Apparent Disparities in Hospital Admission and Biologic Use in the Management of Inflammatory Bowel Disease between 2014–2018 in Some Black and Ethnic Minority (BEM) Populations in England
Abstract
:1. Introduction
2. Methods
- White British
- White Irish
- White other
- Afro-Caribbean (often provided separately as African or Caribbean)
- Bangladeshi
- Indian
- Pakistani
- Croydon Health Services NHS Trust
- Kings College Hospital NHS Foundation Trust
- NorthWest Anglia NHS Foundation Trust
- Nottingham University Hospitals NHS Trust
- Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust
- The Princess Alexandra Hospital NHS Trust
- University Hospitals of Birmingham NHS Foundation Trust
- University Hospitals of Bristol NHS Foundation Trust
- University Hospitals of Derby and Burton NHS Foundation Trust
- Wye Valley NHS Trust
3. Results
4. Discussion
5. Freedom of Information Requests
- Croydon Health Services NHS Trust F0I 1678
- Kings College Hospital NHS Foundation Trust FOI 6174 and 6266
- NorthWest Anglia NHS Foundation Trust FOI 2019/0482 and 2019—798
- Nottingham University Hospitals NHS Trust NUH 57316
- Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust Specific response number not issued but results provided by IBD specialist nurse
- The Princess Alexandra Hospital NHS Trust FOI 19-513
- University Hospitals of Birmingham NHS Foundation Trust FOI 0281 2019/20
- University Hospitals of Bristol NHS Foundation Trust UHB 19-507
- University Hospitals of Derby and Burton NHS Foundation Trust FOI 19.674 and 19.697
- Wye Valley NHS Trust
Author Contributions
Funding
Conflicts of Interest
References
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White British | White Irish | White Other | White | Afro-Caribbean | Asian | |
---|---|---|---|---|---|---|
Wye Valley NHS Trust | ||||||
In-Patient Admissions | ||||||
Population | 172,000 | 750 | 7200 | |||
Cases of IBD | 3368 | 24 | 112 | |||
Expected Cases of IBD | 3368 | 15 | 141 | |||
Proportion Statistic | 1.46 | −1.8 | ||||
Significance | n.s. | n.s. | ||||
University Hospitals of Bristol NHS Foundation Trust | ||||||
Use of Biologics | ||||||
Population | 334,000 | 3900 | 22,000 | 360,000 | 19,000 | |
Cases of IBD | 429 | 5 | 16 | 450 | <5 | |
Expected Cases of IBD | 429 | 5 | 28 | 450 | 24 | |
Proportion Statistic | 1.8 | −3.78 | ||||
Significance | n.s. | n.s. | p < 0.002 | |||
Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust | ||||||
Use of Biologics | ||||||
Population | 136,000 | 444 | 3700 | |||
Cases of IBD | 165 | 3 | 8 | |||
Expected Cases of IBD | 165 | 1 | 5 | |||
Proportion Statistic | −1 | −0.8 | ||||
Significance | n.s. | n.s. | ||||
Croydon Health Services NHS Trust | ||||||
In-Patient Admissions | ||||||
Population | 172,000 | 5400 | 2300 | 180,000 | 60,500 | |
Cases of IBD | 1475 | 46 | 20 | 1706 | 230 | |
Expected Cases of IBD | 1475 | 63 | 168 | 573 | ||
Proportion Statistic | −1.6 | 11 | −61.4 | |||
Significance | n.s. | p < 0.0001 | p < 0.00001 | |||
Nottingham University Hospitals NHS Trust | ||||||
In-Patient Admissions | ||||||
Population | 276,000 | 14,100 | ||||
Cases of IBD | 5133 | 52 | ||||
Expected Cases of IBD | 5133 | 262 | ||||
Proportion Statistic | 9.4 | |||||
Significance | p < 0.00001 | |||||
University Hospitals of Derby and Burton NHS Foundation Trust | ||||||
In-Patient Admissions | ||||||
Population | 377,000 | 7500 | ||||
Cases of IBD | 16,111 | 69 | ||||
Expected Cases of IBD | 16,111 | 321 | ||||
Proportion Statistic | −12.9 | |||||
Significance | p < 0.00001 | |||||
University Hospitals of Birmingham NHS Foundation Trust | ||||||
Use of Biologics | ||||||
Population | 622,000 | 78,000 | ||||
Cases of IBD | 94 | 6 | ||||
Expected Cases of IBD | 94 | 12 | ||||
Proportion Statistic | −1.4 | |||||
Significance | n.s. | |||||
Kings College Hospital NHS Foundation Trust | ||||||
In-Patient Admissions | ||||||
Population | 170,000 | 78,500 | ||||
Cases of IBD | 13,003 | 2257 | ||||
Expected Cases of IBD | 13,003 | 6004 | ||||
Proportion Statistic | −42.3 | |||||
Significance | p < 0.00001 | |||||
NorthWest Anglia NHS Foundation Trust | ||||||
In-Patient Admissions | ||||||
Population | 159,000 | 1500 | 22,000 | 18,000 | ||
Cases of IBD | 8161 | 39 | 305 | 236 | ||
Expected Cases of IBD | 8161 | 77 | 1129 | 924 | ||
Proportion Statistic | −3.6 | −22.1 | −20.5 | |||
Significance | p < 0.0003 | p < 0.00001 | p < 0.00001 | |||
The Princess Alexandra Hospital NHS Trust | ||||||
In-Patient Admissions | ||||||
Population | 71,000 | 800 | 2900 | 2800 | 2100 | |
Cases of IBD | 3710 | 27 | 118 | 8 | 37 | |
Expected Cases of IBD | 3710 | 42 | 152 | 146 | 110 | |
Proportion Statistic | −1.8 | −2.1 | −11.3 | −6.1 | ||
Significance | n.s. | p < 0.03 | p < 0.00001 | p <0.00001 |
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Share and Cite
Farrukh, A.; Mayberry, J. Apparent Disparities in Hospital Admission and Biologic Use in the Management of Inflammatory Bowel Disease between 2014–2018 in Some Black and Ethnic Minority (BEM) Populations in England. Gastrointest. Disord. 2020, 2, 144-151. https://doi.org/10.3390/gidisord2020015
Farrukh A, Mayberry J. Apparent Disparities in Hospital Admission and Biologic Use in the Management of Inflammatory Bowel Disease between 2014–2018 in Some Black and Ethnic Minority (BEM) Populations in England. Gastrointestinal Disorders. 2020; 2(2):144-151. https://doi.org/10.3390/gidisord2020015
Chicago/Turabian StyleFarrukh, Affifa, and John Mayberry. 2020. "Apparent Disparities in Hospital Admission and Biologic Use in the Management of Inflammatory Bowel Disease between 2014–2018 in Some Black and Ethnic Minority (BEM) Populations in England" Gastrointestinal Disorders 2, no. 2: 144-151. https://doi.org/10.3390/gidisord2020015