Multiple sclerosis (Houndmills, Basingstoke, England) · 2026
Racial disparities in multiple sclerosis quality of care metrics.
СтатьяНазвание и аннотация: Перевод в очереди
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Harrison Kimystian L, Levasseur Victoria A, Conway Alexander P, Bhattiprolu Kavya, Naismith Robert T, Fitzgerald Kathryn C, Beier Meghan, Wang Yujie, Budhathoki Chakra, Jones Miranda R, Beach Mary C, Hughes Abbey J, Cooper Lisa A, Mowry Ellen M, Bhattarai Jagriti Jackie
Аннотация
BACKGROUND: Modifiable factors that contribute to racial disparities in healthcare have been highlighted in multiple clinical settings; however, the role of these factors in individuals with multiple sclerosis has not been well examined.
OBJECTIVES: In this study, we quantify disparities in multiple sclerosis care among non-Hispanic Black and non-Hispanic White patients.
METHODS: Longitudinal data across four encounters obtained via retrospective chart review were analyzed for non-Hispanic Black and non-Hispanic White patients across two multiple sclerosis centers. Variables included demographics, multiple sclerosis characteristics, and clinical care factors.
RESULTS: In total, 150 non-Hispanic Black and 150 non-Hispanic White patients were included (mean age = 49.3 vs 53.6). Non-Hispanic Black patients had longer time gaps between encounters with their multiple sclerosis clinician versus non-Hispanic White (mean months = 10.3 vs 8.8; adjusted mean difference = 1.53 months (95% confidence interval = 0.59, 2.47; p = 0.001)). Non-Hispanic Black patients less frequently received comprehensive/longer encounters, evaluations for a recent relapse, or had magnetic resonance imaging findings discussed during encounters relative to non-Hispanic White, although these findings were not statistically significant.
CONCLUSIONS: Gaps in multiple sclerosis care metrics, including lower levels of care and greater time between encounters, were observed for non-Hispanic Black compared to non-Hispanic White patients with multiple sclerosis, all of which may contribute to disparities in multiple sclerosis. Further research is needed to assess contributing clinician, patient, and systemic factors.
OBJECTIVES: In this study, we quantify disparities in multiple sclerosis care among non-Hispanic Black and non-Hispanic White patients.
METHODS: Longitudinal data across four encounters obtained via retrospective chart review were analyzed for non-Hispanic Black and non-Hispanic White patients across two multiple sclerosis centers. Variables included demographics, multiple sclerosis characteristics, and clinical care factors.
RESULTS: In total, 150 non-Hispanic Black and 150 non-Hispanic White patients were included (mean age = 49.3 vs 53.6). Non-Hispanic Black patients had longer time gaps between encounters with their multiple sclerosis clinician versus non-Hispanic White (mean months = 10.3 vs 8.8; adjusted mean difference = 1.53 months (95% confidence interval = 0.59, 2.47; p = 0.001)). Non-Hispanic Black patients less frequently received comprehensive/longer encounters, evaluations for a recent relapse, or had magnetic resonance imaging findings discussed during encounters relative to non-Hispanic White, although these findings were not statistically significant.
CONCLUSIONS: Gaps in multiple sclerosis care metrics, including lower levels of care and greater time between encounters, were observed for non-Hispanic Black compared to non-Hispanic White patients with multiple sclerosis, all of which may contribute to disparities in multiple sclerosis. Further research is needed to assess contributing clinician, patient, and systemic factors.