ArticleThe archives of bone and joint surgery2019
Shoulder Arthroplasty Utilization Based on Race - Are Black Patients Underrepresented?
Article in The archives of bone and joint surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- The impact of socioeconomic deprivation on total shoulder arthroplasty outcomes.JSES international · 2026Article
- Healthcare Disparities in Orthopaedic Surgery: A Comparison of Anterior Cruciate Ligament Reconstruction Incidence Proportions With US Census-Derived Demographics.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- A novel comorbidity risk score for predicting postoperative 30-day complications in total shoulder arthroplasty and elucidation of potential racial disparities.JSES international · 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
- Racial and Gender Shoulder Arthroplasty Utilization Disparities of High- and Low-Volume Centers in New York State.Journal of shoulder and elbow arthroplasty · 2021Article
- Racial disparities in outcomes of arthroscopic rotator cuff repair: A propensity score matched analysis using multiple national data sets.Journal of orthopaedicsArticle
- Racial Disparities in the Utilization of Shoulder Arthroplasty in the United States: Trends from 2011 to 2017.JB & JS open accessArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to analyze national and institutional trends in shoulder arthroplasty utilization based on patient race.
methodsThe Nationwide Inpatient Sample (NIS) was employed to determine racial trends in shoulder arthroplasty utilization at a national level. An institutional database was then utilized to retrospectively identify all patients, undergoing shoulder arthroplasty within 2011-2013. Descriptive statistics were used to compare self-identified black and non-black subpopulations.
resultsThe NIS identified 256,832 primary shoulder arthroplasties within 2005-2011. Black patients constituted 3.92% (n=10,074) of cases. Utilization increased from 3.36% in 2005 to 4.49% in 2011. Locally, a total number of 1,174 primary shoulder arthroplasties were performed, the recipients of 5.96% (n=70) of which were black. Females accounted for 48/70 (68.6%) of black patients. Black patients had a higher body mass index (33.6 vs. 30.1,
conclusionThe findings revealed significant racial disparity in shoulder arthroplasty utilization both at national and institutional levels. This disparity exists despite the similar rates of osteoarthritis in both white and black patients. Black patients in our institution had similar clinical, demographic, and socioeconomic characteristics as in our non-black patients. The obtained results highlighted the need for the expansion of black patients' access to care services related to major joint reconstruction.
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Identifiers
31970252PMC6935522What OpenQuestion holds
Registered trials
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