The Effect of Race on Early Perioperative Outcomes After Shoulder Arthroplasty: A Propensity Score Matched Analysis

Orthopedics
Clark YinXinning Li

Abstract

There is a paucity of data on how racial disparities may affect early outcomes following shoulder arthroplasty. The purpose of this study was to evaluate differences in 30-day complications and readmission rates after shoulder arthroplasty based on race. White and black patients who underwent hemiarthroplasty, anatomic or reverse total shoulder arthroplasty (Current Procedural Terminology codes 23470 and 23472) between 2006 and 2015 were identified in the American College of Surgeons National Surgical Quality Improvement Program database. Black patients were propensity score matched 1:4 based on preoperative demographics and comorbidities to white patients. Multivariable analysis was performed to assess postoperative complications based on race. Of the 12,663 patients with shoulder arthroplasty identified, 10,717 (84.6%) were white and 559 (4.4%) were black. Overall, 557 black patients were matched to 2228 white patients, for a total cohort of 2785 patients (mean age, 63.9±11.7 years; female, 61.0%). Surgical indications were similar between black and white patients. The 2 races had similar rates of overall complications, major complications, minor complications, readmissions, and discharge to facility. Mortality was significan...Continue Reading

References

Jan 23, 1998·Journal of Shoulder and Elbow Surgery·M E TorchiaC R Settergren
Aug 26, 1998·The Orthopedic Clinics of North America·J M Fenlin, B G Frieman
Aug 26, 1998·The Orthopedic Clinics of North America·B J Waldman, M P Figgie
Aug 26, 1998·The Orthopedic Clinics of North America·S J Hattrup
Aug 18, 1999·Annals of Surgery·T C CollinsS F Khuri
May 4, 2002·Journal of Shoulder and Elbow Surgery·Tom R Norris, Joseph P Iannotti
Jan 21, 2003·The Journal of Bone and Joint Surgery. American Volume·Nizar N MahomedJohn A Baron
Sep 27, 2003·The Journal of Arthroplasty·Frances WeaverWilliam G Henderson
Oct 3, 2003·The New England Journal of Medicine·Jonathan SkinnerJohn E Wennberg
Apr 22, 2004·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·M Kathleen FigaroJohn P Allegrante
May 25, 2005·Archives of Internal Medicine·Maria E Suarez-AlmazorChong Pak
Oct 4, 2005·Arthritis and Rheumatism·Said A IbrahimC Kent Kwoh
Jan 25, 2006·Annals of Surgery·F L LucasJohn D Birkmeyer
Jul 29, 2006·Arthritis and Rheumatism·Nitin B JainJeffrey N Katz
Sep 19, 2006·Journal of Clinical Epidemiology·Margaret M ByrneMaria Suarez-Almazor
Nov 29, 2007·Annals of Surgery·Julie Ann SosaSanziana A Roman
May 13, 2008·Journal of Clinical Epidemiology·Peter C Austin
Jul 25, 2009·Clinical Orthopaedics and Related Research·Edward V FehringerJames R O'Dell
Feb 17, 2010·Archives of Surgery·Andrew J EpsteinMark Schlesinger
Jun 18, 2010·Journal of Shoulder and Elbow Surgery·Judd S DaySteven M Kurtz
Jul 16, 2010·Clinical Orthopaedics and Related Research·Atul F KamathCharles L Nelson
May 14, 2011·International Journal of Health Services : Planning, Administration, Evaluation·Thomas A LaVeistPatrick Richard
Nov 13, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Christie Y JeonElaine Larson
Feb 5, 2013·Journal of Health Care for the Poor and Underserved·Jie ChenCandace Gunnarsson
Sep 7, 2013·Journal of the American Geriatrics Society·J Margo Brooks CarthonAnn Kutney-Lee
Sep 21, 2013·Annals of the Rheumatic Diseases·Jasvinder A SinghPeter Cram
May 27, 2014·Spine·Richard L SkolaskyLee H Riley
Jun 25, 2014·Journal of Shoulder and Elbow Surgery·Justin W GriffinStephen F Brockmeier
Aug 30, 2014·Journal of Shoulder and Elbow Surgery·Brent A PonceMariano E Menendez
Aug 30, 2014·Journal of Shoulder and Elbow Surgery·Brian R WatermanPhilip J Belmont
Dec 20, 2014·Clinical Orthopaedics and Related Research·Chris A AnthonyCarolyn M Hettrich
Jan 17, 2015·Journal of Shoulder and Elbow Surgery·John C DunnPhilip J Belmont
Feb 13, 2015·Current Reviews in Musculoskeletal Medicine·Josef K Eichinger, Joseph W Galvin
Aug 6, 2015·Clinical Orthopaedics and Related Research·Carlos J Lavernia, Jesus M Villa
Aug 8, 2015·The Journal of Bone and Joint Surgery. American Volume·Frederick A MatsenPaul D Sampson
Sep 29, 2015·Journal of Racial and Ethnic Health Disparities·Jasvinder A Singh, Rekha Ramachandran

❮ Previous
Next ❯

Citations

Nov 15, 2019·Clinical Orthopaedics and Related Research·Jason D YoungAndrew J Schoenfeld
Nov 26, 2019·Clinical Orthopaedics and Related Research·Dominick V CongiustaIrfan H Ahmed
Sep 2, 2020·Journal of Shoulder and Elbow Surgery·Varun ArvindPaul J Cagle
Sep 4, 2021·Journal of the National Medical Association·Brenda IglesiasRafael A Buerba

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
William W SchairerRussell F Warren
The Journal of Arthroplasty
Patawut BovonratwetJonathan N Grauer
Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
Justin KohXinning Li
© 2022 Meta ULC. All rights reserved