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Ethnic differences in the indirect effects of the COVID-19 pandemic on clinical monitoring and hospitalisations for non-COVID conditions in England: a population-based, observational cohort study using the OpenSAFELY platform

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العنوان: Ethnic differences in the indirect effects of the COVID-19 pandemic on clinical monitoring and hospitalisations for non-COVID conditions in England: a population-based, observational cohort study using the OpenSAFELY platform
المؤلفون: Costello, RE, Tazare, J, Piehlmaier, D, Herrett, E, Parker, EPK, Zheng, B, Mansfield, KE, Henderson, AD, Carreira, H, Bidulka, P, Wong, AYS, Warren-Gash, C, Hayes, JF, Quint, JK, MacKenna, B, Mehrkar, A, Eggo, RM, Katikireddi, SV, Tomlinson, L, Langan, SM, Mathur, R, Chaturvedi, N, Park, C, Carnemolla, A, Williams, D, Knueppel, A, Boyd, A, Turner, EL, Evans, KM, Thomas, R, Berman, S, McLachlan, S, Crane, M, Whitehorn, R, Oakley, J, Foster, D, Woodward, H, Campbell, KC, Timpson, N, Kwong, A, Soares, AG, Griffith, G, Toms, R, Jones, L, Annie, H, Mitchell, R, Palmer, T, Sterne, J, Walker, V, Huntley, L, Fox, L, Denholm, R, Knight, R, Northstone, K, Kanagaratnam, A, Horne, E, Forbes, H, North, T, Taylor, K, Arab, MAL, Walker, S, Coronado, JIC, Karthikeyan, AS, Ploubidis, G, Moltrecht, B, Booth, C, Parsons, S, Wielgoszewska, B, Bridger-Staatz, C, Steves, C, Thompson, E, Garcia, P, Cheetham, N, Bowyer, R, Freydin, M, Roberts, A, Goldacre, B, Walker, A, Morley, J, Hulme, W, Nab, L, Fisher, L, Andrews, C, Curtis, H, Hopcroft, L, Green, A, Patalay, P, Maddock, J, Patel, K, Stafford, J, Jacques, W, Tilling, K, Macleod, J, McElroy, E, Shah, A, Silverwood, R, Denaxas, S, Flaig, R, McCartney, D, Campbell, A, Smeeth, L, Cowling, T, Mansfield, K, Wang, K, Mahalingasivam, V, Douglas, I, Langan, S, Brophy, S, Parker, M, Kennedy, J, McEachan, R, Wright, J, Willan, K, Badrick, E, Santorelli, G, Yang, T, Hou, B, Steptoe, A, Giorgio, DG, Zhu, J, Zaninotto, P, Wood, A, Cezard, G, Ip, S, Bolton, T, Sampri, A, Rafeti, E, Almaghrabi, F, Sheikh, A, Shah, SA, Katikireddi, V, Shaw, R, Hamilton, O, Green, M, Kromydas, T, Kopasker, D, Greaves, F, Willans, R, Glen, F, Sharp, S, Hughes, A, Wong, A, Howes, LH, Rapala, A, Nigrelli, L, McArdle, F, Beckford, C, Raman, B, Dobson, R, Folarin, A, Stewart, C, Ranjan, Y, Carpentieri, J, Sheard, L, Fang, C, Baz, S, Gibson, A, Kellas, J, Neubauer, S, Piechnik, S, Lukaschuk, E, Saunders, LC, Wild, JM, Smith, S, Jezzard, P, Tunnicliffe, E, Sanders, Z-B, Finnigan, L, Ferreira, V, Rhead, R, Kibble, M, Wei, Y, Lemanska, A, Perez-Reche, F, Teece, L, Parker, E, Walker, AJ, Inglesby, P, Curtis, HJ, Morton, CE, Bacon, SCJ, Hickman, G, Croker, R, Evans, D, Ward, T, DeVito, NJ, Green, ACA, Massey, J, Smith, RM, Hulme, WJ, Davy, S, Andrews, CD, Hopcroft, LEM, Drysdale, H, Dillingham, I, Park, RY, Higgins, R, Cunningham, C, Wiedemann, M, Maude, S, Macdonald, O, Butler-Cole, BFC, O'Dwyer, T, Stables, CL, Wood, C, Brown, AD, Speed, V, Bridges, L, Schaffer, AL, Walters, CE, Rentsch, CT, Bhaskaran, K, Schultze, A, Williamson, EJ, McDonald, HI, Tomlinson, LA, Wing, K, Grieve, R, Grint, DJ, Douglas, IJ, Evans, SJW, Walker, JL, Cowling, TE, Herrett, EL, Bates, C, Cockburn, J, Parry, J, Hester, F, Harper, S, O'Hanlon, S, Eavis, A, Jarvis, R, Avramov, D, Griffiths, P, Fowles, A, Parkes, N, Nicholson, B, Perera, R, Harrison, D, Khunti, K, Sterne, JAC, Quint, J
بيانات النشر: Elsevier BV
England
سنة النشر: 2023
المجموعة: PEARL (Plymouth Electronic Archiv & ResearchLibrary, Plymouth University)
مصطلحات موضوعية: Ethnic differences, Healthcare utilisation, Pandemic
الوصف: Background The COVID-19 pandemic disrupted healthcare and may have impacted ethnic inequalities in healthcare. We aimed to describe the impact of pandemic-related disruption on ethnic differences in clinical monitoring and hospital admissions for non-COVID conditions in England. Methods In this population-based, observational cohort study we used primary care electronic health record data with linkage to hospital episode statistics data and mortality data within OpenSAFELY, a data analytics platform created, with approval of NHS England, to address urgent COVID-19 research questions. We included adults aged 18 years and over registered with a TPP practice between March 1, 2018, and April 30, 2022. We excluded those with missing age, sex, geographic region, or Index of Multiple Deprivation. We grouped ethnicity (exposure), into five categories: White, Asian, Black, Other, and Mixed. We used interrupted time-series regression to estimate ethnic differences in clinical monitoring frequency (blood pressure and Hba1c measurements, chronic obstructive pulmonary disease and asthma annual reviews) before and after March 23, 2020. We used multivariable Cox regression to quantify ethnic differences in hospitalisations related to diabetes, cardiovascular disease, respiratory disease, and mental health before and after March 23, 2020. Findings Of 33,510,937 registered with a GP as of 1st January 2020, 19,064,019 were adults, alive and registered for at least 3 months, 3,010,751 met the exclusion criteria and 1,122,912 were missing ethnicity. This resulted in 14,930,356 adults with known ethnicity (92% of sample): 86.6% were White, 7.3% Asian, 2.6% Black, 1.4% Mixed ethnicity, and 2.2% Other ethnicities. Clinical monitoring did not return to pre-pandemic levels for any ethnic group. Ethnic differences were apparent pre-pandemic, except for diabetes monitoring, and remained unchanged, except for blood pressure monitoring in those with mental health conditions where differences narrowed during the pandemic. For those of Black ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: 102077-102077; Electronic-eCollection; application/pdf
اللغة: English
تدمد: 2589-5370
Relation: E-ISSN:2589-5370; 102077; https://pearl.plymouth.ac.uk/handle/10026.1/21613
DOI: 10.1016/j.eclinm.2023.102077
الاتاحة: https://pearl.plymouth.ac.uk/handle/10026.1/21613
https://doi.org/10.1016/j.eclinm.2023.102077
رقم الانضمام: edsbas.D011A983
قاعدة البيانات: BASE
الوصف
تدمد:25895370
DOI:10.1016/j.eclinm.2023.102077