Redlining, structural racism, and psoriatic arthritis outcomes: underrecognized limitations and clinical implications: comment on the article by Dowell et al...Dowell S, Banbury B, Jenkins C, et al. The influence of race, ethnicity, and historical redlining on psoriatic disease burden and clinical outcomes. Arthritis Rheumatol 2026;78(3):644–653.
The article critically examines a recent study linking historical redlining, assessed by Home Owners' Loan Corporation (HOLC) grades, with outcomes in psoriatic arthritis (PsA), highlighting limitations that affect its conclusions on structural racism's impact. Key concerns include underrepresentati...
| Publicado en: | Arthritis & Rheumatology Vol. 78; no. 4; pp. 1008 - 1010 |
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| Autores principales: | , |
| Formato: | commentary letter Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192816860&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192816860 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23265191 H06R jtl: Arthritis & Rheumatology issn: 23265191 maglogo: N pubinfo: dt: Apr2026 vid: 78 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 192816860 191005200 192816860 192816860 10.1002/art.43451 192816860 ppf: 1008 ppct: 2 formats: tig: atl: Redlining, structural racism, and psoriatic arthritis outcomes: underrecognized limitations and clinical implications: comment on the article by Dowell et al...Dowell S, Banbury B, Jenkins C, et al. The influence of race, ethnicity, and historical redlining on psoriatic disease burden and clinical outcomes. Arthritis Rheumatol 2026;78(3):644–653. aug: au: Chen, Shiuan‐Chih Lee, Yuan‐Ti affil: Community Health Care Center and Department of Family and Community Medicine, Chung Shan Medical University Hospital and School of Medicine, College of Medicine, Chung Shan Medical University, Taichung, Taiwan sug: subj: Race Factors Ethnic Groups Arthritis, Psoriatic Economics Arthritis, Psoriatic Prognosis Systemic Racism Economic Aspects of Illness Arthritis, Psoriatic Ethnology Arthritis, Psoriatic Drug Therapy ab: The article critically examines a recent study linking historical redlining, assessed by Home Owners' Loan Corporation (HOLC) grades, with outcomes in psoriatic arthritis (PsA), highlighting limitations that affect its conclusions on structural racism's impact. Key concerns include underrepresentation of Black patients and those from redlined neighborhoods, reliance on overlapping socioeconomic measures that may confound redlining effects, and exclusive use of the Routine Assessment of Patient Index Data 3 (RAPID3), which omits important PsA-specific disease domains. Additionally, attrition and missing data disproportionately exclude vulnerable populations, potentially underestimating disparities, while the study’s focus on patient and neighborhood factors overlooks provider- and system-level contributors such as implicit bias and healthcare barriers. These limitations suggest the study may understate the full influence of structural racism and systemic factors on PsA outcomes and treatment equity. pubtype: Academic Journal doctype: commentary letter Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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