m+Medelevator.RU
← Поиск публикаций
International journal of MCH and AIDS · 2021

Fourth Annual Summer Research Summit on Health Equity Organized by the Center of Excellence in Health Equity, Training and Research, Baylor College of Medicine, Houston, Texas 77030, USA on May 20, 2021.

Название и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…

История · было → стало

Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.

Dongarwar D, Harris TB, Salihu HM

Аннотация

Strengthening Our Commitment to Racial and Social Justice to Improve Public Health The fourth annual summer research summit organized by the Center of Excellence (COE) in Health Equity, Training and Research, Baylor College of Medicine (BCM) was held on May 20, 2021. The theme of this year's summit was 'Strengthening Our Commitment to Racial and Social Justice to Improve Public Health.' Given the ongoing pandemic, the summit was conducted virtually through digital platforms. This program was intended for both BCM and external audiences interested in advancing health equity, diversity and inclusion in healthcare among healthcare providers and trainees, biomedical scientists, social workers, nurses, individuals involved in talent acquisition and development such as hiring managers (HR professionals), supervisors, college and hospital affiliate leadership and administrators, as well as diversity and inclusion excellence practitioners. We had attendees from all regions of the United States, India, Pakistan and the Demographic Republic of the Congo. The content in this Book of Abstracts encapsulates a summary of the research efforts by the BCM COE scholars (which includes post-baccalaureate students, medical students, clinical fellows and junior faculty from BCM) as well as the external summit participants. The range of topics in this year's summit was quite diverse encompassing disparities in relation to maternal and child health (MCH), immigrant heath, cancers, vaccination uptakes and COVID-19 infections. Various solutions were ardently presented to address these disparities including community engagement and partnerships, improvement in health literacy and development of novel technologies and therapeutics. With this summit, BCM continues to build on its long history of educational outreach initiatives to promote diversity in medicine by focusing on programs aimed at increasing the number of diverse and highly qualified medical professionals ready to introduce effective and innovative approaches to reduce or eliminate health disparities. These programs will improve information resources, clinical education, curricula, research and cultural competence as they relate to minority health issues and social determinants of health. The summit received very positive response in terms of zealous participation and outstanding evaluations; and overall, it was a great success. Copyright © 2021 Dongarwar et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

Перевод полного текста: Перевод в очереди

Читать найденный полный текст

https://creativecommons.org/licenses/by-nc-sa/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Background: Acute Myeloid Leukemia (AML) outcomes are dependent on leukemia-specific factors such as cytogenetics and patient-specific factors, such as age and performance status. However, racial and socioeconomic disparities have become increasingly apparent. We analyzed in-hospital death among AML-related hospitalizations and evaluated for differences in sociodemographic characteristics, focusing on the effect of age and race.

Methods: We conducted a retrospective cohort study using the Nationwide Inpatient Sample (NIS) from 2009-2018. We included hospitalizations for adults with a diagnosis of AML based on ICD-9-CM and ICD-10-CM. We categorized patients’ ages in groups of <60 years and ≥ 60 years and stratified them by reported ethnicity. Exposures of interest were patient socio-demographics, hospital characteristics and Elixhauser-comorbidity Index. Outcome of interest was in-hospital death. Statistical analyses included joinpoint regression to assess temporal trends and survey logistic regression to generate adjusted odds ratios (aORs) and 95% Confidence Intervals (CIs) to assess the independent associations between patient characteristics and mortality.

Results: Of 662,417 AML-related hospitalizations, 358,762 (57.6%) were inpatients ≥60 years. The overall rate of in-hospital death was 9.4%. Compared to patients <60, older patients experienced a higher rate of in-hospital death. In both age groups, mortality improved over time. Differences in mortality were observed based on gender, payer, hospital location and teaching status across all ages. For hospitalizations in patients ≥ 60, factors associated with in-hospital death included NH-Black race (OR 1.17; CI 1.08-1.28) and co-morbidities within the elderly Hispanic subgroup.

Conclusions and Global Health Implications: Previous studies have not evaluated racial disparities in the mortality of hospitalized patients with AML. Our results highlight the increased need to recognize the role of race and socioeconomic factors and their contribution to disparate outcomes in AML.

Key words: • Acute Myeloid Leukemia • Hospitalization • Health Disparity • Racial Disparity • HCUP NIS

Copyright © 2021 Alam et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты