Evidence map›Paper›PMID 33986205›Full record

ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2020

Socioeconomic Factors Influencing Self-reported Outcomes After Posterior Wall Fractures of the Acetabulum: Lessons Learned From a Hispanic Population.

Manuel Rodríguez-Pérez, Ariel Dávila-Parrilla, Lenny Rivera, Gerardo Olivella, Andrés Muñiz, Norman Ramírez, Luis Lojo-Sojo

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Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Manuel Rodríguez-PérezFrom the Orthopedic Surgery Department, University of Puerto Rico (UPR) Medical Sciences Campus, San Juan, Puerto Rico (Dr. Rodríguez-Pérez, Dr. Dávila-Parrilla, Dr. Rivera, Dr. Olivella, Dr. Muñiz, and Dr. Lojo-Sojo), and Pediatric Orthopedic Department, Mayagüez Medical Center, Mayagüez, Puerto Rico (Dr. Ramírez).ORCID 0000-0002-6881-3257
Ariel Dávila-ParrillaORCID 0000-0003-4471-8084

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDemographic and socioeconomic factors are important determinants that may affect patient self-reported outcomes after acetabular fracture surgery. Hispanics, as a minority group, have an increased tendency to suffer demographic and socioeconomic disparities. At the present time, there is scant information regarding their role among Hispanic patients with acetabular fractures. The aim of this study was to investigate whether demographic or socioeconomic factors would affect satisfaction and self-reported functional outcomes in Hispanic patients who endured open reduction and internal fixation (ORIF) of posterior wall fractures of the acetabulum.

methodsA cross-sectional study of 78 patients with posterior wall fracture of the acetabulum treated with ORIF from 2011 to 2017 was performed. Data from demographics (age, sex, and body mass index [BMI]) and socioeconomic factors (household income, highest educational level achieved, employment status, type of medical insurance, workers' compensation involvement, and injury-related litigation process) were obtained and compared with the Short Musculoskeletal Form Assessment-46 (SMFA-46) questionnaire using a multivariable logistic regression analysis.

resultsUnemployment was the most significant variable associated with dissatisfaction among 15 of the 46 responses of the SMFA-46 (P < 0.048). Patients who had an overweight or obese BMI and had an age of 41 years or older exhibited significantly worse outcomes in 7 of the 46 questions (P < 0.049). Finally, women were less likely to be satisfied in 1 of the 46 questions (P = 0.028). No notable difference was observed in any of the SMFA-46 responses regarding insurance plan, educational level, workers' compensation involvement, and injury-related litigation process. DISCUSSION: A strong association exists between dissatisfaction after ORIF of posterior wall fractures of the acetabulum and employment status, BMI, and age among the Hispanic population. Addressing socioeconomic factors can be critical to overcome dissatisfaction and improve functional status among Hispanic patients with acetabular fractures.

Indexed as

Arthroplasty, Replacement, HipHip FracturesAcetabulumAdultCross-Sectional StudiesFemaleFracture Fixation, InternalHispanic or LatinoHumansPatient Reported Outcome MeasuresSelf ReportSocioeconomic FactorsTreatment Outcome

Identifiers

PMID33986205
PMCPMC7537825

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