Racial and sex disparities in utilization rates for shoulder arthroplasty in the United States disparities in shoulder arthroplasty

被引：13

作者：

Eichinger, Josef K. ^{[1
]}

Greenhouse, Alyssa R. ^{[1
]}

Rao, Meghana, V ^{[1
]}

Gordon, Eric R. ^{[1
]}

Brinton, Daniel ^{[1
]}

Li, Xinning ^{[2
]}

Curry, Emily J. ^{[2
]}

Friedman, Richard J. ^{[1
]}

机构：

[1] Med Univ South Carolina, Charleston, SC 29425 USA

[2] Boston Univ, Boston, MA 02215 USA

来源：

JOURNAL OF ORTHOPAEDICS | 2019年 / 16卷 / 03期

关键词：

Racial disparity; Shoulder arthroplasty; Healthcare utilization; Geographic variation; JOINT REPLACEMENT; KNEE REPLACEMENT; OSTEOARTHRITIS; HIP; MORBIDITY; RACE;

D O I：

10.1016/j.jor.2019.02.029

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Purpose: To investigate racial disparities in shoulder arthroplasty (SA), accounting for demographic factors such as sex and age. Methods: Data for SAs (2011-2014) was queried from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample. Population-adjusted SA utilization rates, racial and sex differences by age, length of stay, insurer, and comorbidities were calculated. Results: Caucasians aged 45-64 are 54% more likely than African-Americans and 74% than Hispanics to receive surgery. For patients aged 65-84, the disparity is wider for African-Americans and narrower for Hispanics. Conclusions: Policymakers and physicians should focus on further national efforts to alleviate healthcare disparities.

引用

页码：195 / 200

页数：6

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