The characteristics of racial disparity in retinopathy of prematurity outcomes.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2025-07-18 DOI:10.1038/s41372-025-02355-5

Jack Jacob, Robert W Arnold

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引用次数: 0

Abstract

Objective: To characterize racial disparities in retinopathy of prematurity (ROP) requiring treatment and to investigate specific treatment patterns across racial groups.

Study design: Retrospective analysis of de-identified data from ROP Check®, a cloud-based electronic medical record system for neonatology screening and ophthalmology tracking ROP examinations and treatment. Data from 28 hospitals from 2011 to 2022 included 3631 surviving premature infants with recorded race.

Results: American Indian/Alaska Native (AI/AN), Asian, and Pacific Islander (PI) infants had the highest rates of ROP treatment at both early (21-25 weeks) and later gestational ages (26-30 weeks) while African American infants had the lowest and most pronounced at later gestational ages (26-30 weeks). AI/AN infants had earlier and more multiple treatments.

Conclusions: Our study identifies PI race, alongside AI/AN and Asian backgrounds, as high-risk categories for treatment-warranted ROP. The inclusion of race to gestational age and birthweight enhances the prediction of treatment-warranted ROP.

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早产儿视网膜病变结局的种族差异特征。

目的：描述需要治疗的早产儿视网膜病变（ROP）的种族差异，并调查不同种族群体的特定治疗模式。研究设计：回顾性分析来自ROP Check®的去识别数据，ROP Check®是一个基于云的电子医疗记录系统，用于新生儿筛查和眼科跟踪ROP检查和治疗。从2011年到2022年，来自28家医院的数据包括3631名幸存的有种族记录的早产儿。结果：美国印第安人/阿拉斯加原住民（AI/AN），亚洲和太平洋岛民（PI）婴儿在早期（21-25周）和后期胎龄（26-30周）的ROP治疗率最高，而非洲裔美国婴儿在后期胎龄（26-30周）的ROP治疗率最低且最明显。AI/AN患儿接受更早和更多的多重治疗。结论：我们的研究确定了PI种族，以及AI/AN和亚洲背景，作为治疗保证的ROP的高风险类别。将种族与胎龄和出生体重相结合可以提高对治疗所需ROP的预测。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.