Evidence map›Paper›PMID 36405932›Full record

ArticleJSES international2023

The impact of the COVID-19 pandemic on racial disparities in patients undergoing total shoulder arthroplasty in the United States.

Avant-garde Health and Codman Shoulder Society Value Based Care Group, Matthew J Best, Catherine J Fedorka, Robert M Belniak, Derek A Haas, Xiaoran Zhang, April D Armstrong, Joseph A Abboud, Andrew Jawa, Evan A O'Donnell and 9 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JSES international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

0 citing papers in PubMed, 5 citations in OpenAlex.

No citing paper in PubMed yet.

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

19 authors at 8 institutions in 1 country.

Avant-garde Health and Codman Shoulder Society Value Based Care Group
Matthew J BestDepartment of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Johns Hopkins Hospital, Baltimore, MD, USA.
Catherine J FedorkaCooper Bone and Joint Institute, Camden, NJ, USA.
Robert M BelniakDepartment of Orthopaedic Surgery and Sports Medicine, Starling Physicians Group, New Britain, CT, USA.
Derek A HaasAvant-garde Health, Boston, MA, USA.
Xiaoran ZhangAvant-garde Health, Boston, MA, USA.
April D ArmstrongDepartment of Orthopaedics and Rehabilitation, Bone and Joint Institute, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Joseph A AbboudRothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Andrew JawaDepartment of Orthopaedic Surgery, New England Baptist Hospital, Tufts University School of Medicine, Boston, MA, USA.
Evan A O'DonnellDepartment of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston Shoulder Institute, Boston, MA, USA.
Jason E SimonDepartment of Orthopaedic Surgery, Harvard Medical School, Newton-Wellesley Hospital, Boston, MA, USA.
Eric R WagnerDepartment of Orthopaedic Surgery, Emory University, Atlanta, GA, USA.
Momin MalikAvant-garde Health, Boston, MA, USA.
Michael B GottschalkDepartment of Orthopaedic Surgery, Emory University, Atlanta, GA, USA.
Adam Z KhanNorthwest Permanente Physicians and Surgeons, Clackamas, OR, USA.
Gary F UpdegroveDepartment of Orthopaedics and Rehabilitation, Bone and Joint Institute, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Eric C MakhniDepartment of Orthopaedic Surgery, Sports Medicine, Henry Ford Health, Detroit, MI, USA.
Jon J P WarnerDepartment of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston Shoulder Institute, Boston, MA, USA.
Uma SrikumaranDepartment of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Johns Hopkins Hospital, Baltimore, MD, USA.
Harvard University · USEmory University · USJohns Hopkins University · USPenn State Milton S. Hershey Medical Center · USCooper University Hospital · USHenry Ford Health System · USThomas Jefferson University Hospital · USTufts University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The purpose of this study was to assess racial disparities in total shoulder arthroplasty (TSA) in the United States and to determine whether these disparities were affected by the COVID-19 pandemic. Methods: Centers for Medicare and Medicaid Services (CMS) 100% sample was used to examine primary TSA volume from April to December from 2019 to 2020. Utilization was assessed for White, Black, Hispanic, and Asian populations to determine if COVID-19 affected these groups differently. A regression model adjusted for age, sex, CMS-hierarchical condition categories (HCC) score, dual enrollment (proxy for socioeconomic status), time-fixed effects, and core-based statistical area fixed effects was used to study difference across groups. Results: In 2019, the TSA volume per 1000 beneficiaries was 1.51 for White and 0.57 for non-White, with a 2.6-fold difference. In 2020, the rate of TSA in White patients (1.30/1000) was 2.9 times higher than non-White (0.45/1000) during the COVID-19 pandemic ( Conclusions: During the COVID-19 pandemic, overall TSA utilization decreased by 14% with White patients experiencing a decrease of 14%, and non-White patients experiencing a decrease of 21%. This trend was observed for elective TSA, while disparities were less apparent for proximal humerus fracture.

Indexed as

Coronavirus pandemicCOVID-19Racial disparitiesShoulderTotal shoulder arthroplastyTSA

Identifiers

PMID36405932
PMCPMC9651989
OpenAlexW4308926059

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Registered trials

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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.