Disparities in 30-Day Readmissions After Total Hip Arthroplasty
Bibliographic Data
| ID | 9096489 |
|---|---|
| Authors | Carlos Irwin A Oronce (0000-0003-3860-7716, Tulane University, corresponding author), Hui Shao (0000-0003-0102-1439, Tulane University), Lizheng Shi (0000-0002-7827-6766, Tulane University) |
| Year | 2015 |
| Volume | 53 |
| Issue | 11 |
| Pages | 924-930 |
| Publication date | 2015-11-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000000421 |
| PMID | 26390068 |
| OpenAlex | W2401171704 |
| Language | EN |
| Citations received | 3 |
| References cited | 26 |
BACKGROUND: Policymakers have expanded readmissions penalties to include elective total hip arthroplasties (THA), but little is known whether disparities exist on the basis of race, socioeconomic status, or payer. OBJECTIVE: To identify disparities in elective primary THA readmissions based on race, socioeconomic status, and type of insurance. RESEARCH DESIGN: This analysis is a retrospective cohort study of patients discharged for an elective THA. The Healthcare Cost & Utilization Project's State Inpatient Database from California was used to identify index hospitalizations for elective primary THA and rehospitalizations within 30 days of discharge. We used multivariate logistic regression to examine differences in readmissions by race, socioeconomic status, and insurance. SUBJECTS: Subjects included patients discharged from California hospitals from 2009 through 2011 after THA. MEASURES: Risk-adjusted odds of all-cause 30-day readmission. RESULTS: The overall rate of unplanned 30-day all-cause readmissions was 4.6%. African American [odds ratio (OR)=1.38; 95% confidence interval (CI), 1.16-1.64] and Hispanic (OR=1.16; 95% CI, 1.00-1.34) patients had a higher risk of readmission than white patients after THA, when accounting for comorbidities and hospital factors. The observed difference for Hispanic patients, however, was null after adjusting for socioeconomic status and payer. Lower socioeconomic status was associated with higher odds of readmission (OR=1.24; 95% CI, 1.10-1.39). Compared with private insurance, Medicare (OR=1.26; 95% CI, 1.13-1.43), Medicaid (OR=1.86; 95% CI, 1.49-2.32), and uninsured status (OR=1.31; 95% CI, 1.01-1.69) were also associated with increased readmission risk. CONCLUSIONS: We found significant differences in the odds of 30-day readmissions on the basis of race, socioeconomic status, and payer. As readmissions penalties become widely adopted, payers need to be mindful of their effects on vulnerable populations
Cohort study · Confidence interval · Environmental health · Health care · Logistic regression · Medicaid · Odds · Odds ratio · Population · Retrospective cohort study · Socioeconomic status · Demography · Emergency Medicine · Heart Failure Treatment and Management · Internal Medicine · Medicine · Orthopaedic implants and arthroplasty · Total Knee Arthroplasty Outcomes
The Effect of Medicare Shared Savings Program on Readmissions and Variations by Race/Ethnicity and Payer Status (December 9, 2020)
Outcome Disparities in Total Knee and Total Hip Arthroplasty among Native American Populations
Readmission Rates and Diagnoses Following Total Hip Replacement in Relation to Insurance Payer Status, Race and Ethnicity, and Income Status
| Citations per year | 0.38 |
|---|---|
| Citation span | 2018 - 2024 (7) |
| Highly cited | No |