Evidence map›Paper›PMID 31961488›Full record

ArticleArthritis care & research2021

Community Deprivation Index and Discharge Destination After Elective Hip Replacement.

Bella Mehta, Susan Goodman, Kaylee Ho, Michael Parks, Said A Ibrahim

Open access · greenAbstract readComparative Study
In one paragraph

Article in Arthritis care & research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Bella MehtaHospital for Special Surgery, New York, New York.ORCID 0000-0003-2535-0974
Susan GoodmanHospital for Special Surgery, New York, New York.ORCID 0000-0003-1197-7864
Kaylee HoWeill Cornell Medicine, New York, New York.
Michael ParksHospital for Special Surgery, New York, New York.
Said A IbrahimWeill Cornell Medicine, New York, New York.
Hospital for Special Surgery · USCornell University · US

Funding

Racial Disparity in the Utilization of Joint Replacement for OsteoarthritisK24AR055259 · NIAMS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IBRAHIM, SAID A · 2007 to 2019
$1.2M
NIAMS NIH HHS K24 AR055259
6 · The paper itself

Abstract

objectiveTo examine how the deprivation level of the community in which one lives influences discharge disposition and the odds of 90-day readmission after elective total hip arthroplasty (THA).

methodsWe performed a retrospective cohort study on 84,931 patients who underwent elective THA in the Pennsylvania Health Care Cost Containment Council database from 2012 to 2016. We used adjusted binary logistic regression models to test the association between community Area Deprivation Index (ADI) level and patient discharge destination as well as 90-day readmission. We included an interaction term for community ADI level and patient race in our models to assess the simultaneous effect of both on the outcomes.

resultsAfter adjusting for patient- and facility-level characteristics, we found that patients from high ADI level communities (most disadvantaged), compared to patients from low ADI level communities (least disadvantaged), were more likely to be discharged to an institution as opposed to home for postoperative care and rehabilitation (age <65 years adjusted odds ratio [OR

conclusionIn this statewide sample of patients who underwent elective THA, the level of deprivation of the community in which patients reside influences their discharge disposition, but not their odds of 90-day readmission to an acute-care facility.

Indexed as

Patient DischargePostoperative CareResidence CharacteristicsSocial ClassSocial Determinants of HealthAgedAge FactorsArthroplasty, Replacement, HipDatabases, FactualElective Surgical ProceduresFemaleHumansMaleMiddle AgedOsteoarthritis, HipPatient Readmission

Identifiers

PMID31961488
PMCPMC7371507
OpenAlexW3001098267

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.