Disparities in postoperative total shoulder arthroplasty outcomes between Black and White patients

Ling, Kenny; Leatherwood, William; Fassler, Richelle; Burgan, Jane; Komatsu, David E.; Wang, Edward D.

doi:10.1016/j.jseint.2023.05.009

Cited by 5 publications

(1 citation statement)

References 27 publications

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“…In agreement with previous literature, all-cause readmission risk was markedly increased in Black patients undergoing procedures of the spine, shoulder/elbow, hand/wrist, and hip/knee. 18,36,37 Asian patients experienced decreased all-cause readmission rates for all causes after undergoing surgery of the spine, hand/wrist, and hip/knee. No statistically significant racial difference was observed in readmission rates for specific readmission causes between most injury areas.…”

Section: Discussionmentioning

confidence: 99%

Racial Disparities in 30-day Readmission After Orthopaedic Surgery: A 5-year National Surgical Quality Improvement Program Database Analysis

Bergstein,

O'Sullivan,

Levy

et al. 2024

JAAOS Glob Res Rev

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Background: Readmission rate after surgery is an important outcome measure in revealing disparities. This study aimed to examine how 30-day readmission rates and causes of readmission differ by race and specific injury areas within orthopaedic surgery. Methods: The American College of Surgeon-National Surgical Quality Improvement Program database was queried for orthopaedic procedures from 2015 to 2019. Patients were stratified by self-reported race. Procedures were stratified using current procedural terminology codes corresponding to given injury areas. Multiple logistic regression was done to evaluate associations between race and all-cause readmission risk, and risk of readmission due to specific causes. Results: Of 780,043 orthopaedic patients, the overall 30-day readmission rate was 4.18%. Black and Asian patients were at greater (OR = 1.18, P < 0.01) and lesser (OR = 0.76, P < 0.01) risk for readmission than White patients, respectively. Black patients were more likely to be readmitted for deep surgical site infection (OR = 1.25, P = 0.03), PE (OR = 1.64, P < 0.01), or wound disruption (OR = 1.45, P < 0.01). For all races, all-cause readmission was highest after spine procedures and lowest after hand/wrist procedures. Conclusions: Black patients were at greater risk for overall, spine, shoulder/elbow, hand/wrist, and hip/knee all-cause readmission. Asian patients were at lower risk for overall, spine, hand/wrist, and hip/knee surgery all-cause readmission. Our findings can identify complications that should be more carefully monitored in certain patient populations.

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Section: Discussionmentioning

confidence: 99%