1. Health disparities experienced by Black and Hispanic Americans with multiple myeloma in the United States: a population-based study.
- Author
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Al Hadidi, Samer, Dongarwar, Deepa, Salihu, Hamisu M., Kamble, Rammurti T., Lulla, Premal, Hill, LaQuisa C., Carrum, George, Ramos, Carlos A., Heslop, Helen E., and Usmani, Saad Z.
- Subjects
HEALTH equity ,MULTIPLE myeloma ,HISPANIC Americans ,AFRICAN Americans ,HOSPITAL mortality - Abstract
Hispanics and non-Hispanic (NH)-Blacks continue to face numerous health disparities related to multiple myeloma (MM). We aimed to analyze trends of MM-related hospitalizations and incidence of in-hospital mortality with a 10-year cross-sectional analysis of inpatient hospitalizations. The prevalence of MM-related hospitalizations was higher in NH-Blacks compared to NH-Whites (476.0 vs. 305.6 per 100,000 hospitalizations, p <.001). MM-related in-hospital mortality was higher in Hispanics compared to NH-Whites and NH-Blacks (6.2 vs. 5.3%, p <.001). Using average annual percent change (AAPC), we found a statistically significant decline of in-hospital mortality among all MM patients except NH-Blacks (AAPC: −2.2, 95% confidence interval (CI) −4.7, 0.4, p =.47), who had the highest inpatient mortality in recent years. Multivariate analysis showed that NH-Blacks received fewer transplants, more blood product transfusions, fewer palliative care consults, less inpatient chemotherapy, and utilized more intensive care. Disparities in MM care for NH-Blacks and Hispanics continue to persist despite recent advancements in MM therapy. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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