Brief report: Gender and total knee/hip arthroplasty utilization rate in the VA system.

Journal of General Internal Medicine
Sonya BorreroSaid A Ibrahim

Abstract

Osteoarthritis (OA) is a leading cause of disability and is more prevalent in women than men. Total joint arthroplasty is an effective treatment option for end-stage OA. We examined gender differences in utilization rates of total knee/hip arthroplasty in the Veterans Administration (VA) system. The sample consisted of all VA patients for fiscal year (FY) 1999, 50 years of age or older, with or without the diagnosis of OA in any joint. We calculated the odds of patients undergoing total knee/hip arthroplasty adjusting for age, comorbidities, and presence of OA. We included the hospital site as a random effects variable to adjust for clustering. Of the 1,968,093 (2.3% women) VA patients in FY 1999 who were 50 years of age or older, 329,461 (2.9% women) patients carried a diagnosis of OA. For women, 2-year adjusted odds of undergoing total knee or hip arthroplasty were 0.97 (0.83 to 1.14) and 1.00 (0.79 to 1.27), respectively. Among patients potentially at risk for the procedure, men and women in the VA system were equally likely to undergo knee/hip arthroplasty.

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Citations

Jul 8, 2011·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Bevanne Bean-MayberryPaul G Shekelle
Jun 19, 2008·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Nicholas SteelDavid Melzer
Jul 16, 2010·Clinical Orthopaedics and Related Research·Atul F KamathCharles L Nelson
Oct 1, 2019·JBJS Reviews·Isabella M FerreClaudette M Lajam
Nov 18, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Graeme HoitAmir Khoshbin
Aug 25, 2021·British Medical Bulletin·Luca MirandaNicola Maffulli

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