Skip to main content
Journal cover image

Racial and Ethnic Disparities in Acute Care Utilization Among Patients With Glomerular Disease.

Publication ,  Journal Article
Krissberg, JR; O'Shaughnessy, MM; Smith, AR; Helmuth, ME; Almaani, S; Aviles, DH; Brathwaite, KE; Cai, Y; Cattran, D; Gbadegesin, R; Glenn, DA ...
Published in: Am J Kidney Dis
March 2023

RATIONALE & OBJECTIVE: The effects of race, ethnicity, socioeconomic status (SES), and disease severity on acute care utilization in patients with glomerular disease are unknown. STUDY DESIGN: Prospective cohort study. SETTING & PARTICIPANTS: 1,456 adults and 768 children with biopsy-proven glomerular disease enrolled in the Cure Glomerulonephropathy (CureGN) cohort. EXPOSURE: Race and ethnicity as a participant-reported social factor. OUTCOME: Acute care utilization defined as hospitalizations or emergency department visits. ANALYTICAL APPROACH: Multivariable recurrent event proportional rate models were used to estimate associations between race and ethnicity and acute care utilization. RESULTS: Black or Hispanic participants had lower SES and more severe glomerular disease than White or Asian participants. Acute care utilization rates were 45.6, 29.5, 25.8, and 19.2 per 100 person-years in Black, Hispanic, White, and Asian adults, respectively, and 55.8, 42.5, 40.8, and 13.0, respectively, for children. Compared with the White race (reference group), Black race was significantly associated with acute care utilization in adults (rate ratio [RR], 1.76 [95% CI, 1.37-2.27]), although this finding was attenuated after multivariable adjustment (RR, 1.31 [95% CI, 1.03-1.68]). Black race was not significantly associated with acute care utilization in children; Asian race was significantly associated with lower acute care utilization in children (RR, 0.32 [95% CI 0.14-0.70]); no significant associations between Hispanic ethnicity and acute care utilization were identified. LIMITATIONS: We used proxies for SES and lacked direct information on income, household unemployment, or disability. CONCLUSIONS: Significant differences in acute care utilization rates were observed across racial and ethnic groups in persons with prevalent glomerular disease, although many of these difference were explained by differences in SES and disease severity. Measures to combat socioeconomic disadvantage in Black patients and to more effectively prevent and treat glomerular disease are needed to reduce disparities in acute care utilization, improve patient wellbeing, and reduce health care costs.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Am J Kidney Dis

DOI

EISSN

1523-6838

Publication Date

March 2023

Volume

81

Issue

3

Start / End Page

318 / 328.e1

Location

United States

Related Subject Headings

  • White People
  • Urology & Nephrology
  • Social Class
  • Prospective Studies
  • Patient Acceptance of Health Care
  • Kidney Diseases
  • Humans
  • Hispanic or Latino
  • Healthcare Disparities
  • Ethnicity
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Krissberg, J. R., O’Shaughnessy, M. M., Smith, A. R., Helmuth, M. E., Almaani, S., Aviles, D. H., … CureGN Consortium. (2023). Racial and Ethnic Disparities in Acute Care Utilization Among Patients With Glomerular Disease. Am J Kidney Dis, 81(3), 318-328.e1. https://doi.org/10.1053/j.ajkd.2022.08.010
Krissberg, Jill R., Michelle M. O’Shaughnessy, Abigail R. Smith, Margaret E. Helmuth, Salem Almaani, Diego H. Aviles, Kaye E. Brathwaite, et al. “Racial and Ethnic Disparities in Acute Care Utilization Among Patients With Glomerular Disease.Am J Kidney Dis 81, no. 3 (March 2023): 318-328.e1. https://doi.org/10.1053/j.ajkd.2022.08.010.
Krissberg JR, O’Shaughnessy MM, Smith AR, Helmuth ME, Almaani S, Aviles DH, et al. Racial and Ethnic Disparities in Acute Care Utilization Among Patients With Glomerular Disease. Am J Kidney Dis. 2023 Mar;81(3):318-328.e1.
Krissberg, Jill R., et al. “Racial and Ethnic Disparities in Acute Care Utilization Among Patients With Glomerular Disease.Am J Kidney Dis, vol. 81, no. 3, Mar. 2023, pp. 318-328.e1. Pubmed, doi:10.1053/j.ajkd.2022.08.010.
Krissberg JR, O’Shaughnessy MM, Smith AR, Helmuth ME, Almaani S, Aviles DH, Brathwaite KE, Cai Y, Cattran D, Gbadegesin R, Glenn DA, Greenbaum LA, Iragorri S, Jain K, Khalid M, Kidd J, Kopp J, Lafayette R, Lane JC, Lugani F, Nestor JG, Parekh RS, Reidy K, Selewski DT, Sethna CB, Sperati CJ, Tuttle K, Twombley K, Vasylyeva TL, Weaver DJ, Wenderfer SE, Gibson K, CureGN Consortium. Racial and Ethnic Disparities in Acute Care Utilization Among Patients With Glomerular Disease. Am J Kidney Dis. 2023 Mar;81(3):318-328.e1.
Journal cover image

Published In

Am J Kidney Dis

DOI

EISSN

1523-6838

Publication Date

March 2023

Volume

81

Issue

3

Start / End Page

318 / 328.e1

Location

United States

Related Subject Headings

  • White People
  • Urology & Nephrology
  • Social Class
  • Prospective Studies
  • Patient Acceptance of Health Care
  • Kidney Diseases
  • Humans
  • Hispanic or Latino
  • Healthcare Disparities
  • Ethnicity