Evidence map›Paper›PMID 32161847›Full record

ArticleBMC rheumatology2020

Racial disparities in pre-operative pain, function and disease activity for patients with rheumatoid arthritis undergoing Total knee or Total hip Arthroplasty: a New York based study.

J Hirsch, B Mehta, J Finik, I Navarro-Millan, C Brantner, S Mirza, M Figgie, M Parks, L Russell, D Orange and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC rheumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. The racial/ethnic and sociocultural aspects of the pandemic in rheumatology.Best practice & research. Clinical rheumatology · 2021
    Review
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

11 authors at 2 institutions in 1 country.

J Hirsch1Mount Sinai St. Luke's-West, New York, NY USA.
B Mehta2Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021 USA.
J Finik2Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021 USA.
I Navarro-Millan2Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021 USA.
C Brantner2Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021 USA.
S Mirza2Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021 USA.
M Figgie2Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021 USA.
M Parks2Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021 USA.
L Russell2Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021 USA.
D Orange2Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021 USA.
S Goodman2Hospital for Special Surgery, 535 E 70th Street, New York, NY 10021 USA.ORCID 0000-0003-1197-7864
Hospital for Special Surgery · USMount Sinai Hospital · US

Funding

Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Optimization of hyperlipidemia management among patients with rheumatoid arthritis: A patient-centered intervention developmentK23AR068449 · NIAMS · WEILL MEDICAL COLL OF CORNELL UNIV · PI NAVARRO-MILLÁN, IRIS Y · 2017 to 2022
$1.0M
NCATS NIH HHS UL1 TR002384NIAMS NIH HHS K23 AR068449
6 · The paper itself

Abstract

backgroundBlack and Hispanic patients with osteoarthritis have more pain and worse function than Whites at the time of arthroplasty. Whether this is true for patients with rheumatoid arthritis (RA) is unknown.

methodsThis cross-sectional study used data on RA patients acquired between October 2013 and November 2018 prior to elective total knee (TKA) or hip arthroplasty (THA). Pain, function, and disease activity were assessed using the visual analogue scale (VAS), the Multidimensional Health Assessment Questionnaire (MDHAQ), and the Disease Activity Score (DAS28-ESR). We linked the cases to census tracts using geocoding to determine the community poverty level. Race, education, income, insurance and medications were collected via self-report. Using multivariable linear and logistic models we examined whether minority status predicted pain, function and RA disease activity at the time of arthroplasty.

resultsThirty seven (23%) of the 164 patients were Black or Hispanic (minorities). The MDHAQ and DAS28-ESR were not significantly worse while VAS pain score was significantly worse in minority patients (

conclusionsFor Black and/or Hispanic patients with RA undergoing THA or TKA at a high-volume specialty hospital, unlike Black or Hispanic patients with osteoarthritis (OA), there was no association with worse pain, function, or RA disease activity at the time of elective arthroplasty.

Indexed as

ArthroplastyMinority groupsPre-operativeRacial disparityRheumatoid arthritis (RA)Total hip arthroplasty (THA)Total knee arthroplasty (TKA)

Identifiers

PMID32161847
PMCPMC7049203
OpenAlexW3010896497

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.