ArticleThe Journal of arthroplasty2022
Social Needs of Patients Undergoing Total Joint Arthroplasty.
Article in The Journal of arthroplasty, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Social Deprivation as a Driver of Disparities in Arthroplasty: A Contemporary Review.Current reviews in musculoskeletal medicine · 2026Review
- Disparities in Outpatient and Short-Stay Arthroplasty Surgery: a Critical Review and Proposed Equity-Centered Framework.Current reviews in musculoskeletal medicine · 2026Review
- Health-Related Social Needs Are Associated With Worse Physical Function, Pain, and Mobility in Hip and Knee Osteoarthritis Patients at Presentation.Arthroplasty today · 2026Article
- Patient Social Determinants of Health Are Associated With Hip Dysfunction and Osteoarthritis Outcome Scores and Outcomes After Total Hip Arthroplasty.Arthroplasty today · 2026Article
- Decision-making experience of elderly patients for joint replacement surgery in China: a qualitative study.BMJ open · 2025Article
- Is Area-Level Social Vulnerability Index Associated With Patient-Level Health-Related Social Needs in Hand Surgery?The Journal of the American Academy of Orthopaedic Surgeons · 2025Article
- Successful Transition to Same Calendar Day Discharge in Total Joint Arthroplasty at an Academic Center.Arthroplasty today · 2024Article
- Neighborhood socioeconomic disadvantages associated with prolonged length of stay and non-home discharge following revision total hip and knee joint arthroplasty.Journal of clinical orthopaedics and trauma · 2024Article
- Geographic Proximity of Family Members and Healthcare Utilization After Complex Surgical Procedures.Annals of surgery · 2022Article
- Disparities in Patient-Reported Healthcare Affordability and Access Among Arthroplasty Patients in the All of Us Database.JB & JS open accessArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundMany patients have unmet social needs that may affect their health care utilization and outcomes. We sought to examine a program to determine the types of social needs facing arthroplasty patients and methods used to address these needs.
methodsWe conducted a pilot, retrospective review of our integrated social needs program for total joint arthroplasty (TJA) patients. A 16-question needs assessment was instituted as part of our perioperative protocol between February 1, 2020
resultsForty-four (17.6%) patients had a social need. Social needs frequency increased in non-White patients (P ≤ .0001), non-English speakers (P = .0304), younger patients (P = .001), nonmarried patients (P = .0006), unemployed patients (P = .0189), and patients with less health literacy (P = .0215). ADI scores were positively associated with social needs at the national (P = .0006) and state levels (P = .0004). Overall, 75.9% of needs centered around utility payments, employment, prescription costs, education, and transportation. In addition, 64% of the identified needs were resolved through outside referrals. Ninety-day readmissions were significantly higher in patients with social needs (P = .0087). DISCUSSION: Overall, 17.6% of patients in our state have social needs before TJA. Factors increasing the risk of social needs include younger age, minority race, single or divorced marital status, unemployment, low health literacy, and higher ADI. The 90-day readmission rate was significantly higher in patients with social needs.
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