Jeffrey D. Greenberg|Tanya M. Spruill|Ying Shan|George Reed|Joel M. Kremer|Jeffrey Potter|Yusuf Yaz?c?|Gbenga Ogedegbe|Leslie R. Harrold
Racial and Ethnic Disparities in Disease Activity in Patients with Rheumatoid Arthritis
New York University Langone Orthopedic Hospital|New York University|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|Albany Medical Center Hospital|New York University Langone Orthopedic Hospital|New York University Langone Orthopedic Hospital|New York University|University of Massachusetts Chan Medical School
background observational studies patients rheumatoid arthritis suggested racial ethnic disparities exist minority populations compared disease activity clinical outcomes across racial ethnic groups using data large contemporary us registry methods analyzed data 2 time periods 20052007 20102012 clinical disease activity index examined continuous measure dichotomous measure disease activity states outcomes compared series crosssectional longitudinal multivariable regression models results 20052007 significant differences mean disease activity level p 001 observed across racial ethnic groups 5year period modest improvements disease activity observed across groups including whites 37 95 confidence interval ci 3241 compared african americans 43 95 ci 2758 hispanics 27 95 ci 1243 20102012 significant differences mean disease activity level persisted p 046 across racial ethnic groups ranging 116 95 ci 104128 hispanics 107 95 ci 96117 whites remission rates remained significantly different across racialethnic groups across models 20102012 ranging 227 95 ci 195258 african americans 274 95 ci 249298 whites conclusions despite improvements disease activity across racial ethnic groups 5year period disparities persist disease activity clinical outcomes minority groups versus white patients