ArticleThe Journal of arthroplasty2022
Association of Rurality and Neighborhood Level Socioeconomic Deprivation with Perioperative Health Status in Total Joint Arthroplasty Patients: Analysis from a Large, Tertiary Care Hospital.
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 13 papers.
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Who cites it
13 citing papers in PubMed, 17 citations in OpenAlex.
- Differences in Baseline Demographic Characteristic and Complexity of Patients Based on Distance Traveled to Academic Center for Surgery.Arthroplasty today · 2026Article
- Impact of neighborhood socioeconomic deprivation on implant complications after unicompartmental knee arthroplasty: a propensity-matched cohort study.Archives of orthopaedic and trauma surgery · 2026Article
- Health-Related Social Needs Are Associated With Worse Physical Function, Pain, and Mobility in Hip and Knee Osteoarthritis Patients at Presentation.Arthroplasty today · 2026Article
- Impact of Rurality on Total Joint Arthroplasty Access and Outcomes: A Systematic Review.Arthroplasty today · 2026Review
- Rural vs Urban Outcomes in Total Knee and Hip Arthroplasty: A Study of Patient-Reported Outcomes and Web-Based Tool Efficacy.Arthroplasty today · 2026Article
- Review
- Socioeconomic deprivation is predictive of incomplete postoperative follow-up in patients with tibial shaft fractures.Archives of orthopaedic and trauma surgery · 2024Article
- Are social determinants of health associated with an increased length of hospitalization after revision total hip and knee arthroplasty? A comparison study of social deprivation indices.Archives of orthopaedic and trauma surgery · 2024Article
- Funding Pattern Comparison Pre- and Post-Ayushman Bharat National Health Scheme (AB-PMJAY) in Active Females Undergoing TKA for Advanced Knee Arthritis with Clinical, QoL Analysis and AB-PMJAY Technical Data.Indian journal of orthopaedics · 2024Article
- Article
- Rural-Urban Differences in Hospital and Patient-Reported Outcomes Following Total Hip Arthroplasty.Arthroplasty today · 2023Article
- Neighborhood-Level Socioeconomic Deprivation, Rurality, and Long-Term Outcomes of Patients Undergoing Total Joint Arthroplasty: Analysis from a Large, Tertiary Care Hospital.Mayo Clinic proceedings. Innovations, quality & outcomes · 2022Article
- The Utility of the Area Deprivation Index in Assessing Complications After Total Joint Arthroplasty.JB & JS open accessArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundIndividual socioeconomic status (SES) is associated with disparities in access to care and worse outcomes in total joint arthroplasty (TJA). Neighborhood-level SES measures are sometimes used as a proxy for individual-level SES, but the validity of this approach is unknown. We examined neighborhood level SES and rurality on perioperative health status in TJA.
methodsThe study population comprised 46,828 TJA surgeries performed at a tertiary care hospital. Community area deprivation index (ADI) was derived from the 2015 American Census Survey. Logistic regression was used to examine perioperative characteristics by ADI and rurality.
resultsCompared to patients from the least deprived neighborhoods, patients from the most deprived neighborhoods were likely to be female (odds ratioOR 1.46, 95% confidence interval CI: 1.33-1.61), non-white (OR 1.36, 95% CI: 1.13-1.64), with education high school or less (OR 4.85, 95% CI: 4.35-5.41), be current smokers (OR 2.20, 95% CI: 1.61-2.49), have BMI>30 kg/m
conclusionTJA patients from lower SES neighborhoods have worse behavioral risk factors and higher comorbidity burden than patients from higher SES neighborhoods. Patients from rural communities have worse behavioral risk factors but not comorbidities.
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