Location
Suwanee, GA
Start Date
7-5-2024 1:00 PM
End Date
7-5-2024 4:00 PM
Description
Introduction
Hip arthroplasty, also known as hip joint replacement, is a surgical procedure that significantly improves the quality of life for individuals suffering from severe hip joint dysfunction. However, social determinants, such as ethnicity/race and socioeconomic status (SES), can play a pivotal role in the utilization rate, surgical outcomes, and the postsurgical events. Nearly all past studies have focused on a single social determinant. This narrative review aims to shed light on the existing health disparities in hip arthroplasty utilization and patient outcomes in a comprehensive and collective manner.
Methods
Review was conducted using the OneSearch database with a combination of terms including, but not limited to “health disparities”, “hip arthroplasty”, “hip joint replacement”, “social determinants”, and “socioeconomic status”. The search was limited to articles published from 2010 onwards. Over twenty articles were reviewed and analyzed.
Results
The main health disparities relating to hip arthroplasty were revealed to be the following: race/ethnicity, sex, geographic location/zip code (physical access), and SES (Medicaid, private insurance, military/veteran, uninsured), in addition to other miscellaneous factors (health literacy, cultural/health barriers, etc.). The majority of the articles highlighted ethnicity and race as a major social determinant of hip arthroplasty utilization, primarily affecting Black and Hispanic patients, despite having increased incidences of hip osteoarthritis. However, literature suggests the greater cause for concern for minorities lies in their higher rates of postsurgical events compared to their white counterparts. Examples include surgical complications (such as venous thromboembolisms, blood transfusions), increased return to the operating room, increased return to ED visits and discharge to nursing facilities, etc. There wasn’t an article that summarized all of these collective themes in a single setting. The literature review supports the idea that health disparities are multifactorial in nature, with some factors being stronger predictors of poor utilization and outcomes.
Conclusion
Understanding the interactions between these social determinants and how they may impact certain demographics provides the potential for a more comprehensive and inclusive approach. Nonetheless, it is alarming to see that despite having lower utilization rates, minorities experience a higher number of postsurgical events. Health disparities may not significantly impact access to elective procedures in current times as it used to before, but they can possibly pose an even greater detriment to the patient's overall care and postsurgical health. Additional studies are required to develop effective strategies for addressing health inequalities across different levels, including their application to other surgical procedures like total shoulder arthroplasties, which share similar determinants.
Embargo Period
6-27-2024
Included in
Unraveling the Collective Impact of Health Disparities Associated with Hip Arthroplasty
Suwanee, GA
Introduction
Hip arthroplasty, also known as hip joint replacement, is a surgical procedure that significantly improves the quality of life for individuals suffering from severe hip joint dysfunction. However, social determinants, such as ethnicity/race and socioeconomic status (SES), can play a pivotal role in the utilization rate, surgical outcomes, and the postsurgical events. Nearly all past studies have focused on a single social determinant. This narrative review aims to shed light on the existing health disparities in hip arthroplasty utilization and patient outcomes in a comprehensive and collective manner.
Methods
Review was conducted using the OneSearch database with a combination of terms including, but not limited to “health disparities”, “hip arthroplasty”, “hip joint replacement”, “social determinants”, and “socioeconomic status”. The search was limited to articles published from 2010 onwards. Over twenty articles were reviewed and analyzed.
Results
The main health disparities relating to hip arthroplasty were revealed to be the following: race/ethnicity, sex, geographic location/zip code (physical access), and SES (Medicaid, private insurance, military/veteran, uninsured), in addition to other miscellaneous factors (health literacy, cultural/health barriers, etc.). The majority of the articles highlighted ethnicity and race as a major social determinant of hip arthroplasty utilization, primarily affecting Black and Hispanic patients, despite having increased incidences of hip osteoarthritis. However, literature suggests the greater cause for concern for minorities lies in their higher rates of postsurgical events compared to their white counterparts. Examples include surgical complications (such as venous thromboembolisms, blood transfusions), increased return to the operating room, increased return to ED visits and discharge to nursing facilities, etc. There wasn’t an article that summarized all of these collective themes in a single setting. The literature review supports the idea that health disparities are multifactorial in nature, with some factors being stronger predictors of poor utilization and outcomes.
Conclusion
Understanding the interactions between these social determinants and how they may impact certain demographics provides the potential for a more comprehensive and inclusive approach. Nonetheless, it is alarming to see that despite having lower utilization rates, minorities experience a higher number of postsurgical events. Health disparities may not significantly impact access to elective procedures in current times as it used to before, but they can possibly pose an even greater detriment to the patient's overall care and postsurgical health. Additional studies are required to develop effective strategies for addressing health inequalities across different levels, including their application to other surgical procedures like total shoulder arthroplasties, which share similar determinants.