ArticleJournal of racial and ethnic health disparities2021
Where Do We Stand Today on Racial and Ethnic Health Inequities? Analysis of Primary Total Knee Arthroplasty from a 2011-2017 National Database.
Article in Journal of racial and ethnic health disparities, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Racial and Ethnic Disparities in Primary Total Knee Arthroplasty Outcomes: A Systematic Review and Meta-Analysis of Two Decades of Research.Journal of racial and ethnic health disparities · 2025Pooled it
- Racial Differences in Utilization of and Factors Contributing to the Use of Knee Replacement Surgery as a Treatment for Severe Knee Osteoarthritis: A Scoping Review.Osteoarthritis and cartilage open · 2026Review
- Increased Risk of Complications and Mortality After Total Joint Arthroplasty in Dialysis-Dependent Patients.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Mapping strategies for reducing inequalities in adult elective surgical care in the United Kingdom: a living scoping review.BMC health services research · 2026Article
- Social and Demographic Health Disparities in Knee Osteoarthritis and Total Knee Arthroplasty.Arthroplasty today · 2026Review
- Demographic and Clinical Determinants of Unicondylar Vs Total Knee Arthroplasty Selection.Arthroplasty today · 2025Article
- Sociodemographic Differences in Long-Term Function After Total Hip and Knee Arthroplasty: A Scoping Review.Orthopaedic surgery · 2025Article
- No meaningful clinical differences in patient reported outcome scores for Native Hawaiian/Pacific Islanders following knee or hip arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
- Towards a more equitable future: development, implementation, and evaluation of a novel e-course on racial disparities in pain management for medical students.BMC medical education · 2025Article
- Optimizing Total Hip and Knee Arthroplasty Among an Underserved Population: Lessons Learned From a Quality-Improvement Initiative.Arthroplasty today · 2024Article
- Are There Racial and Ethnic Disparities in Management and Outcomes of Surgically Treated Distal Radius Fractures?Hand (New York, N.Y.) · 2024Article
- Racial Disparities in 30-day Readmission After Orthopaedic Surgery: A 5-year National Surgical Quality Improvement Program Database Analysis.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- Racial variations in complications and costs following total knee arthroplasty: a retrospective matched cohort study.Archives of orthopaedic and trauma surgery · 2024Article
- Outpatient Total Joint Arthroplasty: Are We Closing the Racial Disparities Gap?Journal of racial and ethnic health disparities · 2023Article
- Income and Insurance Status Impact Access to Health Care for Hip Osteoarthritis.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- Racial Disparities in Outcomes of Total Joint Arthroplasty at a Single Institution: Have We Made Progress?Arthroplasty today · 2023Article
- Racial Disparities in Elective Total Joint Arthroplasty for Osteoarthritis.ACR open rheumatology · 2022Review
- Racial Disparities in Total Joint Arthroplasty.Current reviews in musculoskeletal medicine · 2021Review
- Value-Based Care for Nonoperative Management of Hip and Knee Osteoarthritis: Current Landscape Not Ripe for Implementation.Arthroplasty today · 2021Article
- Representation of Hispanic and Latino Orthopaedic Surgery Trainees and Attendings in the United States: A Demographical Analysis.JB & JS open accessReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe objective of this study was to present contemporary national data on the state of racial and ethnic disparities pertaining to primary total knee arthroplasty (TKA) in the USA.
methodsThe 2011-2017 National Surgical Quality Improvement Program was used to capture all patients who underwent primary TKA. The study outcomes were differences in demographic, comorbidity burden, perioperative factors, procedure utilization, hospital length of stay (LOS), and 30-day outcomes. The five major minority groups as defined by the National Institutes of Health were compared to non-Hispanic Whites.
resultsIn total, 262,954 patient records were analyzed, with racial identification available on 230,712 patients (87.7%). White patients accounted for 72.5% of all TKA procedures. There were higher rates of diabetes, hypertension, anemia, and prolonged surgery times among racial and ethnic minorities (p < 0.001). Baseline disparities were especially pronounced among non-Hispanic Blacks/African Americans who were also like to have higher rates of tobacco smoking and CHF (p < 0.001). After controlling for baseline differences, significant disparities in outcomes persisted, especially among Blacks/African Americans and Hispanics/Latinos who had higher odds for experiencing complications and readmissions (p < 0.001). All racial and ethnic groups, except Asians, had longer LOS (p < 0.001). Asian patients had significantly lower rates of readmissions, reoperations, and overall complications (p < 0.001).
conclusionRacial and ethnic disparities remain a public health challenge for patients undergoing TKA. While initiatives aimed at improving preoperative disease-burden and comorbidity profiles represent an important step, they alone are insufficient to fully account for or eliminate the disparities in TKA outcomes.
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Registered trials
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