ReviewJournal of racial and ethnic health disparities2022
What Factors Lead to Racial Disparities in Outcomes After Total Knee Arthroplasty?
Review in Journal of racial and ethnic health disparities, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled 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.
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, 2 syntheses or guidelines pooled it.
- 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
- Relationship between staff experience and patient outcomes in hospital settings: an overview of reviews.BMJ open · 2025Pooled it
- Exploring the optimal age for total knee arthroplasty to minimize risk of adverse outcomes: machine learning analysis of a statewide cohort.Arthroplasty (London, England) · 2026Article
- The Impact of the Area Deprivation Index on Knee and Hip Health.Journal of racial and ethnic health disparities · 2026Article
- Growth Mixture Modeling of Patient-reported Outcomes After Total Knee Arthroplasty: No Recovery Trajectory Shows Postoperative Decline or Stagnation.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Patient race and ethnicity are associated with higher unplanned 90-day emergency department visits and readmissions but not 10-year all-cause complications or reoperations: a matched cohort analysis of primary shoulder arthroplasties.JSES reviews, reports, and techniques · 2025Article
- Access to robot-assisted total knee arthroplasty varies significantly by race/ethnicity.Knee surgery & related research · 2025Article
- Exploring the Impact of Race, Language, Socioeconomics, and Medical Management on Osteoporosis Workup and Treatment After Proximal Femur Fractures.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Racial Disparities in Plastic Surgery Outcomes: A Systematic Literature Review and Meta-Analysis.Plastic and reconstructive surgery. Global open · 2024Article
- 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
- The Role of Imageless Computer-Assisted Navigation During Total Knee Arthroplasty on Femoral Component Sagittal Alignment and Outcomes.Arthroplasty today · 2024Article
- CORR Insights®: Are There Racial and Ethnic Variations in Patient Attitudes Toward Hip and Knee Arthroplasty for Osteoarthritis? A Systematic Review.Clinical orthopaedics and related research · 2024Article
- Rotator Cuff Repair: Racial Disparities in Operative Time and Utilization of Arthroscopic Techniques.Cureus · 2024Article
- Demographic and Socioeconomic Patient Data Are Rarely Included in Randomized Controlled Trials for Femoral Acetabular Impingement and Hip Arthroscopy: A Systematic Review.Arthroscopy, sports medicine, and rehabilitation · 2024Review
- Establishing the Minimally Important Difference for the KOOS-Joint Replacement and PROMIS Global-10 in Patients After Total Knee Arthroplasty.Orthopaedic journal of sports medicine · 2024Article
- Racial disparities in readmission rates following surgical treatment of pediatric developmental dysplasia of the hip.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Considerations for addressing bias in artificial intelligence for health equity.NPJ digital medicine · 2023Review
- Disparities in postoperative total shoulder arthroplasty outcomes between Black and White patients.JSES international · 2023Article
- Income and Insurance Status Impact Access to Health Care for Hip Osteoarthritis.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- Recent Trends and Hotspots in Knee Arthroplasty: A Bibliometric Analysis and Visualization Study of the Last Five-Year Publications.The archives of bone and joint surgery · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Total knee arthroplasty (TKA) is one of the most commonly performed, major elective surgeries in the USA. African American TKA patients on average experience worse clinical outcomes than whites, including lower improvements in patient-reported outcomes and higher rates of complications, hospital readmissions, and reoperations. The mechanisms leading to these racial health disparities are unclear, but likely involve patient, provider, healthcare system, and societal factors. Lower physical and mental health at baseline, lower social support, provider bias, lower rates of health insurance coverage, higher utilization of lower quality hospitals, and systemic racism may contribute to the inferior outcomes that African Americans experience. Limited evidence suggests that improving the quality of surgical care can offset these factors and lead to a reduction in outcome disparities.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.