Racial disparities in readmission, complications, and procedures in children with Crohn's disease.
Inflamm Bowel Dis. 2015 Apr;21(4):801-8. doi: 10.1097/MIB.0000000000000325.
Dotson JL1, Kappelman MD, Chisolm DJ, Crandall WV.
- People with gut problems are low on vitamin D
- Bio-emulsified drops doubled vitamin D levels – Dec 2010
Gut friendly vitamin D is far better for those with poor guts - Intestinal absorption of vitamin D - a systematic review - Aug 2017
- Crohn’s Disease risk increased 3 X if inadequate vitamin D level (another form is needed) – Oct 2017
- Crohn's Disease relapse rate of 3 in 8 with 1,000 IU vs 0 in 12 with 10,000 IU of Vitamin D – RCT Feb 2017
- Crohn's Disease patients normalizing their Vitamin D levels decreased risk of surgery by 44 percent – Aug 2013
- Blacks may not need as much Vitamin D (for their bones)
Overview Dark Skin and Vitamin D contains the following summary
FACT - - People with dark skins have more health problems and higher mortality rate than those with light skins
FACT - - People with dark skins have low levels of vitamin D
FACT - - People with light skins who have low vitamin D have health problems
OBSERVATION - - The health problems of whites with low level of vitamin D are similar to those with dark skins
CONCLUSION - - People with dark skins have more health problems due to low levels of vitamin D
More to Consider in The Battle Against Crohn's Amazon $29, 2016
Book has section on Crohn's and Vitamin D
# of ways in results (below) were added by VitaminDWiki
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BACKGROUND:
Racial disparities in care and outcomes contribute to mortality and morbidity in children; however, the role in pediatric Crohn's disease is unclear. In this study, we compared cohorts of black and white children with Crohn's disease to determine the extent race is associated with differences in readmissions, complications, and procedures among hospitalizations in the United States.
METHODS:
Data were extracted from the Pediatric Health Information System (January 1, 2004-June 30, 2012) for patients with 21 years or younger hospitalized with a diagnosis of Crohn's disease. White and black cohorts were randomly selected in a 2:1 ratio by hospital. The primary outcome was time from index hospital discharge to readmission. The most frequent complications and procedures were evaluated by race.
RESULTS:
There were 4377 patients. Black children had a
- shorter time to first readmission and
- higher probability of readmission (P = 0.009) and a
- 16% increase in risk of readmission
compared with white children (P = 0.01). Black children had - longer length of stay and
- higher frequency of overall and
- late (30-d to 12-mo postdischarge) readmissions (P < 0.001).
- During index hospitalization, more black children had perianal disease and anemia (P < 0.001).
During any hospitalization, black children had - higher incidence of perianal disease,
- anemia, and
- vitamin D deficiency, [2.3% vs .9%] and
- greater number of perianal procedures,
- endoscopies, and
- blood product transfusion (P < 0.001).
CONCLUSIONS:
There are differences in hospital readmissions, complications, and procedures among hospitalized children related to race. It is unclear whether these differences are due to genetic differences, worse intrinsic disease, adherence, access to treatment, or treatment disparities.
Comment in
African Americans May Access the Emergency Department for Inflammatory Bowel Disease Care More Often than Whites.