Evidence map›Paper›PMID 40664951›Full record

ArticleArchives of orthopaedic and trauma surgery2025

No meaningful clinical differences in patient reported outcome scores for Native Hawaiian/Pacific Islanders following knee or hip arthroplasty.

Saskia Leonard, Mark Lindquist, Brent Shimoda, Rachel Pai, Rosana H Weldon, Jeanae M Kaneshiro, Cass K Nakasone

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Saskia LeonardJohn A Burns School of Medicine, Honolulu, USA.
Mark LindquistJohn A Burns School of Medicine, Honolulu, USA.
Brent ShimodaJohn A Burns School of Medicine, Honolulu, USA.
Rachel PaiJohn A Burns School of Medicine, Honolulu, USA.
Rosana H WeldonUniversity of Hawai'i at Mānoa, Honolulu, USA.
Jeanae M KaneshiroDepartment of Orthopedic Surgery, Straub Benioff Medical Center, Honolulu, USA.
Cass K NakasoneDepartment of Orthopedic Surgery, Straub Benioff Medical Center, Honolulu, USA. onohunter@icloud.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost studies investigating the influence of race on patient reported outcomes (PROs) compare Black and/or Hispanic patients to White patients. Few have examined differences in PROs between Native Hawaiian/Pacific Islander (NHPI), Asian, and White patients, which comprise most of the population of Hawai'i. The purpose of this study was to examine differences in perioperative PROs between NHPI, Asian, and White patients and discuss observed outcome disparities if present.

methodsA retrospective evaluation of Asian, White and NHPI patients undergoing elective, unilateral total hip (THA) or total knee arthroplasty (TKA) between April 2019 and April 2023 was performed. Patient demographics, Charlson Comorbidity Index (CCI), Patient-Reported Outcomes Measurement Information System (PROMIS) global physical health (GPH) and global mental health (GMH), patient satisfaction, and Hip/Knee Disability and Osteoarthritis Outcome Score for Joint replacement (H/KOOS JR) were collected. Analysis of variance and chi-square tests were performed to detect differences between racial groups.

resultsNHPI patients had the highest average body mass index (BMI, kg/m

conclusionNHPI patients undergoing TKA and THA reported poorer preoperative scores but achieved similar outcomes as Asian and White patients following surgery. Lower preoperative scores may be due to higher levels of obesity in NHPI patients, but these factors do not seem to be predictive of poorer outcomes.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeNative Hawaiian or Pacific IslanderPatient Reported Outcome MeasuresAgedAsianFemaleHawaiiHumansMaleMiddle AgedPatient SatisfactionRetrospective StudiesWhitePatient characteristicsPatient reported outcomesRacial differencesTotal hip arthroplastyTotal knee arthroplasty

Identifiers

PMID40664951

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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.