ArticleJournal of clinical orthopaedics and trauma2021
Does racial background influence outcomes following total joint arthroplasty?
Article in Journal of clinical orthopaedics and trauma, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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Who cites it
20 citing papers in PubMed, 33 citations in OpenAlex.
- 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
- Impact of social deprivation and ethnicity on patient-reported outcome measures in primary and revision hip and knee arthroplasty.Bone & joint open · 2026Article
- Racial and Ethnic Representation Reporting in Orthopaedic Research.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Patient Social Determinants of Health Are Associated With Hip Dysfunction and Osteoarthritis Outcome Scores and Outcomes After Total Hip Arthroplasty.Arthroplasty today · 2026Article
- Sociodemographic Differences in Long-Term Function After Total Hip and Knee Arthroplasty: A Scoping Review.Orthopaedic surgery · 2025Article
- Ethnic disparities and (non)adherence in standardized treatment: implications through an equity lens.BMC health services research · 2025Article
- Comparing 90-day morbidity and mortality after unilateral versus simultaneous bilateral total knee arthroplasty in a Saudi population. A retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Preoperatively predicting failure to achieve the minimum clinically important difference and the substantial clinical benefit in patient-reported outcome measures for total hip arthroplasty patients using machine learning.BMC musculoskeletal disorders · 2025Article
- Coronal plane deformity in total knee arthroplasty is associated with increased operative time and disposition to skilled nursing facility.Archives of orthopaedic and trauma surgery · 2024Article
- Beyond Discharge Disposition: A Scoping Review on Sociodemographic Disparities in Rehabilitation Use After Hip and Knee Arthroplasty.Physical therapy · 2024Article
- Rates of Reporting and Analyzing Race and Ethnicity in Athlete-Specific Sports Medicine Research: A Systematic Review.Orthopaedic journal of sports medicine · 2024Review
- Treatment of race and ethnicity in shoulder and elbow research: An analysis of the most cited papers on rotator cuff repair.Journal of orthopaedics · 2024Review
- Identifying Racial Disparities in Utilization and Clinical Outcomes of Ambulatory Hip Arthroscopy: Analysis of Temporal Trends and Causal Inference via Machine Learning.Orthopaedic journal of sports medicine · 2024Article
- Outpatient vs. inpatient designation in total hip arthroplasty: can we predict who will require hospitalization?Archives of orthopaedic and trauma surgery · 2024Article
- The influence of body mass index on patient-reported outcome measures following total hip arthroplasty: a retrospective study of 3,903 Cases.Archives of orthopaedic and trauma surgery · 2024Article
- Article
- Influence of Demographic and Socioeconomic Factors on Hospital Distance for Total Knee Arthroplasty.Arthroplasty today · 2023Article
- Demographics of Patients Traveling Notable Distances to Receive Total Knee Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Racial and Socioeconomic Differences in Distance Traveled for Elective Hip Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Disparities across Diverse Populations in the Health and Treatment of Patients with Osteoarthritis.Healthcare (Basel, Switzerland) · 2021Review
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study is to assess whether racial differences influence patient-reported outcome measures (PROMs) following primary total hip (THA) and knee (TKA) arthroplasty.
methodsWe retrospectively reviewed patients who underwent primary THA or TKA from 2016 to 2020 with available PROMs. Both THA and TKA patients were separated into three groups based on their ethnicity: Caucasian, African-American, and other races. Patient demographics, clinical data, and PROMs at various time-periods were collected and compared. Demographic differences were assessed using chi-square and ANOVA. Univariate ANCOVA was utilized to compare outcomes and PROMs while accounting for demographic differences.
resultsThis study included 1999 THA patients and 1375 TKA patients. In the THA cohort, 1636 (82%) were Caucasian, 177 (9%) were African-American, and 186 (9%) were of other races. In the TKA cohort, 864 (63%) were Caucasian, 236 (17%) were African-American, and 275 (20%) were of other races. Surgical-time significantly differed between the groups that underwent THA (88.4vs.100.5vs.96.1; p < 0.001) with African-Americans requiring the longest operative time. Length-of-stay significantly differed in both THA (1.5vs.1.9vs.1.8; p < 0.001) and TKA (2.1vs.2.5vs.2.3; p < 0.001) cohorts, with African-Americans having the longest stay. Caucasians reported significantly higher PROM scores compared to non-Caucasians in both cohorts. All-cause emergency-department (ED) visits, 90-day postoperative events (readmissions&revisions), and discharge-disposition did not statistically differ in both cohorts.
conclusionNon-Caucasian patients demonstrated lower PROM scores when compared to Caucasian patients following TJA although the differences may not be clinically relevant. LOS was significantly longer for African-Americans in both THA and TKA cohorts. Further investigation identifying racial disparity interventions is warranted. LEVEL OF EVIDENCE: Prognostic Level III.
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