ArticleBMC musculoskeletal disorders2023
Healthcare disparities: patients' perspectives on barriers to joint replacement.
Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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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.
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Who cites it
9 citing papers in PubMed, 17 citations in OpenAlex.
- Disparities in Outpatient and Short-Stay Arthroplasty Surgery: a Critical Review and Proposed Equity-Centered Framework.Current reviews in musculoskeletal medicine · 2026Review
- Non-Medical Barriers in Access to Kidney Transplantation: Perspectives from Dialysis and Transplant Center Staff Across Four US Regions.The journal of nephrology social work · 2026Article
- 2050: An Arthroplasty Odyssey.Healthcare (Basel, Switzerland) · 2025Article
- Patient Health Care Disparities in Shoulder Arthroplasty.Current reviews in musculoskeletal medicine · 2025Review
- Orthopaedic Consultation is Associated With Fewer Patient-Perceived Barriers to Total Joint Arthroplasty.Arthroplasty today · 2025Article
- Factors predicting manipulation under anaesthesia after total knee replacement.Archives of orthopaedic and trauma surgery · 2025Article
- Disparities in Total Knee and Total Hip Arthroplasty Rates in the Population of Alaska, 2015 to 2018.Arthritis care & research · 2024Article
- The experience of patients undergoing aseptic, elective revision knee joint replacement surgery: a qualitative study.BMC musculoskeletal disorders · 2024Article
- Geographic and Socioeconomic Variability in Commercially Negotiated Pricing for Hip and Knee Arthroplasty.JB & JS open accessArticle
Corrections and comments
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Authors and funding
18 authors at 8 institutions in 1 country.
Funding
Abstract
objectiveRacial and ethnic disparities in arthroplasty utilization are evident, but the reasons are not known. We aimed to identify concerns that may contribute to barriers to arthroplasty from the patient's perspective.
methodsWe identified patients' concerns about arthroplasty by performing a mixed methods study. Themes identified during semi-structured interviews with Black and Hispanic patients with advanced symptomatic hip or knee arthritis were used to develop a questionnaire to quantify and prioritize their concerns. Multiple linear and logistic regression analyses were conducted to determine the association between race/ethnicity and the importance of each theme. Models were adjusted for sex, insurance, education, HOOS, JR/KOOS, JR, and discussion of joint replacement with a doctor.
resultsInterviews with eight participants reached saturation and provided five themes used to develop a survey answered by 738 (24%) participants; 75.5% White, 10.3% Black, 8.7% Hispanic, 3.9% Asian/Other. Responses were significantly different between groups (p < 0.05). Themes identified were "Trust in the surgeon" "Recovery", "Cost/Insurance", "Surgical outcome", and "Personal suitability/timing". Compared to Whites, Blacks were two-fold, Hispanics four-fold more likely to rate "Trust in the surgeon" as very/extremely important. Blacks were almost three times and Hispanics over six times more likely to rate "Recovery" as very/extremely important.
conclusionWe identified factors of importance to patients that may contribute to barriers to arthroplasty, with marked differences between Blacks, Hispanics, and Whites.
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Registered trials
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