Evidence map›Paper›PMID 35695924›Full record

ArticleArchives of orthopaedic and trauma surgery2023

Racial disparities in post-operative complications and discharge destination following total joints arthroplasty: a national database study.

Alex Upfill-Brown, Noah Paisner, Adam Sassoon

Open access · hybridFull text read
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 20 citations in OpenAlex.

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  10. RAPT and AM-PAC "6-Clicks": Do They Correlate on Predicting Discharge Destination After Total Joint Arthroplasty?HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Alex Upfill-BrownDepartment of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, 1225 15thSt, Suite 3145, Santa Monica, CA, 90404, USA.
Noah PaisnerDepartment of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, 1225 15thSt, Suite 3145, Santa Monica, CA, 90404, USA.ORCID http://orcid.org/0000-0002-9130-4469
Adam SassoonDepartment of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, 1225 15thSt, Suite 3145, Santa Monica, CA, 90404, USA. asassoon@mednet.ucla.edu.
Pacific Northwest University of Health Sciences · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe objective of this study was to explore race-based differences in 30-day complication rates following total joint arthroplasty (TJA) using a large national database.

methodsPatients undergoing primary, elective THA and TKA between 2012 and 2018 were retrospectively reviewed using the ACS-NSQIP. We compared Black and Hispanic patients with non-Hispanic White patients using multivariate statistical models adjusting for demographic, operative, and medical characteristics.

resultsA total of 324,795 and 200,023 patients undergoing THA and TKA, respectively, were identified. After THA, compared to White patients, Black and Hispanic patients were more likely to be diagnosed with VTE (p < 0.001), receive a blood transfusion (p < 0.001), and to be discharged to an inpatient facility (p < 0.001). After TKA, compared to White patients, Black and Hispanic patients were more likely to experience a major complication (p < 0.001 and p = 0.008, respectively), be diagnosed with VTE (p < 0.001), and be discharged to a facility (p < 0.001).

conclusionsOur findings indicate higher rates of VTE, blood transfusions, and discharge to an inpatient facility for Black and Hispanic patients when compared to White patients following TJA, though we are unable to comment on the etiology of these disparities. These results may contribute to a growing divide with respect to outcomes and access to TJA for these at-risk patient populations.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeVenous ThromboembolismHumansPatient DischargePostoperative ComplicationsRetrospective StudiesDischarge destinationPost-operative complicationsRacial disparitiesTotal hip arthroplastyTotal knee arthroplasty

Identifiers

PMID35695924
PMCPMC10030399
OpenAlexW4282835514

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read27
measurements read167
Read underepoch 390

Registered trials

None linked

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.