Complications for racial and ethnic minority groups after total hip and knee replacement: a review of the literature.

The Journal of Bone and Joint Surgery. American Volume
Benedict U NwachukwuJeffrey N Katz

Abstract

Total hip and knee replacement reduces disability associated with lower extremity osteoarthritis. It has been shown that racial and ethnic minority groups underutilize these procedures; however, little information exists on postoperative outcomes for ethnic minorities. We conducted a systematic review of the literature to compile population-based or multicenter studies on early postoperative outcomes after total hip and knee replacement in racial and ethnic minorities. Nine studies met the inclusion criteria. Among the nine eligible studies, four examined total knee replacement, three examined total hip replacement, and two examined both. Two studies investigated mortality after total knee replacement, and one found that blacks had an increased risk of mortality. Three studies investigated infection after total knee replacement; all found an increased risk in blacks and Hispanics. Four studies examined non-infection-related complications after total knee replacement, and all four found that nonwhites had an increased risk of complications. Two studies investigated mortality after total hip replacement; one of these found that, for primary hip replacement, blacks had an increased risk of mortality. There is a paucity of research...Continue Reading

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Citations

Jun 12, 2013·Orthopedics·Alessandro BistolfiGiuseppe Massazza
Sep 12, 2015·BMC Musculoskeletal Disorders·Benedict U NwachukwuJeffrey N Katz
Aug 5, 2016·The Journal of Bone and Joint Surgery. American Volume·Wei ZhangYan Ma
Apr 13, 2011·Arthritis Care & Research·Janet K FreburgerLloyd J Edwards
Feb 13, 2018·Journal of Racial and Ethnic Health Disparities·Robert S WhiteZachary A Turnbull
Oct 22, 2011·Clinical Orthopaedics and Related Research·Jonathan PiposarSaqib Rehman
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Jun 15, 2017·Journal of Orthopaedic Trauma·Adam DriesmanKenneth A Egol
Aug 6, 2015·Clinical Orthopaedics and Related Research·Carlos J Lavernia, Jesus M Villa
Jan 7, 2017·Journal of Pediatric Orthopedics·Benedict U NwachukwuEmily R Dodwell
Jul 10, 2020·International Journal for Equity in Health·Ashfaq ChauhanReema Harrison
Aug 31, 2016·Journal of Racial and Ethnic Health Disparities·Muyibat A Adelani, Mary I O'Connor
Nov 20, 2019·Clinical Rheumatology·Jasvinder A Singh, John D Cleveland
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Jun 20, 2018·Journal of Racial and Ethnic Health Disparities·Martin RocheMichael A Mont
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Apr 4, 2014·The Journal of Bone and Joint Surgery. American Volume·Jeremy S SomersonBoris A Zelle
Feb 10, 2021·JAMA : the Journal of the American Medical Association·Jeffrey N KatzRichard F Loeser
Jan 22, 2020·Arthritis Care & Research·Bella MehtaSaid A Ibrahim
May 28, 2021·Rheumatic Diseases Clinics of North America·Angel M Reyes, Jeffrey N Katz
Sep 4, 2021·Journal of the National Medical Association·Brenda IglesiasRafael A Buerba

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