AI Article Synopsis
- - A systematic review was conducted to assess the reporting of ethnicity in relation to COVID-19 and its impact on clinical outcomes between December 2019 and May 2020.
- - Out of 207 reviewed articles, only a few reported ethnicity, with mixed findings: some showed no association with mortality, while others indicated that Black, Asian, and Minority Ethnic (BAME) groups faced higher risks of infection and worse outcomes compared to White patients.
- - The review highlights a lack of comprehensive data on ethnicity and COVID-19 in medical literature, emphasizing the need for further investigation into the disparities affecting BAME individuals during the pandemic.
Article Abstract
Background: The relationship between ethnicity and COVID-19 is uncertain. We performed a systematic review to assess whether ethnicity has been reported in patients with COVID-19 and its relation to clinical outcomes.
Methods: We searched EMBASE, MEDLINE, Cochrane Library and PROSPERO for English-language citations on ethnicity and COVID-19 (1 December 2019-15 May 2020). We also reviewed: COVID-19 articles in , clinical trial protocols, grey literature, surveillance data and preprint articles on COVID-19 in to evaluate if the association between ethnicity and clinical outcomes were reported and what they showed. PROSPERO:180654.
Findings: Of 207 articles in the database search, five reported ethnicity; two reported no association between ethnicity and mortality. Of 690 articles identified from medical journals, 12 reported ethnicity; three reported no association between ethnicity and mortality. Of 209 preprints, 34 reported ethnicity - 13 found Black, Asian and Minority Ethnic (BAME) individuals had an increased risk of infection with SARS-CoV-2 and 12 reported worse clinical outcomes, including ITU admission and mortality, in BAME patients compared to White patients. Of 12 grey literature reports, seven with original data reported poorer clinical outcomes in BAME groups compared to White groups.
Interpretation: Data on ethnicity in patients with COVID-19 in the published medical literature remains limited. However, emerging data from the grey literature and preprint articles suggest BAME individuals are at an increased risk of acquiring SARS-CoV-2 infection compared to White individuals and also worse clinical outcomes from COVID-19. Further work on the role of ethnicity in the current pandemic is of urgent public health importance.
Funding: NIHR.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7267805 | PMC |
| http://dx.doi.org/10.1016/j.eclinm.2020.100404 | DOI Listing |
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