Autor: |
Matthew J. Best, MD, Catherine J. Fedorka, MD, Robert M. Belniak, MD, Derek A. Haas, MBA, Xiaoran Zhang, MA, April D. Armstrong, MD, Joseph A. Abboud, MD, Andrew Jawa, MD, Evan A. O’Donnell, MD, Jason E. Simon, MD, Eric R. Wagner, MD, Momin Malik, PhD, Michael B. Gottschalk, MD, Adam Z. Khan, MD, Gary F. Updegrove, MD, Eric C. Makhni, MD, Jon J.P. Warner, MD, Uma Srikumaran, MD, MBA, MPH |
Jazyk: |
angličtina |
Rok vydání: |
2023 |
Předmět: |
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Zdroj: |
JSES International, Vol 7, Iss 2, Pp 252-256 (2023) |
Druh dokumentu: |
article |
ISSN: |
2666-6383 |
DOI: |
10.1016/j.jseint.2022.10.014 |
Popis: |
Introduction: The purpose of this study was to assess racial disparities in total shoulder arthroplasty (TSA) in the United States and to determine whether these disparities were affected by the COVID-19 pandemic. Methods: Centers for Medicare and Medicaid Services (CMS) 100% sample was used to examine primary TSA volume from April to December from 2019 to 2020. Utilization was assessed for White, Black, Hispanic, and Asian populations to determine if COVID-19 affected these groups differently. A regression model adjusted for age, sex, CMS-hierarchical condition categories (HCC) score, dual enrollment (proxy for socioeconomic status), time-fixed effects, and core-based statistical area fixed effects was used to study difference across groups. Results: In 2019, the TSA volume per 1000 beneficiaries was 1.51 for White and 0.57 for non-White, with a 2.6-fold difference. In 2020, the rate of TSA in White patients (1.30/1000) was 2.9 times higher than non-White (0.45/1000) during the COVID-19 pandemic (P |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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