ArticleJournal of public health (Oxford, England)2012
Sociodemographic differences in the severity and duration of disease amongst patients undergoing hip or knee replacement surgery.
Article in Journal of public health (Oxford, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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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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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.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Assessing demographic access to hip replacement surgery in the United Kingdom: a systematic review.International journal for equity in health · 2021Pooled it
- Racial-Ethnic Differences in Osteoarthritis Pain and Disability: A Meta-Analysis.The journal of pain · 2019Pooled it
- Social inequalities in patient outcomes after total hip replacement surgery for osteoarthritis in England: A population-based cohort study of the National Joint Registry.PLoS medicine · 2026Article
- Socioeconomic inequalities in patient-reported outcome measures among total hip and knee arthroplasty patients: a comprehensive analysis of instruments and domains.International journal for equity in health · 2025Article
- What is the Impact of Social Deprivation on Mental and Physical Health Before and After Primary Total Knee Arthroplasty?Arthroplasty today · 2023Article
- The relation between socioeconomic status and patient symptoms before and one year after lower extremity arthroplasty.Journal of orthopaedics · 2023Article
- Equity of access to NHS-funded hip replacements in England and Wales: Trends from 2006 to 2016.The Lancet regional health. Europe · 2022Article
- The Perioperative Quality Improvement Programme (PQIP patient study): protocol for a UK multicentre, prospective cohort study to measure quality of care and outcomes after major surgery.Perioperative medicine (London, England) · 2022Article
- Lower Rates of Ceramic Femoral Head Use in Non-White Patients in the United States, a National Registry Study.The Journal of arthroplasty · 2022Article
- 1-year trajectories of patients undergoing primary total hip arthroplasty: Patient reported outcomes and resource needs according to education level.BMC musculoskeletal disorders · 2022Article
- Forecasting Posttreatment Outcome of Hallux Valgus Surgery Patients.Foot & ankle international · 2021Article
- Assessment of Racial Disparities in the Risks of Septic and Aseptic Revision Total Knee Replacements.JAMA network open · 2021Article
- Access to hip and knee replacement surgery in patients with chronic diseases according to patient-reported pain and functional status.BMC health services research · 2020Article
- Article
- Agreement between retrospectively and contemporaneously collected patient-reported outcome measures (PROMs) in hip and knee replacement patients.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018Article
- The Effect of Age, Sex, Area Deprivation, and Living Arrangements on Total Knee Replacement Outcomes: A Study Involving the United Kingdom National Joint Registry Dataset.JB & JS open access · 2018Article
- Article
- Association between market concentration of hospitals and patient health gain following hip replacement surgery.Journal of health services research & policy · 2015Article
- Determinants of revision and functional outcome following unicompartmental knee replacement.Osteoarthritis and cartilage · 2014Article
- The Quality of Life (QOL) after Total Knee Arthroplasties among Saudi Arabians: A Pilot Study.International journal of biomedical science : IJBS · 2014Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundDifferences in the use of hip and knee replacement by sex, age, ethnicity or socioeconomic status may lead to differences in disease severity between those who have surgery.
methodsAnalyses used data collected from 117,736 patients in 2009-10 via the Patient Reported Outcome Measures (PROMs) programme in England. Adjusted differences were estimated in the Oxford Hip Score (OHS) or the Oxford Knee Score (OKS), both expressed on a scale from 0 to 48, and the proportion with longstanding problems (>5 years), expressed as odds ratios (ORs).
resultsWomen had more severe pain and disability than men on average (difference OHS 2.3 and OKS 3.3), but less often longstanding problems. Compared with white patients, average severity was higher in South Asian patients (difference OHS 2.7 and OKS 3.0) and in black patients (difference OHS 0.9 and OKS 1.6), who also more often had longstanding problems (OR 1.40 for hip and 1.54 for knee). Patients from deprived areas had more severe disease (difference OHS 3.6 and OKS 3.3 between least and most deprived quintile).
conclusionsThere is evidence that non-white and deprived patients tend to have hip and knee replacement surgery at a later stage in the course of their disease.
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Registered trials
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