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Research ArticleOther Arthritides
Open Access

Biological Sex Inequality in Rheumatology Wait Times During the COVID-19 Pandemic

Steven J. Katz and Carrie Ye
The Journal of Rheumatology October 2023, 50 (10) 1346-1349; DOI: https://doi.org/10.3899/jrheum.221213
Steven J. Katz
1S.J. Katz, MD, C. Ye, MD, Division of Rheumatology, University of Alberta, Edmonton, Alberta, Canada.
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  • ORCID record for Steven J. Katz
  • For correspondence: steven.katz{at}ualberta.ca
Carrie Ye
1S.J. Katz, MD, C. Ye, MD, Division of Rheumatology, University of Alberta, Edmonton, Alberta, Canada.
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Article Figures & Data

Tables

    • View popup
    Table 1.

    Rheumatology central triage referral characteristics.

    Men,
    n = 4269
    Women,
    n = 8548
    P
    Age, yrs, mean (SD)54.0 (16.9)51.7 (16.8)< 0.001
    Region0.46
         Urban1818 (42.59)3699 (43.27)
         Rural2451 (57.41)4849 (56.73)
    Triage level< 0.001
         Routine2197 (51.46)4927 (57.64)
         Semiurgent1973 (46.22)3478 (40.69)
         Urgent99 (2.32)143 (1.67)
    Referral period0.06
         Pre-COVID-19544 (12.74)1192 (13.94)
         Peri-COVID-193725 (87.27)7356 (86.06)
    • Values in n (%) unless otherwise indicated. COVID-19: coronavirus disease 2019.

    • View popup
    Table 2.

    Crude predictors of wait time to first appointment.

    Wait Time, days95% CIP
    Sex< 0.001
          Men77.7275.34 to 80.09
          Women89.4586.63 to 92.44
    Age−4.40a−5.21 to −3.58< 0.001
    Region0.12
          Urban84.3581.57 to 87.12
          Rural86.5684.74 to 88.39
    Triage level< 0.001
          Routine97.7495.92 to 99.57
          Semiurgent73.4670.73 to 76.20
          Urgent16.576.72 to 26.41
    Referral period< 0.001
          Pre-COVID-1964.6560.93 to 68.36
          Peri-COVID-1988.8884.89 to 92.87
    • ↵a Days per 10-year increase in age. COVID-19: coronavirus disease 2019.

    • View popup
    Table 3A.

    Difference in wait time to first appointment stratified by referral period (adjusted linear regression model).

    Wait Time Difference
    Pre-COVID-19,
    n = 1736 (13.50%)
    Peri-COVID-19,
    n = 11,081 (86.50%)
    Days95% CIPDays95% CIP
    Sex, female (ref: male)2.30−5.05 to 9.640.5410.036.98 to 13.09< 0.001
    Age−0.02a−2.06 to 2.010.982−4.64a−5.49 to −3.78< 0.001
    Region, urban (ref: rural)−5.56−12.44 to 1.310.113−2.77−5.67 to 0.140.06
    Triage level (ref: routine)
        Semiurgent−8.94−15.90 to −1.990.01−26.30−29.22 to −23.37< 0.001
        Urgent−25.42−50.36 to −0.470.046−86.48−97.01 to −75.94< 0.001
    • Adjusted for sex, age, region, and triage level.

    • ↵a Days per 10-year increase in age. COVID-19: coronavirus disease 2019.

    • View popup
    Table 3B.

    Difference in wait time to first appointment stratified by urgency status (adjusted linear regression model).

    RoutineSemiurgentUrgent
    Days95% CIPDays95% CIPDays95% CIP
    Sex, female (ref: male)14.159.19 to 19.10< 0.0016.322.90 to 9.75< 0.001−5.09−10.42 to 0.240.06
    Age−5.90a−7.27 to −4.52< 0.001−3.48a−4.45 to −2.51< 0.0010.41a−1.12 to 1.950.60
    • Adjusted for sex, age, and region, and restricted to the peri-COVID-19 referral period.

    • ↵a Days per 10-yr increase in age. COVID-19: coronavirus disease 2019.

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Biological Sex Inequality in Rheumatology Wait Times During the COVID-19 Pandemic
Steven J. Katz, Carrie Ye
The Journal of Rheumatology Oct 2023, 50 (10) 1346-1349; DOI: 10.3899/jrheum.221213

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Biological Sex Inequality in Rheumatology Wait Times During the COVID-19 Pandemic
Steven J. Katz, Carrie Ye
The Journal of Rheumatology Oct 2023, 50 (10) 1346-1349; DOI: 10.3899/jrheum.221213
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Keywords

ACCESS TO HEALTHCARE
COVID-19
RHEUMATOLOGY
REFERRAL
SEX
TRIAGE

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