Disparities in Clinical Outcomes Observed Within Electronic Health Record Data From a Statewide Cohort of Pulmonary Arterial Hypertension Patients
ABSTRACT Health disparities in patients with pulmonary arterial hypertension (PAH) have not been extensively reported in the United States. The aim of this project was to characterize the extent of demographic and socioeconomic disparities in clinical outcomes within a large, diverse PAH patient pop...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Pulmonary Circulation |
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| Online Access: | https://doi.org/10.1002/pul2.70041 |
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| author | Rachel Dalton Ankit A. Desai Tianze Jiao Julio D. Duarte |
| author_facet | Rachel Dalton Ankit A. Desai Tianze Jiao Julio D. Duarte |
| author_sort | Rachel Dalton |
| collection | DOAJ |
| description | ABSTRACT Health disparities in patients with pulmonary arterial hypertension (PAH) have not been extensively reported in the United States. The aim of this project was to characterize the extent of demographic and socioeconomic disparities in clinical outcomes within a large, diverse PAH patient population. A retrospective, population‐based study of electronic health record data from the OneFlorida Data Trust was completed. Adult patients seeking care within one of the 12 OneFlorida Network partner healthcare systems with a documented diagnosis of any form of pulmonary hypertension (PH), including PAH, via ICD‐10 code were included. Social deprivation index and healthcare provider access scores were calculated from population‐based centroids derived from patient home addresses. The primary outcome was all‐cause mortality, with secondary outcomes including hospitalization, emergency department (ED) visits, and similar clinical outcomes in a combined cohort of patients with other forms PH. A total of 6379 patients were included in the PAH cohort, and 37,412 patients were included in the nonspecific PH cohort. PAH patients with the greatest social deprivation exhibited increased rates of ED visits and hospitalizations. Despite having similar rates of ED visits and hospitalizations compared to non‐Hispanics, Hispanic PAH patients had markedly lower mortality rates. Similar associations were also observed in the combined cohort of 37,412 patients with other forms of PH. In conclusion, healthcare disparities exist in PAH outcomes across both demographic and socioeconomic boundaries. Patients identifying as Hispanic appear to have decreased rates of mortality compared to other races/ethnicities. |
| format | Article |
| id | doaj-art-2b87a3c3fb4147ac85f49f6c28876042 |
| institution | Kabale University |
| issn | 2045-8940 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pulmonary Circulation |
| spelling | doaj-art-2b87a3c3fb4147ac85f49f6c288760422025-08-20T03:44:21ZengWileyPulmonary Circulation2045-89402025-01-01151n/an/a10.1002/pul2.70041Disparities in Clinical Outcomes Observed Within Electronic Health Record Data From a Statewide Cohort of Pulmonary Arterial Hypertension PatientsRachel Dalton0Ankit A. Desai1Tianze Jiao2Julio D. Duarte3Department of Pharmacotherapy and Translational Research University of Florida College of Pharmacy Gainesville Florida USADivision of Cardiovascular Medicine Indiana University School of Medicine Bloomington Indiana USADepartment of Pharmaceutical Outcomes and Policy University of Florida College of Pharmacy Gainesville Florida USADepartment of Pharmacotherapy and Translational Research University of Florida College of Pharmacy Gainesville Florida USAABSTRACT Health disparities in patients with pulmonary arterial hypertension (PAH) have not been extensively reported in the United States. The aim of this project was to characterize the extent of demographic and socioeconomic disparities in clinical outcomes within a large, diverse PAH patient population. A retrospective, population‐based study of electronic health record data from the OneFlorida Data Trust was completed. Adult patients seeking care within one of the 12 OneFlorida Network partner healthcare systems with a documented diagnosis of any form of pulmonary hypertension (PH), including PAH, via ICD‐10 code were included. Social deprivation index and healthcare provider access scores were calculated from population‐based centroids derived from patient home addresses. The primary outcome was all‐cause mortality, with secondary outcomes including hospitalization, emergency department (ED) visits, and similar clinical outcomes in a combined cohort of patients with other forms PH. A total of 6379 patients were included in the PAH cohort, and 37,412 patients were included in the nonspecific PH cohort. PAH patients with the greatest social deprivation exhibited increased rates of ED visits and hospitalizations. Despite having similar rates of ED visits and hospitalizations compared to non‐Hispanics, Hispanic PAH patients had markedly lower mortality rates. Similar associations were also observed in the combined cohort of 37,412 patients with other forms of PH. In conclusion, healthcare disparities exist in PAH outcomes across both demographic and socioeconomic boundaries. Patients identifying as Hispanic appear to have decreased rates of mortality compared to other races/ethnicities.https://doi.org/10.1002/pul2.70041health disparitieshospitalizationsmortalitypulmonary arterial hypertensionpulmonary hypertension |
| spellingShingle | Rachel Dalton Ankit A. Desai Tianze Jiao Julio D. Duarte Disparities in Clinical Outcomes Observed Within Electronic Health Record Data From a Statewide Cohort of Pulmonary Arterial Hypertension Patients Pulmonary Circulation health disparities hospitalizations mortality pulmonary arterial hypertension pulmonary hypertension |
| title | Disparities in Clinical Outcomes Observed Within Electronic Health Record Data From a Statewide Cohort of Pulmonary Arterial Hypertension Patients |
| title_full | Disparities in Clinical Outcomes Observed Within Electronic Health Record Data From a Statewide Cohort of Pulmonary Arterial Hypertension Patients |
| title_fullStr | Disparities in Clinical Outcomes Observed Within Electronic Health Record Data From a Statewide Cohort of Pulmonary Arterial Hypertension Patients |
| title_full_unstemmed | Disparities in Clinical Outcomes Observed Within Electronic Health Record Data From a Statewide Cohort of Pulmonary Arterial Hypertension Patients |
| title_short | Disparities in Clinical Outcomes Observed Within Electronic Health Record Data From a Statewide Cohort of Pulmonary Arterial Hypertension Patients |
| title_sort | disparities in clinical outcomes observed within electronic health record data from a statewide cohort of pulmonary arterial hypertension patients |
| topic | health disparities hospitalizations mortality pulmonary arterial hypertension pulmonary hypertension |
| url | https://doi.org/10.1002/pul2.70041 |
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