P830 Significant racial and ethnic disparities exist in health-care utilization in inflammatory bowel disease: a systematic review and meta-analysis

Abstract Background The incidence of inflammatory bowel disease (IBD) is rising worldwide though it remains unknown how race and ethnicity mediate health-care utilization. We aimed to better define this relationship in systematic review meta-analysis. Methods explored the impact or on likelihood needing an IBD-related surgery, hospitalization, emergency department (ED) visit. Pooled odds ratios (OR) with 95% confidence intervals (CI) were calculated I2 values reporting heterogeneity. Differences IBD phenotype treatment between racial ethnic groups reported. Results Fifty-eight studies included. Compared White patients, Black patients less likely undergo a Crohn’s (CD) (OR 0.69, CI, 0.50-0.95, I2=68.0%) ulcerative colitis 0.58, 0.40-0.83, I2=85.0%) more have IBD-hospitalization 1.54, 1.06-2.24, I2=77.0%), visit ED 1.74, 1.32-2.30, I2=0%). There no significant differences behavior biologic exposure Hispanic (Table 1). CD surgery 0.57, 0.48-0.68, I2=0%) but be hospitalized 1.38, 1.01-1.88, I2=37.0%) compared patients. utilization Asian South IBD. Conclusion remain amongst races ethnicities Future research required determine factors behind these achieve equitable care for all persons living