RT Journal Article
SR Electronic
T1 Relationship between ethnicity and multidisciplinary intervention for young people with rheumatic and musculoskeletal diseases
JF Future Healthcare Journal
JO Future Healthc J
FD Royal College of Physicians
SP 317
OP 320
DO 10.7861/fhj.2022-0034
VO 9
IS 3
A1 Aicha Bouraoui
A1 James Glanville
A1 Samiha Ismail
A1 Corinne Fisher
A1 Sophia Mavrommatis
A1 Maria Leandro
A1 Joanna Gupta
A1 Stephanie Meyer
A1 Peter Shakeshaft
A1 Tracey Crissell
A1 Debajit Sen
YR 2022
UL http://www.rcpjournals.org/content/9/3/317.abstract
AB Introduction There is growing recognition of the impact of societal factors on health throughout a patient's lifespan. The COVID-19 pandemic has exposed the impact of racial disparity on health outcomes.Aims We aimed to investigate the association between ethnicity and the multidisciplinary team (MDT) interventions for young people (YP) with complex care needs.Method This retrospective, single-centre, cross-sectional study was conducted within the department of adolescent and young adult rheumatology at University College Hospital, London, between August 2019 and August 2021. We extracted demographic, clinical and laboratory data. The index of multiple deprivation was extracted from the Office for National Statistics database. R software was used for analysis.Results We identified 310 YP referred to the MDT with a median age of 18 years (interquartile range 17–19). The female patient to male patient ratio was 2.4. Over a third of our cohort were from deprived areas. Comparison between Black, Asian and minority ethnic (BAME) and White ethnic groups revealed significant differences in terms of referral for pain optimisation (p=0.006), social support (p<0.00001), and adherence and non-clinic attendance (p=0.0004).Conclusion Our findings reveal the importance of quality data for early identification and support of vulnerable YP, particularly those from BAME communities.