ArticleClinical orthopaedics and related research2011
Defining racial and ethnic disparities in THA and TKA.
Article in Clinical orthopaedics and related research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
What it found
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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.
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Who cites it
28 citing papers in PubMed, 64 citations in OpenAlex.
- Do patient race and sex change surgeon recommendations for TKA?Clinical orthopaedics and related research · 2015Trial
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- The effect of Charlson Comorbidity Index, race, and surgical complications on postoperative knee outcomes after total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
- Access to robot-assisted total knee arthroplasty varies significantly by race/ethnicity.Knee surgery & related research · 2025Article
- Patient Factors Associated With Reimplantation After Girdlestone Resection Arthroplasty for Treatment of Periprosthetic Joint Infections of the Hip.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- Age-Based Heuristics Bias Treatment of Displaced Femoral Neck Fractures in the Elderly.Arthroplasty today · 2024Article
- Have all races experienced reductions in complication rates following total hip arthroplasty? A NSQIP analysis between 2011 and 2019.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Racial disparities in post-operative complications and discharge destination following total joints arthroplasty: a national database study.Archives of orthopaedic and trauma surgery · 2023Article
- In-Hospital Mortality Risk and Discharge Disposition Following Hip Fractures: An Analysis of the Texas Trauma Registry.Geriatric orthopaedic surgery & rehabilitation · 2023Article
- Total Joint Arthroplasty Direct-to-Consumer Advertising by Medical Device Companies Lacks Patient Diversity.Arthroplasty today · 2022Article
- Does Patient Race Affect Physical Therapy Treatment Recommendations?Journal of racial and ethnic health disparities · 2021Article
- Time Trends in Perioperative Characteristics and Health Outcomes in Hispanic Patients Undergoing Primary Total Knee Arthroplasty.Journal of racial and ethnic health disparities · 2021Article
- Article
- Association of Medicare Mandatory Bundled Payment Program With the Receipt of Elective Hip and Knee Replacement in White, Black, and Hispanic Beneficiaries.JAMA network open · 2021Article
- Where Do We Stand Today on Racial and Ethnic Health Disparities? An Analysis of Primary Total Hip Arthroplasty From a 2011-2017 National Database.Arthroplasty today · 2020Article
- Racial and ethnic disparities in utilization of total knee arthroplasty among older women.Osteoarthritis and cartilage · 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
- Outcomes Following Surgical Management of Cauda Equina Syndrome: Does Race Matter?Journal of racial and ethnic health disparities · 2018Article
- Post-acute Transitional Journey: Caring for Orthopedic Surgery Patients in the United States.Frontiers in medicine · 2018Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFor minority populations in the United States, especially African Americans, Hispanics, and Native Americans, healthcare disparities are a serious problem. The literature documents racial and ethnic utilization disparities with regard to THA and TKA. QUESTIONS/PURPOSES: We therefore (1) defined utilization disparities for total joint arthroplasty in racial and ethnic minorities, (2) delineated patient and provider factors contributing to the lower total joint arthroplasty utilization, and (3) discussed potential interventions and future research that may increase total joint arthroplasty utilization by racial and ethnic minorities.
methodsWe searched the MEDLINE database and identified 67 articles, 21 of which we excluded. By searching Google and Google Scholar and reference lists of the included articles, we identified 40 articles for this review. Utilization disparities were defined by documented lower utilization of THA or TKA in specific racial or ethnic groups.
resultsLower utilization of THA and TKA among some racial and ethnic minority groups (African Americans, Hispanics) is not explained by decreased disease prevalence or disability. At least some utilization disparities are independent of income, geographic location, education, and insurance status. Causal factors related to racial and ethnic disparities may be related in part to patient factors such as health literacy, trust, and preferences. Provider unconscious or conscious biases or beliefs also play a role in at least some healthcare disparities.
conclusionsRacial and ethnic THA and TKA utilization disparities exist. These disparities are not explained by lower disease prevalence. The existing data suggest patient education, improved health literacy regarding THA and TKA, and a patient-provider relationship leading to improved trust would be beneficial. Research providing a better understanding of the root causes of these disparities is needed.
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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.