Racial/ethnic differences in preferences for total knee replacement surgery

Byrne, Margaret M.; Souchek, Julianne; Richardson, Marsha; Suarez‐Almazor, María E.

doi:10.1016/j.jclinepi.2006.01.010

Cited by 52 publications

(53 citation statements)

References 52 publications

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“…African-Americans and women are more reluctant than Caucasians and men to choose a TKA. 21 Despite this reluctance, women remain the predominant recipients of total knee and hip replacements since osteoarthritis is more prevalent in women. AfricanAmericans and Hispanics have a similar prevalence of osteoarthritis to Caucasians, however minorities undergo total joint arthroplasty at lower rates than Caucasians.…”

Section: Discussionmentioning

confidence: 99%

Patient vs Provider Characteristics Impacting Hospital Lengths of Stay After Total Knee or Hip Arthroplasty

Styron

Koroukian

Klika³

et al. 2011

The Journal of Arthroplasty

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Section: Discussionmentioning

confidence: 99%

Patient vs Provider Characteristics Impacting Hospital Lengths of Stay After Total Knee or Hip Arthroplasty

Styron

Koroukian

Klika³

et al. 2011

The Journal of Arthroplasty

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“…CA enables both health-related and nonhealth-related attributes, taking into account a wider range of outcomes. Byrne et al (2006) used CA to assess racial differences in preferences for TJR in a sample that includes general population and patients with knee OA. Participants were faced with different hypothetical scenarios of surgical and nonsurgical states for OA, developed from combinations of several attributes with different levels: pain, walking, costs, death, complications and failure of the surgical procedure.…”

Section: Studies That Use Preferences Elicitation Techniquesmentioning

confidence: 99%

Treatment Preferences in Patients with Knee or Hip Osteoarthritis: An Overview

Rivero‐Santana¹,

Perestelo‐Pérez²,

Pérez-Ramos³

et al. 2012

Osteoarthritis - Diagnosis, Treatment and Surgery

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“…Studies indicate disparities in the utilization of TJA among subgroups could be due to differences in patients' preferences or willingness for surgery [8,13,51], and this has been true in decisions about treatments in other specialties [18,24,32,36,48]. These differences exist due to the patients' perceptions of benefits from TJA, lack of personal experiences with surgery, and trust [54].…”

Section: Does Sex and Gender Affect Decision-making In Orthopaedic Sumentioning

confidence: 99%

“…Some suggest education level, not gender or income, predicts whether a patient has a TJA [21]. Others show gender is not the only factor influencing treatment decisions; age and race/ ethnicity might also play a role [8,13]. Disparities in the rate of THAs might not follow the same patterns as disparities in TJAs, making the debate even more complicated [16].…”

Section: Does Sex and Gender Affect Decision-making In Orthopaedic Sumentioning

confidence: 99%

Examining Sex and Gender Disparities in Total Joint Arthroplasty

Novicoff

Saleh

2011

Clinical Orthopaedics &Amp; Related Research

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Background Total joint arthroplasty (TJA) is remarkably successful for treating osteoarthritis: most patients see substantial gains in function. However, there are considerable geographic, racial, and gender variations in the utilization of these procedures. The reasons for these differences are complex. Questions/purposes We examined sex and gender disparities in TJA. Methods Through Medline/PubMed searches, we identified 632 articles and from these selected 61 for our review. Where are we now? A number of factors might explain sex and gender disparities in TJA: underrepresentation in clinical trials, differences in willingness to undergo surgery, pain responses to underlying disease and treatment, patient-physician relationships, treatment preferences, provider-level factors such as physician-patient communication style, and system-level factors such as access to specialist care. Since women have a higher prevalence of arthritis and degenerative joint diseases and overall demand for these procedures will continue to grow, the need to understand why there is a gap in utilization based on gender is imperative. Where do we need to go? Understanding what exactly is meant by ''disparity'' is essential because it is possible anatomic factors may have different impacts on utilization from cultural factors. Ideally, information about these factors should be integrated into the decision-making process so that patients and providers can make the most informed choice about whether or not to undergo the procedure. How do we get there? To better understand all of the potential reasons for how anatomic and cultural factors related to sex and gender might impact decision-making and overall utilization of TJA, more research focusing on these factors must be designed and carried out.

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Racial/ethnic differences in preferences for total knee replacement surgery

Cited by 52 publications

References 52 publications

Patient vs Provider Characteristics Impacting Hospital Lengths of Stay After Total Knee or Hip Arthroplasty

Patient vs Provider Characteristics Impacting Hospital Lengths of Stay After Total Knee or Hip Arthroplasty

Treatment Preferences in Patients with Knee or Hip Osteoarthritis: An Overview

Examining Sex and Gender Disparities in Total Joint Arthroplasty

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