| Literature DB >> 34278937 |
Samer Al Hadidi1,2,3,4,5, Deepa Dongarwar3, Hamisu M Salihu3, Rammurti T Kamble1,2,4, Premal Lulla1,2,4, LaQuisa C Hill1,2,4, George Carrum1,2,4, Carlos A Ramos1,2,4, Helen E Heslop1,2,4, Saad Z Usmani6.
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.Entities:
Keywords: African Americans; Black Americans; Hispanics; Multiple myeloma; disparities; health disparities
Mesh：
Year: 2021 PMID： 34278937 PMCID： PMC8962656 DOI： 10.1080/10428194.2021.1953013
Source DB: PubMed Journal: Leuk Lymphoma ISSN： 1026-8022