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

Dados 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 correspondente)
Ano2022
Volume9
Fascículo6
Páginas2317-2322
Data de publicação2022-12-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Racial and Ethnic Health Disparities (JOURNAL)
Identificadores do periódicoISSN: 2196-8837 • E-ISSN: 2197-3792
EditoraSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s40615-021-01168-4
PMID34642904
OpenAlexW3205936720
IdiomaEN
Citações recebidas3
Referências 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
Citações por ano1
Intervalo de citações2023 - 2026 (4)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 3
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