ReviewArthroplasty (London, England)2022
Socioeconomic factors affecting outcomes in total knee and hip arthroplasty: a systematic review on healthcare disparities.
Review in Arthroplasty (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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
35 citing papers in PubMed, 79 citations in OpenAlex.
- Reimagining joint arthroplasty care pathways : why equity depends on what happens before and after surgery.Bone & joint open · 2026Article
- Key determinants for lowering the risk of joint replacement in weight-bearing joints: a population-based cohort study.Arthroplasty (London, England) · 2026Article
- Article
- Patient-reported outcome measure comparison of two cemented primary total hip arthroplasty implant combinations for osteoarthritis: a regional New Zealand study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Observational
- 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
- The impact of social deprivation on reverse total shoulder arthroplasty outcomes.JSES reviews, reports, and techniques · 2026Article
- Socioeconomic Disparities in Geographic Access to Physical and Occupational Therapy Services in the United States: A Correlation With Area Deprivation and Social Vulnerability Indices.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Risk of total hip arthroplasty following lumbar fusion surgery in a nationwide cohort study.Scientific reports · 2026Article
- Health care disparities in complication and mortality rates following surgical management of cauda equina syndrome in New York State.The journal of spinal cord medicine · 2026Article
- Ipsilateral Knee Pain After Total Hip Arthroplasty: Pathogenesis and Intervention Strategies-A Narrative Review.Journal of pain research · 2026Review
- The global profile of individuals undergoing total knee replacement surgery through a PROGRESS-PLUS equity lens: A systematic review.The South African journal of physiotherapy · 2026Review
- Insurance Status and Income Proxies Are the Most Consistent Predictors of Disparities in Access to Care and Outcomes After Medial Patellofemoral Ligament Reconstruction in the United States: A Systematic Review.Arthroscopy, sports medicine, and rehabilitation · 2025Review
- The Effect of Sex, Race/Ethnicity, and Neighborhood Socioeconomic Disadvantage on Total Hip Arthroplasty Utilization: A Multicenter Cohort Study.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- The impact of "weekend effect" on the outcomes of total joint arthroplasty in the United States.International orthopaedics · 2025Article
- Stay or go? Outcomes of lower limb arthroplasty in patients travelling away from home for surgery: A cross-sectional analysis of the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) comparing patient residence and hospital remoteness.Archives of orthopaedic and trauma surgery · 2025Article
- Insurance Payor Status and Outcomes in Pediatric Sports-Related Injuries: A Rapid Review.Clinics and practice · 2025Review
- Socioeconomic area deprivation index is not associated with postoperative complications following revision total hip and knee joint arthroplasty.Journal of orthopaedics · 2024Article
- Neighborhood socioeconomic disadvantage does not predict need for manipulation under anesthesia or range of motion following total knee arthroplasty.Journal of orthopaedics · 2024Article
- Associations Between Race and Socioeconomic Status, Lower Extremity Strength, and Patient-Reported Outcomes Following Anterior Cruciate Ligament Reconstruction.Journal of athletic training · 2024Article
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 at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecent studies showed that healthcare disparities exist in use of and outcomes after total joint arthroplasty (TJA). This systematic review was designed to evaluate the currently available evidence regarding the effect socioeconomic factors, like income, insurance type, hospital volume, and geographic location, have on utilization of and outcomes after lower extremity arthroplasty.
methodsA comprehensive search of the literature was performed by querying the MEDLINE database using keywords such as, but not limited to, "disparities", "arthroplasty", "income", "insurance", "outcomes", and "hospital volume" in all possible combinations. Any study written in English and consisting of level of evidence I-IV published over the last 20 years was considered for inclusion. Quantitative and qualitative analyses were performed on the data.
resultsA total of 44 studies that met inclusion and quality criteria were included for analysis. Hospital volume is inversely correlated with complication rate after TJA. Insurance type may not be a surrogate for socioeconomic status and, instead, represent an independent prognosticator for outcomes after TJA. Patients in the lower-income brackets may have poorer access to TJA and higher readmission risk but have equivalent outcomes after TJA compared to patients in higher income brackets. Rural patients have higher utilization of TJA compared to urban patients.
conclusionThis systematic review shows that insurance type, socioeconomic status, hospital volume, and geographic location can have significant impact on patients' access to, utilization of, and outcomes after TJA. LEVEL OF EVIDENCE: IV.
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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.