Race and Household Income Are Associated With Disease Outcomes in Pediatric Patients With Antineutrophil Cytoplasmic Antibody–Associated Vasculitis Hospitalized in the United States - Scorecard - MDSpire
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Impact of Race and Family Income on Health Outcomes in Pediatric Patients with Antineutrophil Cytoplasmic Antibody–Associated Vasculitis in U.S. Hospitals
Clinical Scorecard: Impact of Race and Family Income on Health Outcomes in Pediatric Patients with Antineutrophil Cytoplasmic Antibody–Associated Vasculitis in U.S. Hospitals
Social determinants of health (SDoH) including race and household income impact health outcomes.
Target Population
Pediatric patients hospitalized with AAV in the United States.
Care Setting
Pediatric inpatient care
Key Highlights
First study using nationally representative data to evaluate disparities in health outcomes across race and ethnicity and household income in pediatric AAV.
Hispanic ethnicity associated with severe AAV disease and end-stage renal disease (ESRD).
Lower household income linked to decreased odds of renal transplantation among ESRD patients.
Each income quartile increase correlates with an 85% increase in odds of renal transplantation.
Study includes the largest cohort of Black and Hispanic pediatric patients with AAV.
Guideline-Based Recommendations
Diagnosis
Utilize ICD-10-CM codes for identifying AAV in pediatric patients.
Management
Involve rheumatologists in managing social needs of patients with AAV.
Monitoring & Follow-up
Monitor socioeconomic factors as they may influence clinical outcomes in AAV.
Risks
Consider the impact of race and income on the likelihood of severe disease and renal outcomes.
Patient & Prescribing Data
Pediatric patients under 20 years with AAV.
Socioeconomic status may affect treatment access and outcomes.
Clinical Best Practices
Assess social determinants of health in pediatric patients with AAV.
Address financial insecurity as a barrier to healthcare access.
