SynthesisThe Journal of bone and joint surgery. American volume2010
Complications for racial and ethnic minority groups after total hip and knee replacement: a review of the literature.
Synthesis in The Journal of bone and joint surgery. American volume, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.
- The safety of health care for ethnic minority patients: a systematic review.International journal for equity in health · 2020Pooled it
- Evaluating Cost Disparities and Utilization of Shoulder Arthroscopy: A National Analysis of Racial, Ethnic, and Socioeconomic Determinants.Orthopaedic journal of sports medicine · 2025Article
- Insurance Status, Language, and Access to Care for Pediatric Anterior Cruciate Ligament Injury.Orthopaedic journal of sports medicine · 2024Article
- Socioeconomic Status and Race Are Rarely Reported in Randomized Controlled Trials for Achilles Tendon Pathology in the Top 10 Orthopaedic Journals: A Systematic Review.Foot & ankle orthopaedics · 2024Review
- Income and Insurance Status Impact Access to Health Care for Hip Osteoarthritis.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- Hemoglobinopathy is Associated With Total Hip Arthroplasty Indication Even Beyond Sickle Cell Anemia.Arthroplasty today · 2023Article
- Uneven global and racial representation in major orthopaedic clinical trials: Trends over a decade.Journal of clinical orthopaedics and trauma · 2022Article
- Influence of psychosocial and sociodemographic factors in the surgical management of traumatic cervicothoracic spinal cord injury at level I and II trauma centers in the United States.Journal of spine surgery (Hong Kong) · 2021Article
- Community Deprivation Index and Discharge Destination After Elective Hip Replacement.Arthritis care & research · 2021Article
- Bilateral vs Unilateral Total Knee Arthroplasty: Racial Variation in Utilization and In-Hospital Major Complication Rates.The Journal of arthroplasty · 2021Article
- Review
- Racial/Ethnic and Socioeconomic Disparities in Osteoarthritis Management.Rheumatic diseases clinics of North America · 2021Review
- Age, race, comorbidity, and insurance payer type are associated with outcomes after total ankle arthroplasty.Clinical rheumatology · 2020Article
- Medicaid insurance status predicts postoperative mortality after total knee arthroplasty in state inpatient databases.Journal of comparative effectiveness research · 2019Article
- Racial Disparities in Revision Total Knee Arthroplasty: Analysis of 125,901 Patients in National US Private Payer Database.Journal of racial and ethnic health disparities · 2019Article
- Readmission Rates and Diagnoses Following Total Hip Replacement in Relation to Insurance Payer Status, Race and Ethnicity, and Income Status.Journal of racial and ethnic health disparities · 2018Article
- Disparities in Total Knee Replacement: Population Losses in Quality-Adjusted Life-Years Due to Differential Offer, Acceptance, and Complication Rates for African Americans.Arthritis care & research · 2018Article
- Medicaid insurance as primary payer predicts increased mortality after total hip replacement in the state inpatient databases of California, Florida and New York.Journal of clinical anesthesia · 2017Article
- Perspectives of Orthopedic Surgeons on Racial/Ethnic Disparities in Care.Journal of racial and ethnic health disparities · 2017Article
- Does Race Affect Outcomes in Total Joint Arthroplasty?Clinical orthopaedics and related research · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTotal hip and knee replacement reduces disability associated with lower extremity osteoarthritis. It has been shown that racial and ethnic minority groups underutilize these procedures; however, little information exists on postoperative outcomes for ethnic minorities.
methodsWe conducted a systematic review of the literature to compile population-based or multicenter studies on early postoperative outcomes after total hip and knee replacement in racial and ethnic minorities.
resultsNine studies met the inclusion criteria. Among the nine eligible studies, four examined total knee replacement, three examined total hip replacement, and two examined both. Two studies investigated mortality after total knee replacement, and one found that blacks had an increased risk of mortality. Three studies investigated infection after total knee replacement; all found an increased risk in blacks and Hispanics. Four studies examined non-infection-related complications after total knee replacement, and all four found that nonwhites had an increased risk of complications. Two studies investigated mortality after total hip replacement; one of these found that, for primary hip replacement, blacks had an increased risk of mortality.
conclusionsThere is a paucity of research on outcomes after orthopaedic procedures for racial and ethnic minority groups. On the basis of the available literature, racial and ethnic minority groups appear to have a higher risk for early complications (those occurring within ninety days), particularly joint infection, after total knee replacement and perhaps a higher risk of mortality after total hip replacement.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.