ArticleArthritis care & research2014
Race and sex differences in willingness to undergo total joint replacement: the Johnston County Osteoarthritis Project.
Article in Arthritis care & research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 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
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Are There Racial and Ethnic Variations in Patient Attitudes Toward Hip and Knee Arthroplasty for Osteoarthritis? A Systematic Review.Clinical orthopaedics and related research · 2024Pooled it
- Racial Variation in Total Knee Replacement in a Diverse Nationwide Clinical Trial.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2018Trial
- Does a Patient-centered Educational Intervention Affect African-American Access to Knee Replacement? A Randomized Trial.Clinical orthopaedics and related research · 2016Trial
- Evolving Trends in Outpatient Hand Surgery Utilization Across Ambulatory Surgical Centers and Hospital-Based Outpatient Departments.Journal of hand surgery global online · 2026Article
- Patient appropriateness for total knee arthroplasty and predicted probability of a good outcome.RMD open · 2023Article
- Lower Rates of Ceramic Femoral Head Use in Non-White Patients in the United States, a National Registry Study.The Journal of arthroplasty · 2022Article
- Willingness to Have Total Knee Arthroplasty in Rural Areas of Northern China.Orthopaedic surgery · 2022Article
- Disparities across Diverse Populations in the Health and Treatment of Patients with Osteoarthritis.Healthcare (Basel, Switzerland) · 2021Review
- Does racial background influence outcomes following total joint arthroplasty?Journal of clinical orthopaedics and trauma · 2021Article
- The role of pain and walking difficulties in shaping willingness to undergo joint surgery for osteoarthritis: Data from the Swedish BOA register.Osteoarthritis and cartilage open · 2021Article
- Total Hip Arthroplasty in Black/African American Patients: an Updated Nationwide Analysis.Journal of racial and ethnic health disparities · 2021Article
- The Role of Knowledge and Attitudes About Nonsteroidal Anti-inflammatory Drugs in Determining Treatment Use.ACR open rheumatology · 2021Article
- Racial/Ethnic and Socioeconomic Disparities in Osteoarthritis Management.Rheumatic diseases clinics of North America · 2021Review
- Shoulder Arthroplasty Utilization Based on Race - Are Black Patients Underrepresented?The archives of bone and joint surgery · 2019Article
- Sequence of 305,996 total hip and knee arthroplasties in patients undergoing operations on more than 1 joint.Acta orthopaedica · 2019Article
- Racial and ethnic differences in the experience and treatment of noncancer pain.Pain management · 2019Review
- 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
- Disparities in Total Hip Arthroplasty Versus Hemiarthroplasty in the Management of Geriatric Femoral Neck Fractures.Geriatric orthopaedic surgery & rehabilitation · 2017Article
- Article
- Relationship Between Knee Pain and Patient Preferences for Joint Replacement: Health Care Access Matters.Arthritis care & research · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 5 institutions in 1 country.
Funding
Abstract
objectiveUsing data from the community-based Johnston County Osteoarthritis Project, we examined race and sex variations in willingness to undergo, and perceptions regarding, total joint replacement (TJR).
methodsAnalyses were conducted for the total sample who participated in a followup measurement period from 2006-2010 (n = 1,522) and a subsample with symptomatic hip and/or knee osteoarthritis (sOA; n = 445). Participants indicated how willing they would be to have TJR (hip or knee) if their doctor recommended it; responses were categorized as "definitely" or "probably" willing versus "unsure," "probably not," or "definitely not" willing, or "don't know." Participants answered 7 questions regarding perceptions of TJR outcomes. Multivariable logistic regression models of willingness included participant characteristics (including socioeconomic status) and TJR perception variables that were associated with willingness at the P < 0.1 level in bivariate analyses.
resultsAfrican Americans had lower odds of willingness to undergo TJR than whites in the total sample (adjusted odds ratio [OR] 0.47 [95% confidence interval (95% CI) 0.31-0.72]) and the sOA subsample (adjusted OR 0.42 [95% CI 0.25-0.69]). There were no sex differences in willingness. African Americans expected poorer TJR outcomes than whites, but sex differences were minimal; perceptions of TJR outcomes were not significantly associated with willingness.
conclusionIn this community sample, race differences in TJR willingness and perceptions were substantial, but sex differences were small. Perceptions of TJR did not appear to affect willingness or explain race differences in willingness.
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.