ArticlePopulation health management2011
Disparities in major joint replacement surgery among adults with Medicare supplement insurance.
Article in Population health management, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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.
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
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Disparities in Surgical Access: A Systematic Literature Review, Conceptual Model, and Evidence Map.Journal of the American College of Surgeons · 2019Pooled it
- Trial
- Neighborhood socioeconomic disadvantage does not predict need for manipulation under anesthesia or range of motion following total knee arthroplasty.Journal of orthopaedics · 2024Article
- Total Hip Arthroplasty in Chile Is Characterized By Low Utilization Rates and Disparity in Access.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Association of Total Knee Replacement Removal From the Inpatient-Only List With Outpatient Surgery Utilization and Outcomes in Medicare Patients.JAMA network open · 2023Article
- Does lower educational attainment increase the risk of osteoarthritis surgery? a Swedish twin study.BMC musculoskeletal disorders · 2023Article
- Socioeconomic factors affecting outcomes in total knee and hip arthroplasty: a systematic review on healthcare disparities.Arthroplasty (London, England) · 2022Review
- Disparities in ACL Reconstruction: the Influence of Gender and Race on Incidence, Treatment, and Outcomes.Current reviews in musculoskeletal medicine · 2022Review
- Racial/Ethnic and Socioeconomic Disparities in Osteoarthritis Management.Rheumatic diseases clinics of North America · 2021Review
- Decline in Racial Disparities for United States Hospital Admissions After Anterior Cruciate Ligament Reconstruction From 2007 to 2015.Orthopaedic journal of sports medicine · 2020Article
- Article
- What is the Impact of Social Deprivation on Physical and Mental Health in Orthopaedic Patients?Clinical orthopaedics and related research · 2019Article
- The rate of joint replacement in osteoarthritis depends on the patient's socioeconomic status.Acta orthopaedica · 2016Article
- Evaluation of a high-risk case management pilot program for Medicare beneficiaries with Medigap coverage.Population health management · 2015Article
- Incidence and risk factors for and the effect of a program to reduce the incidence of surgical site infection after cardiac surgery.Surgical infections · 2014Article
- Income and patient-reported outcomes (PROs) after primary total knee arthroplasty.BMC medicine · 2013Article
- Utilization of critical care services among patients undergoing total hip and knee arthroplasty: epidemiology and risk factors.Anesthesiology · 2012Article
- Cross-sectional analysis of association between socioeconomic status and utilization of primary total hip joint replacements 2006-7: Australian Orthopaedic Association National Joint Replacement Registry.BMC musculoskeletal disorders · 2012Article
- Article
- Determinants of Hip and Knee Replacement: The Role of Social Support and Family Dynamics.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The objective of this study was to determine if disparities in hip and knee replacement surgery exist among osteoarthritis patients with AARP-branded Medicare supplement plan (ie, Medigap) coverage provided by UnitedHealthcare. Patients were selected into the study if they had 1 or more medical claims with a diagnosis of osteoarthritis from July 1, 2006 to June 30, 2007. Logistic regression analyses tested for age-, sex-, race-, or income-related differences in the likelihood of receiving a hip or knee replacement surgery. The regression models controlled for socioeconomics, health status, type of supplement plan, and residential location. Of the 2.2 million Medigap insureds eligible for this study, 529,652 (24%) had osteoarthritis. Of these, 32,527 (6.1%) received a hip or knee replacement. Males were 6% (P < 0.001) more likely than females to have a replacement surgery. Patients living in minority or lower income neighborhoods were less likely to receive a hip or knee replacement. Supplement plan type was not a strong predictor of the likelihood of hip or knee replacement. Disparities were much greater by comorbid condition and residential location. Disparities in hip and knee replacement surgery existed by age, sex, race, and income levels. Larger disparities were found by residential location and comorbid condition. Interventions are being considered to address these disparities.
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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.