% Other Ethnicities; 0.9% Blacks; 0.7% Mixed Race; 0.3% Chinese). The risk of RTT waiting times > 18 weeks was assessed by logistic regression, adjusted for confounding factors (age, sex and number of comorbidities) and presented as odds ratios (OR) and 95% confidence intervals: least-deprived areas (IMD decile = 10) and Caucasians were reference levels. Patients' median age (66 years, interquartile range = 51-77) was representative of "admitted pathways" UK patients. Major chronic diseases were more common amongst patients from ethnic minority and deprived backgrounds. Risks of RTT waiting times > 18 weeks for elective admissions rose progressively with increasing deprivation: OR = 1.20 (1.05-1.36), compared to the least deprived areas; and mixed race: OR = 1.39 (1.10-1.76), other ethnicities: OR = 1.15 (1.05-1.26), and all ethnic minorities: OR = 1.11 (1.05-1.18), compared to Caucasians. Our findings provide evidence for health and healthcare inequalities associated with individuals from deprived areas and ethnic minority backgrounds, particularly those of mixed race. More research and resources are needed to address these inequalities that include policy interventions to reduce barriers that hinder access to healthcare and advocating for policies that address underlying social determinants of health that reduce inequalities in education, employment and housing.

Indexed as

EthnicityHealthcare DisparitiesHealth StatusMinority GroupsPoverty AreasReferral and ConsultationTime-to-TreatmentWaiting ListsAgedFemaleHumansMaleMiddle AgedSocioeconomic Disparities in HealthTreatment DelayUnited KingdomHealthcare servicesPovertyPublic health

Identifiers

PMID40533721
PMCPMC13546329

What OpenQuestion holds

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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.