Disparities in Outcomes for African Americans and Whites Undergoing Total Knee Arthroplasty: A Systematic Literature Review

The Journal of Rheumatology
Susan M GoodmanAnne R Bass

Abstract

African Americans in the United States undergo total knee arthroplasty (TKA) less often than whites, in part because of lower expectations among African Americans for successful surgery. Whether this lower expectation is justified is unknown. Our objective is to compare health-related quality of life (HRQOL) and satisfaction after TKA between African Americans and whites. A systematic review of English language articles using Medline, the Cochrane register, Embase (April 21, 2015), and a hand search of unlisted disparities journals was performed. Search terms included total knee replacement, quality of life, outcomes, and satisfaction. High-quality cohort studies that examined HRQOL in African Americans and white adults 6 months or more after TKA were included. Of the 4781 studies screened by title, and 346 by abstract, 7 studies included race in their analysis. Results included 5570 TKA patients, 4077 whites (89%), and 482 (11%) blacks. Because studies used different outcome measures and were inconsistent in their adjustment for confounders, we could not perform a quantitative synthesis of results. In 5 studies, US blacks had worse pain, in 5 worse function, and in 1 less satisfaction 6 months to 2 years after TKA. US blacks m...Continue Reading

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Citations

May 18, 2017·Hand : Official Journal of the American Association for Hand Surgery·Aaron AlokozaiRobin N Kamal
Nov 23, 2017·Arthritis Care & Research·Susan M GoodmanAnne R Bass
Aug 18, 2016·Health·Selena E OrtizAngie M Boyce
Sep 8, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Susan M GoodmanAnne R Bass
Feb 13, 2018·Journal of Racial and Ethnic Health Disparities·Robert S WhiteZachary A Turnbull
Sep 5, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Nirav K PandyaDerek Ward
Jun 10, 2016·Clinical Orthopaedics and Related Research·Susan M GoodmanAnne R Bass
May 16, 2020·JAMA Network Open·Patricia D FranklinSaid A Ibrahim
Jun 2, 2020·World Journal of Orthopedics·Brian A PerezCharles L Nelson
Jan 14, 2021·JAMA Surgery·Matthew J BestUma Srikumaran
Jan 15, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Jennifer J BeckMary K Mulcahey
Dec 6, 2019·The Journal of Arthroplasty·Alyson M CavanaughAndrea Z LaCroix
Apr 28, 2020·Anesthesiology Clinics·Natalie Kozlov, Honorio T Benzon
May 28, 2021·Rheumatic Diseases Clinics of North America·Angel M Reyes, Jeffrey N Katz
Jun 9, 2021·Journal of Clinical Orthopaedics and Trauma·Vivek SinghRan Schwarzkopf
Oct 14, 2021·Journal of Racial and Ethnic Health Disparities·Daniel A HuAlfred C Kuo

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