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What Factors Lead to Racial Disparities in Outcomes After Total Knee Arthroplasty

Datos Bibliográficos

ID18969606
AutoresDaniel A Hu (0000-0002-7979-3693, Northwestern University), James B Hu (0000-0001-6448-8787, University of California, Irvine), Ariel Lee (University of California, Irvine), William J Rubenstein (0000-0002-6850-3072, University of California, San Francisco), Kevin M Hwang, Kevin Hwang (0000-0003-4210-0694, University of California, San Francisco), Said A Ibrahim (0000-0002-2657-8834, Cornell University), Alfred C Kuo (0000-0001-9075-6183, San Francisco VA Medical Center, autor de correspondencia)
Año2022
Volumen9
Número6
Páginas2317-2322
Fecha de publicación2022-12-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of Racial and Ethnic Health Disparities (JOURNAL)
Identificadores de la revistaISSN: 2196-8837 • E-ISSN: 2197-3792
EditorialSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s40615-021-01168-4
PMID34642904
OpenAlexW3205936720
IdiomaEN
Citas recibidas3
Referencias citadas45

Total knee arthroplasty (TKA) is one of the most commonly performed, major elective surgeries in the USA. African American TKA patients on average experience worse clinical outcomes than whites, including lower improvements in patient-reported outcomes and higher rates of complications, hospital readmissions, and reoperations. The mechanisms leading to these racial health disparities are unclear, but likely involve patient, provider, healthcare system, and societal factors. Lower physical and mental health at baseline, lower social support, provider bias, lower rates of health insurance coverage, higher utilization of lower quality hospitals, and systemic racism may contribute to the inferior outcomes that African Americans experience. Limited evidence suggests that improving the quality of surgical care can offset these factors and lead to a reduction in outcome disparities

Arthroplasty · Health care · Health equity · Patient-reported outcome · Physical therapy · Public health · Total knee arthroplasty · Medical Education and Admissions · Medicine · Nursing · Total Knee Arthroplasty Outcomes · Epidemiology · Gerontology · Internal Medicine · Surgery

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Obras citantes distintas3
Citas por año1
Intervalo de citas2023 - 2026 (4)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 3
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