ArticleClinics in orthopedic surgery2020
Racial Disparity in Time to Surgery and Complications for Hip Fracture Patients.
Article in Clinics in orthopedic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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.
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Who cites it
27 citing papers in PubMed, 64 citations in OpenAlex.
- Race, ethnicity, and language are underreported in hip fracture CPGs.Archives of orthopaedic and trauma surgery · 2026Review
- Predictors of In-Hospital Mortality, Cost, and Length of Stay following Periprosthetic Fracture of the Hip.Hip & pelvis · 2026Article
- Moving beyond individual-level factors: evidence-based strategies to advance structural competency in sports and exercise medicine.British journal of sports medicine · 2026Article
- Time to reframe osteoporosis: a position statement to characterize the osteoporosis care gap.JBMR plus · 2026Review
- Associations Between Patients' Primary Spoken Language and Perioperative Outcomes After Hip Fracture.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Article
- Value-based Healthcare: How Value-based Care Can Improve Access and Limit Disparities for Musculoskeletal Patients in Underserved Communities.Clinical orthopaedics and related research · 2025Article
- Demographic Differences in the Surgical Management of Tibial Shaft Fractures: A Retrospective Study.Cureus · 2025Article
- Article
- Delayed surgery among patients diagnosed with spinal disorders: Retrospective analysis.PloS one · 2025Article
- 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
- Achieving Health Equity: Combatting the Disparities in American Access to Musculoskeletal Care : Disparities Exist in Every Aspect of Orthopaedic Care in the United States - Access to Outpatient Visits, Discretionary and Unplanned Surgical Care, and Postoperative Outcomes. What Can We Do?Current reviews in musculoskeletal medicine · 2024Review
- The Impact of Race/Ethnicity on Disparities in Utilization and Outcomes of Neuraxial Anesthesia for Hip and Femoral Shaft Fractures.Journal of clinical medicine · 2024Article
- Age-Based Heuristics Bias Treatment of Displaced Femoral Neck Fractures in the Elderly.Arthroplasty today · 2024Article
- Social Disparities in the Management of Trigger Finger: An Analysis of 31 411 Cases.Hand (New York, N.Y.) · 2023Article
- Hospital spending and length of stay attributable to perioperative adverse events for inpatient hip, knee, and spine surgery: a retrospective cohort study.BMC health services research · 2023Article
- Outpatient Total Joint Arthroplasty: Are We Closing the Racial Disparities Gap?Journal of racial and ethnic health disparities · 2023Article
- Inefficiency in Delivery of General Surgery to Black Patients: A National Inpatient Sample Study.Surgery journal (New York, N.Y.) · 2023Article
- Disparities in the Epidemiology and Management of Fragility Hip Fractures.Current osteoporosis reports · 2023Review
- A survey of surgical patients' perspectives and preferences towards general anesthesia techniques and shared-decision making.BMC anesthesiology · 2023Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroudRacial and ethnic disparities in orthopedic surgery may be associated with worse perioperative complications. For patients with hip fractures, studies have shown that early surgery, typically within 24 to 48 hours of admission, may decrease postoperative morbidity and mortality. Our objective was to determine whether race is associated with longer time to surgery from hospital presentation and increased postoperative complications.
methodsWe queried the National Surgical Quality Improvement Program database from 2011 to 2017 for patients (> 65 years) with hip fractures who underwent surgical fixation. Patients were identified using Current Procedural Terminology codes (27235, 27236, 27244, and 27245). Delayed surgery was defined as time to surgery from hospital admission that was greater than 48 hours. Time to surgery was compared between races using analysis of variance. A multivariate logistic regression analysis adjusting for comorbidities, age, sex, and surgery was performed to determine the likelihood of delayed surgery and rate of postoperative complications.
resultsA total of 58,456 patients who underwent surgery for a hip fracture were included in this study. Seventy-two percent were female patients and the median age was 87 years. The median time to surgery across all patients was 24 hours. African Americans had the longest time to surgery (30.4 ± 27.6 hours) compared to Asians (26.5 ± 24.6 hours), whites (25.8 ± 23.4 hours), and other races (22.7 ± 22.0 hours) (
conclusionsA significant disparity in time to surgery and perioperative complications was seen amongst different races with only African Americans having a longer time to surgery than whites. Further study is needed to determine the etiology of this disparity and highlights the need for targeted strategies to help at-risk patient populations.
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