Evidence map›Paper›PMID 42662133›Full record

ArticleArthroplasty today2026

Socioeconomic Disparities in Outcomes After Primary Total Hip Arthroplasty: A Propensity-Matched Multi-Institutional Study.

Kevin Artus, Lakshaye Anand, Zenya Yanoff, Seth Shoap

Abstract read
In one paragraph

Article in Arthroplasty today, 2026. 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
–field-weighted citation impact
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.

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

4 authors.

Kevin ArtusPenn State College of Medicine, Hershey, PA, USA.
Lakshaye AnandPenn State College of Medicine, Hershey, PA, USA.
Zenya YanoffPenn State College of Medicine, Hershey, PA, USA.
Seth ShoapPenn State Department of Orthopedics, Hershey, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Socioeconomic disadvantage has been associated with poorer outcomes following total hip arthroplasty (THA). This study evaluated the relationship between social determinants of health (SDoH) and short- and long-term postoperative outcomes after primary THA. Methods: A retrospective cohort study was conducted using the TriNetX Dataworks-USA network. Adult patients undergoing elective primary THA were identified and stratified based on the presence of at least 1 International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) SDoH Z-code (Z55-Z65). Cohorts were matched in a 1:1 ratio using greedy nearest-neighbor propensity score matching with a caliper of 0.1 standard deviations of the logit of the propensity score, adjusting for age, sex, and medical comorbidities. Standardized mean differences <0.1 were considered indicative of adequate covariate balance. Postoperative outcomes evaluated included superficial surgical site infection, deep vein thrombosis, sepsis, myocardial infarction, and all-cause mortality at 30 days, 90 days, and 1 year following surgery. Risk ratios with 95% confidence intervals were calculated. Results: After matching, 15,922 patients remained in each cohort. Patients with SDoH risk factors demonstrated significantly increased risks of superficial surgical site infection, deep vein thrombosis, sepsis, myocardial infarction, and all-cause mortality at multiple postoperative time points compared with controls. Elevated mortality risk persisted through 1 year postoperatively. Conclusions: Socioeconomic disadvantage, as identified by SDoH Z-codes, was associated with worse short- and long-term outcomes following primary THA. These findings support the incorporation of social risk factors into perioperative risk stratification and optimization strategies.

Indexed as

Postoperative complicationsSocial determinants of healthSocioeconomic statusTotal hip arthroplastyZ codes

Identifiers

PMID42662133
PMCPMC13519265

What OpenQuestion holds

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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.