Total Joint Arthroplasty: A Granular Analysis of Outcomes in the Economically Disadvantaged Patient
| Autor: | Michele D'Apuzzo, Jesus M. Villa, Carlos J. Lavernia, Jose C. Alcerro, Mark D. Rossi |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Joint arthroplasty Databases Factual Visual analogue scale Arthroplasty Replacement Hip Short form 36 Severity of Illness Index Vulnerable Populations Osteoarthritis Hip 03 medical and health sciences 0302 clinical medicine Quality of life medicine Humans Pain Management Orthopedics and Sports Medicine Postoperative Period Registries 030212 general & internal medicine Poverty Aged Pain Measurement Retrospective Studies 030222 orthopedics Insurance Health Medicaid business.industry Arthritis Middle Aged United States Disadvantaged Treatment Outcome Social Class Preoperative Period Quality of Life Physical therapy Female business |
| Zdroj: | The Journal of Arthroplasty. 31:41-44 |
| ISSN: | 0883-5403 |
| Popis: | Background Poor patients experience more serious complications and worse outcomes after surgery than higher-income patients. Our objective was to study detailed patient sociodemographic characteristics and preoperative/postoperative patient-oriented outcomes in economically disadvantaged and non–economically disadvantaged primary total joint arthroplasty patients. Methods From a consecutive series, 213 economically disadvantaged patients and 1940 non–economically-disadvantaged patients were statistically analyzed. Baseline sociodemographic characteristics and pain visual analog scale, Quality of Well-Being Index 7, Short Form 36, and Western Ontario and McMaster Universities Arthritis Index scores recorded before and after surgery were compared between both groups controlling for baseline differences. Minimum follow-up was 1 year. Results Economically disadvantaged patients were significantly younger, more likely to be disabled, and had worse preoperative and postoperative scores. Conclusion When compared with non–economically disadvantaged patients, economically disadvantaged patients consistently had lower function and worse quality of life before and after total joint arthroplasty. |
| Databáze: | OpenAIRE |
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