Revision joint replacement surgeries of the hip and knee across geographic region and socioeconomic status in the western region of Victoria: a cross-sectional multilevel analysis of registry data
| Autor: | Jason Talevski, Kara L Holloway-Kew, Lana J. Williams, Julie A. Pasco, Thu-Lan Kelly, Sharon Hakkennes, Sharon L. Brennan-Olsen, Darci Green, Trisha Dunning, Stephen E. Graves, Richard S. Page, Mark A. Kotowicz, Patricia M. Livingston, Susan Brumby, Mustafa Khasraw, Alasdair Sutherland, Sara Vogrin, M Amber Sajjad |
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| Přispěvatelé: | Brennan-Olsen, Sharon L, Vogrin, Sara, Graves, Stephen, Holloway-Kew, Kara L, Page, Richard S, Sajjad, M Amber, Kotowicz, Mark A, Livingston, Patricia M, Khasraw, Mustafa, Hakkennes, Sharon, Dunning, Trisha L, Brumby, Susan, Sutherland, Alasdair G, Talevski, Jason, Green, Darci, Kelly, Thu-Lan, Williams, Lana J, Pasco, Julie A |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Rural Population lcsh:Diseases of the musculoskeletal system Cross-sectional study Epidemiology medicine.medical_treatment Arthroplasty Replacement Hip Knee replacement Knee Joint Geographic region Registry data Health Services Accessibility 0302 clinical medicine Social disadvantage Orthopedics and Sports Medicine Registries Arthroplasty Replacement Knee Child revision joint replacements Revision joint replacements Aged 80 and over 030222 orthopedics Age Factors Middle Aged 3. Good health Joint replacement registry Child Preschool Multilevel Analysis epidemiology Female Research Article musculoskeletal diseases Adult Reoperation medicine.medical_specialty Adolescent Victoria Joint replacement social disadvantage registry data Vulnerable Populations 03 medical and health sciences Young Adult Sex Factors Rheumatology medicine Humans Socioeconomic status Aged 030203 arthritis & rheumatology geographic region business.industry Infant Newborn Infant Cross-Sectional Studies Social Class Residence Rural Health Services lcsh:RC925-935 business Demography |
| Zdroj: | BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, Vol 20, Iss 1, Pp 1-6 (2019) |
| ISSN: | 1471-2474 |
| Popis: | Background: Residents of rural and regional areas, compared to those in urban regions, are more likely to experience geographical difficulties in accessing healthcare, particularly specialist services. We investigated associations between region of residence, socioeconomic status (SES) and utilisation of all-cause revision hip replacement or revision knee replacement surgeries. Methods: Conducted in western Victoria, Australia, as part of the Ageing, Chronic Disease and Injury study, data from the Australian Orthopaedic Association National Joint Replacement Registry (2011–2013) for adults who underwent a revision hip replacement (n = 542; 54% female) or revision knee replacement (n = 353; 54% female) were extracted. We cross-matched residential addresses with 2011 census data from the Australian Bureau of Statistics (ABS), and using an ABS-derived composite index, classified region of residence according to local government areas (LGAs), and area-level SES into quintiles. For analyses, the control population (n = 591,265; 51% female) was ABS-determined and excluded adults already identified as cases. Mixed-effects logistic regression was performed. Results: We observed that 77% of revision hip surgeries and 83% of revision knee surgeries were performed for residents in the three most socially disadvantaged quintiles. In adjusted multilevel models, total variances contributed by the variance in LGAs for revisions of the hip or knee joint were only 1% (SD random effects ±0.01) and 3% (SD ±0.02), respectively. No differences across SES or sex were observed. Conclusions: No differences in utilisation were identified between SES groups in the provision of revision surgeries of the hip or knee, independent of small between-LGA differences. Refereed/Peer-reviewed |
| Databáze: | OpenAIRE |
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