ArticleJournal of the American Geriatrics Society2016
Reducing Hospital Readmission Disparities of Older Black and White Adults After Elective Joint Replacement: The Role of Nurse Staffing.
Article in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis 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
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to Reduce Hospital Readmissions in Older African Americans: A Systematic Review of Studies Including African American Patients.Journal of racial and ethnic health disparities · 2023Pooled it
- Lower socioeconomic status is not associated with worse 2-year outcomes following reverse total shoulder arthroplasty.JSES international · 2025Article
- Impact of Nurse Staffing Levels on Patient Fall Rates: A Retrospective Cross-Sectional Study in General Wards in Japan.Healthcare (Basel, Switzerland) · 2025Article
- Influence of Nursing Time and Staffing on Medication Errors: A Cross-Sectional Analysis of Administrative Data.Nursing reports (Pavia, Italy) · 2025Article
- Article
- Reasons and Risk Factors for Same-Day Discharge Following Total Joint Arthroplasty: A Systematic Review.Arthroplasty today · 2024Article
- Explaining racial disparities in surgical survival: a tapered match analysis of patient and hospital factors.BMJ open · 2023Article
- Patient outcomes and cost savings associated with hospital safe nurse staffing legislation: an observational study.BMJ open · 2021Observational
- Racial Disparities in Total Joint Arthroplasty.Current reviews in musculoskeletal medicine · 2021Review
- Racial/Ethnic and Socioeconomic Disparities in Osteoarthritis Management.Rheumatic diseases clinics of North America · 2021Review
- Application of Infusion Control System Based on Internet of Things Technology in Joint Orthopedics Nursing Work.Journal of healthcare engineering · 2021Article
- Prescriptive analytics for reducing 30-day hospital readmissions after general surgery.PloS one · 2020Article
- The Impact of Hospital Volume on Racial Differences in Complications, Readmissions, and Emergency Department Visits Following Total Joint Arthroplasty.The Journal of arthroplasty · 2018Article
- Hospital Performance, Nursing Resources, and Health Inequities During the COVID-19 Pandemic.Nursing researchArticle
- Racial Disparities in Stroke Readmissions Reduced in Hospitals With Better Nurse Staffing.Nursing researchArticle
- Effect of the Nurse Work Environment on Older Hispanic Surgical Patient Readmissions.Nursing researchArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
objectivesTo examine racial differences in readmissions of older adults undergoing elective total hip and knee replacement, to determine the relationship between nurse staffing and readmission, and to study whether the relationship between staffing and readmission differs for older black and white adults.
designCross-sectional analysis of multiple linked secondary data sources.
settingNonfederal acute care hospitals in California, Florida, New Jersey, and Pennsylvania (n = 483).
participantsPatients aged 65 and older undergoing elective total hip or total knee replacement (N = 106,848; n = 102,762 white, n = 4,086 black). MEASUREMENTS: Unplanned readmission within 30 days of discharge.
resultsOlder black patients were more likely to have an unplanned readmission (7.5%) than their white counterparts (5.6%). Even after adjusting for patient- and hospital-level factors, older black patients had 40% greater likelihood of readmission (odds ratio (OR) = 1.40, 95% confidence interval (CI) = 1.21-1.61). Each additional patient per nurse was associated with 8% greater odds of readmission for older white patients (OR = 1.08, 95% CI = 1.01-1.15) and 15% greater odds for older black patients (OR = 1.15, 95% CI = 1.08-1.22) after adjusting for patient- and hospital-level factors.
conclusionOlder minorities are more likely than their white counterparts to experience an unplanned readmission after elective orthopedic surgery. More-favorable nurse staffing was associated with lower odds of readmission of older black and white patients, but better-staffed hospitals had a greater protective effect for older black patients.
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