{"doi":"10.1002/art.41567","title":"Association of Race and Ethnicity With COVID‐19 Outcomes in Rheumatic Disease: Data From the COVID‐19 Global Rheumatology Alliance Physician Registry","abstract":"OBJECTIVE: Racial/ethnic minorities experience more severe outcomes of coronavirus disease 2019 (COVID-19) in the general US population. This study was undertaken to examine the association between race/ethnicity and COVID-19 hospitalization, ventilation status, and mortality in people with rheumatic disease. METHODS: US patients with rheumatic disease and COVID-19 were entered into the COVID-19 Global Rheumatology Alliance physician registry between March 24, 2020 and August 26, 2020 were included. Race/ethnicity was defined as White, African American, Latinx, Asian, or other/mixed race. Outcome measures included hospitalization, requirement for ventilatory support, and death. Multivariable regression models were used to estimate odds ratios (ORs) and 95% confidence intervals (95% CIs) adjusted for age, sex, smoking status, rheumatic disease diagnosis, comorbidities, medication use prior to infection, and rheumatic disease activity. RESULTS: A total of 1,324 patients were included, of whom 36% were hospitalized and 6% died; 26% of hospitalized patients required mechanical ventilation. In multivariable models, African American patients (OR 2.74 [95% CI 1.90-3.95]), Latinx patients (OR 1.71 [95% CI 1.18-2.49]), and Asian patients (OR 2.69 [95% CI 1.16-6.24]) had higher odds of hospitalization compared to White patients. Latinx patients also had 3-fold increased odds of requiring ventilatory support (OR 3.25 [95% CI 1.75-6.05]). No differences in mortality based on race/ethnicity were found, though power to detect associations may have been limited. CONCLUSION: Similar to findings in the general US population, racial/ethnic minorities with rheumatic disease and COVID-19 had increased odds of hospitalization and ventilatory support. These results illustrate significant health disparities related to COVID-19 in people with rheumatic diseases. The rheumatology community should proactively address the needs of patients currently experiencing inequitable health outcomes during the pandemic.","journal":"Arthritis & Rheumatology","year":2020,"id":55361,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":94,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.5736,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":287353,"name":"Liza Leykina","orcid":null,"position":1,"is_corresponding":false},{"id":286165,"name":"Zara Izadi","orcid":"0000-0002-1867-0905","position":2,"is_corresponding":false},{"id":287354,"name":"Tiffany Taylor","orcid":null,"position":3,"is_corresponding":false},{"id":236764,"name":"Jeffrey A. Sparks","orcid":"0000-0002-5556-4618","position":4,"is_corresponding":false},{"id":287355,"name":"Carly Harrison","orcid":null,"position":5,"is_corresponding":false},{"id":286166,"name":"Laura Trupin","orcid":"0000-0003-4046-200X","position":6,"is_corresponding":false},{"id":287356,"name":"Stephanie Rush","orcid":null,"position":7,"is_corresponding":false},{"id":58625,"name":"Gabriela Schmajuk","orcid":"0000-0003-2687-5043","position":8,"is_corresponding":false},{"id":286167,"name":"Patricia Katz","orcid":"0000-0002-8146-2519","position":9,"is_corresponding":false},{"id":287357,"name":"Lindsay Jacobsohn","orcid":null,"position":10,"is_corresponding":false},{"id":236761,"name":"Tiffany Hsu","orcid":"0000-0003-1041-8040","position":11,"is_corresponding":false},{"id":236759,"name":"Kristin M. D’Silva","orcid":"0000-0001-8370-4166","position":12,"is_corresponding":false},{"id":238984,"name":"Naomi Serling‐Boyd","orcid":null,"position":13,"is_corresponding":false},{"id":236760,"name":"Rachel Wallwork","orcid":"0000-0002-0073-7438","position":14,"is_corresponding":false},{"id":286168,"name":"Derrick J. Todd","orcid":"0000-0003-2290-2235","position":15,"is_corresponding":false},{"id":243077,"name":"Suleman Bhana","orcid":"0000-0003-3805-0946","position":16,"is_corresponding":false},{"id":244199,"name":"Wendy Costello","orcid":null,"position":17,"is_corresponding":false},{"id":68403,"name":"Rebecca Grainger","orcid":"0000-0001-9201-8678","position":18,"is_corresponding":false},{"id":230140,"name":"Jonathan S. Hausmann","orcid":"0000-0003-0786-8788","position":19,"is_corresponding":false},{"id":243079,"name":"Jean W. Liew","orcid":"0000-0002-8104-2450","position":20,"is_corresponding":false},{"id":243078,"name":"Emily Sirotich","orcid":"0000-0002-7087-8543","position":21,"is_corresponding":false},{"id":243076,"name":"Paul Sufka","orcid":"0000-0003-3131-7919","position":22,"is_corresponding":false},{"id":236765,"name":"Zachary S. Wallace","orcid":"0000-0003-4708-7038","position":23,"is_corresponding":false},{"id":243081,"name":"Pedro Machado","orcid":"0000-0002-8411-7972","position":24,"is_corresponding":false},{"id":243080,"name":"Philip C. Robinson","orcid":"0000-0002-3156-3418","position":25,"is_corresponding":false},{"id":24102,"name":"Jinoos Yazdany","orcid":"0000-0002-3508-4094","position":26,"is_corresponding":false},{"id":287358,"name":"the COVID‐19 Global Rheumatology Alliance","orcid":null,"position":27,"is_corresponding":false},{"id":58464,"name":"Milena Gianfrancesco","orcid":"0000-0002-8351-4626","position":0,"is_corresponding":true}],"reference_count":25,"raw_metadata":null,"created_at":"2026-07-18T21:04:59.506324Z","pmid":"33146001","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}