ArticleMayo Clinic proceedings. Innovations, quality & outcomes2022
Neighborhood-Level Socioeconomic Deprivation, Rurality, and Long-Term Outcomes of Patients Undergoing Total Joint Arthroplasty: Analysis from a Large, Tertiary Care Hospital.
Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 33 citations in OpenAlex.
- The Impact of Socioeconomic Disadvantage and Insurance on Delays in Fixation of Distal Radius Fractures.Hand (New York, N.Y.) · 2026Article
- Physician Referral Patterns to Physical Therapists for Managing Knee Osteoarthritis: A Retrospective Analysis of Electronic Health Records From an Integrated Health System.Arthritis care & research · 2026Article
- What factors are important to patients when considering a revision total knee replacement in a network model of care? An exploratory qualitative analysis.BMC musculoskeletal disorders · 2025Article
- One cutoff is not enough: Assessing different area deprivation index cutoffs for insurance types on surgical Desirability of Outcome Ranking (DOOR).Healthcare (Amsterdam, Netherlands) · 2025Article
- Association of Rurality With Mortality After Congenital Heart Surgery.Circulation. Cardiovascular quality and outcomes · 2025Article
- Neighborhood socioeconomic disadvantage is not associated with adverse outcomes following elective spine surgery in older Veterans.North American Spine Society journal · 2025Article
- Association of socioeconomic inequality and risk of periprosthetic joint infection after total knee arthroplasty: a Danish cohort study of 75,141 cases.Acta orthopaedica · 2025Article
- Observational
- Exploring the Impact of Race, Language, Socioeconomics, and Medical Management on Osteoporosis Workup and Treatment After Proximal Femur Fractures.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Lower socioeconomic status is correlated with worse outcomes after arthroscopic rotator cuff repair.Journal of orthopaedic surgery and research · 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
- The Effect of Social Deprivation on Hospital Utilization Following Distal Radius Fracture Treatment.Journal of hand surgery global online · 2024Article
- Social determinants of health in patients undergoing hemiarthroplasty: are they associated with medical complications, healthcare utilization, and payments for care?Archives of orthopaedic and trauma surgery · 2023Article
- Lower socioeconomic status is not associated with severity of adolescent idiopathic scoliosis: a matched cohort analysis.Spine deformity · 2023Article
- Unadjusted Unplanned 30-Day Hospital Readmission Rates are Not a Useful Quality Measure for Planned or Urgent Orthopaedic Inpatient Care: A Retrospective Cohort Study.JB & JS open accessArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
Objective: To assess the impact of neighborhood-level socioeconomic status factors (area deprivation index [ADI] and rural classification) and their interaction with individual-level socioeconomic status (education-level) on long-term outcomes following total joint arthroplasty (TJA) surgery. Patients and Methods: This was a cohort study of 46,828 TJA surgeries performed on patients at a tertiary care hospital between January 1, 2000 and December 31, 2019. Cox proportional hazards models were used to examine the association between ADI and rurality and their interaction with individual-level education on the risk of periprosthetic joint infections, revision surgery, and mortality. Results: At the time of surgery, 2589 (6%) patients lived in the most deprived neighborhoods (ADI quintile >80%) and 10,728 (23%) lived in small isolated rural towns. Patients from the most deprived neighborhoods were more likely to experience revision surgery (hazard ratio, [HR], 1.39; 95% CI, 1.10-1.76) and mortality (HR, 1.24; 95% CI, 1.09-1.42). Patients from small rural towns were also more likely to undergo revision surgery (HR, 1.14; 95% CI, 1.01-1.28). The mortality risk was 13%, 18%, and 24% higher for patients in the 3 highest ADI quintiles than those from the lowest quintile. Education gradient was more notable in the least deprived neighborhoods than in the most deprived neighborhoods. Conclusion: Neighborhood disadvantage and rurality are negatively associated with the risk of revision surgery and both independently and in interaction with individual-level education with the risk of mortality. There is a need for population-level health interventions to mitigate area-based socioeconomic disadvantages in TJA.
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