ArticleThe Journal of arthroplasty2018
The Impact of Hospital Volume on Racial Differences in Complications, Readmissions, and Emergency Department Visits Following Total Joint Arthroplasty.
Article in The Journal of arthroplasty, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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
24 citing papers in PubMed, 60 citations in OpenAlex.
- Comparative Analysis of Preadmission Testing Center and Primary Care Physician Clearance Before Total Joint Arthroplasty.Arthroplasty today · 2026Article
- Sociodemographic Differences in Long-Term Function After Total Hip and Knee Arthroplasty: A Scoping Review.Orthopaedic surgery · 2025Article
- Emergency Department Visits After Total Joint Arthroplasty in a Closed Urban Setting: A Report of 1,000 Consecutive Cases.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Enhancing recovery and reducing readmissions: The impact of remote monitoring on acute postoperative care in outpatient total joint arthroplasty.Journal of orthopaedics · 2024Article
- Racial and Ethnic Disparities in Hip Fracture Surgery: A Systematic Review and Meta-Analysis.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- The Effect of Social Deprivation on Hospital Utilization Following Distal Radius Fracture Treatment.Journal of hand surgery global online · 2024Article
- Limited English proficiency correlates with postoperative complications after knee arthroplasty.Musculoskeletal care · 2023Article
- Trends in Complications and Outcomes in Patients Aged 65 Years and Younger Undergoing Total Hip Arthroplasty: Data From the American Joint Replacement Registry.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- Socioeconomic factors affecting outcomes in total knee and hip arthroplasty: a systematic review on healthcare disparities.Arthroplasty (London, England) · 2022Review
- Language barriers and postoperative opioid prescription use after total knee arthroplasty.Exploratory research in clinical and social pharmacy · 2022Article
- The Effects of Social and Demographic Factors on High-Volume Hospital and Surgeon Care in Shoulder Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Emergency department visits following total joint arthroplasty: do revisions present a higher burden?Bone & joint open · 2022Article
- Racial Disparities in Elective Total Joint Arthroplasty for Osteoarthritis.ACR open rheumatology · 2022Review
- Ethnical Differences in Knee Phenotypes Indicate the Need for a More Individualized Approach in Knee Arthroplasty: A Comparison of 80 Asian Knees with 308 Caucasian Knees.Journal of personalized medicine · 2022Article
- Time Trends in Perioperative Characteristics and Health Outcomes in Hispanic Patients Undergoing Primary Total Knee Arthroplasty.Journal of racial and ethnic health disparities · 2021Article
- Racial Disparities in Total Joint Arthroplasty.Current reviews in musculoskeletal medicine · 2021Review
- Where Do We Stand Today on Racial and Ethnic Health Inequities? Analysis of Primary Total Knee Arthroplasty from a 2011-2017 National Database.Journal of racial and ethnic health disparities · 2021Article
- Does racial background influence outcomes following total joint arthroplasty?Journal of clinical orthopaedics and trauma · 2021Article
- The Impact of Hepatitis C and Liver Disease on Risk of Complications After Total Hip and Knee Arthroplasty: Analysis of Administrative Data From Louisiana and Texas.Arthroplasty today · 2021Article
- Medicaid insurance status predicts postoperative mortality after total knee arthroplasty in state inpatient databases.Journal of comparative effectiveness research · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundMinority patients are at higher risk for complications and readmissions after total hip and knee arthroplasty. They are also more likely to undergo joint replacement in lower volume centers, which is associated with poorer outcomes. It is unknown whether these disparities simply reflect disproportionate use of lower volume centers. This study evaluates the impact of hospital volume on racial differences in outcomes following joint replacement.
methodsPatients who underwent total hip or knee arthroplasty between 2006 and 2013 in New York and Florida were identified through the Healthcare Cost and Utilization Project State Inpatient Databases. Complications, readmissions, and emergency department (ED) visits within 90 days were compared by hospital volume. Relative risks were calculated with generalized estimating equations for risk factors associated with adverse outcomes.
resultsRace/ethnicity was not associated with readmission following hip replacement. Black race was associated with readmission following knee replacement (relative risk [RR] 1.16). Black race was associated with ED visits following hip replacement (RR 1.29) and knee replacement (RR 1.33). Hispanic ethnicity was associated with ED visits following knee replacement (RR 1.15), but not hip replacement. These associations did not change after adjusting for hospital volume.
conclusionAdjusting for hospital volume does not alter the risk of readmissions and ED use associated with minority race/ethnicity, suggesting that hospital volume alone may be insufficient to explain racial differences in outcome.
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.