ArticleGeriatric orthopaedic surgery & rehabilitation2015
Race, Rehabilitation, and 30-Day Readmission After Elective Total Knee Arthroplasty.
Article in Geriatric orthopaedic surgery & rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 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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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Racial and Ethnic Disparities in Primary Total Knee Arthroplasty Outcomes: A Systematic Review and Meta-Analysis of Two Decades of Research.Journal of racial and ethnic health disparities · 2025Pooled it
- Post-Acute Care Trends and Disparities After Joint Replacements in the United States, 1991-2018: A Systematic Review.Journal of the American Medical Directors Association · 2024Pooled it
- Factors Influencing Postoperative Inpatient Rehabilitation Requirement After Surgical Intervention for Isolated Hip Fracture: A Multicenter Study.Orthopaedic surgery · 2025Article
- Outcomes by Race and Ethnicity Following a Medicare Bundled Payment Program for Joint Replacement.JAMA network open · 2024Article
- Article
- Aspirin is Not for Everyone: Discharge to Non-home Facilities After Total Hip and Knee Arthroplasty Increases Risk of Venous Thromboembolism.Arthroplasty today · 2024Article
- Random forest identifies predictors of discharge destination following total shoulder arthroplasty.JSES international · 2024Article
- Association Between Hospital Participation in Value-Based Programs and Timely Initiation of Post-Acute Home Health Care, Functional Recovery, and Hospital Readmission After Joint Replacement.Physical therapy · 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
- Examining sources of post-acute care inequities with layered target matching.Health services research · 2023Article
- Postoperative Inpatient Rehabilitation Does Not Increase Knee Function after Primary Total Knee Arthroplasty.Journal of personalized medicine · 2022Article
- Racial Disparities in Elective Total Joint Arthroplasty for Osteoarthritis.ACR open rheumatology · 2022Review
- Racial Disparities in Total Joint Arthroplasty.Current reviews in musculoskeletal medicine · 2021Review
- Association of Medicare Mandatory Bundled Payment System for Hip and Knee Joint Replacement With Racial/Ethnic Difference in Joint Replacement Care.JAMA network open · 2020Article
- Age, race, comorbidity, and insurance payer type are associated with outcomes after total ankle arthroplasty.Clinical rheumatology · 2020Article
- Factors Determining Home Versus Rehabilitation Discharge Following Primary Total Joint Arthroplasty for Patients Who Live Alone.Geriatrics (Basel, Switzerland) · 2020Article
- Association of Race/Ethnicity With Hospital Discharge Disposition After Elective Total Knee Arthroplasty.JAMA network open · 2019Article
- Characteristics of Hospitals Exiting the Newly Voluntary Comprehensive Care for Joint Replacement Program.JAMA internal medicine · 2018Article
- Using Illness Rating Systems to Predict Discharge Location Following Total Knee Arthroplasty.Knee surgery & related research · 2018Article
- Race, Bundled Payment Policy, and Discharge Destination After TKA: The Experience of an Urban Academic Hospital.Geriatric orthopaedic surgery & rehabilitation · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
introductionTo examine racial variations in access to postacute care (PAC) and rehabilitation (Rehab) services following elective total knee arthroplasty and whether where patients go after surgery for PAC/Rehab is associated with 30-day readmission to acute care facility. MATERIALS AND
methodsSample consisted of 129 522 patients discharged from 169 hospitals in the State of Pennsylvania between fiscal years 2008 and 2012. We used multinomial regression models to assess the relationship between patient race and discharge destination after surgery, for patients aged 18 to 64 years and for those aged 65 and older. We used multivariable (MV) regression and propensity score (PS) approaches to examine the relationship between patient discharge destination after surgery for PAC/Rehab and 30-day readmission, controlling for key individual- and facility-level factors.
resultsLower proportions of younger patients compared to those older than 65 were discharged to inpatient rehabilitation facilities (IRFs; 5.8% vs 12.6%, respectively) and skilled nursing facilities (SNFs; 15.2% vs 32.7%, respectively) compared to home-based Rehab (self-care; 23.3% vs 14.2%, respectively). Compared to whites, African American patients had significantly higher odds of discharge to IRF (age < 65, odds ratio = 2.04; age ≥ 65, odds ratio = 1.64) and to SNF (age < 65, odds ratio = 2.86; age ≥ 65, odds ratio = 2.19) and discharge to home care in patients younger than 65 years (odds ratio = 1.31). The odds of 30-day readmission among patients discharged to an IRF (MV odds ratio = 7.76; PS odds ratio = 8.34) and SNF (MV odds ratio = 2.01; PS odds ratio = 1.83) were significantly higher in comparison to patients discharged home with self-care.
conclusionAfrican American patients with knee replacement are more likely to be discharged to inpatient Rehab settings following surgery. Inpatient Rehab is significantly associated with 30-day readmission to acute care facility.
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