Ethnic differences in preoperative function of patients undergoing total knee arthroplasty

Joshy, S.; Datta, Amit; Perera, Anthony; Thomas, Boban; Gogi, Nitish; Singh, Binod Kumar

doi:10.1007/s00264-006-0115-x

Cited by 21 publications

(18 citation statements)

References 18 publications

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“…In the Hispanic community, low arthroplasty rates may translate to less opportunity for knowing someone who has had an arthroplasty [7]. Joshy et al [16] found similar lower preoperative KSSs when comparing Asians with Caucasians. Chang et al [5] theorized that as Caucasian men ask the most questions during examinations, most medical literature available to patients address concerns of Caucasian males.…”

Section: Discussionmentioning

confidence: 99%

Ethnic and Gender Differences in the Functional Disparities after Primary Total Knee Arthroplasty

Kamath

Horneff

Gaffney

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Background The benefits of TKA have been well documented. Whether these benefits apply equally across gender and ethnic groups is unclear. Given the underuse of TKA among certain demographic groups, it is important to understand whether gender or ethnicity influence pain and function after TKA. Questions/purposes We determined (1) the influence of race, gender, and body mass index (BMI) on primary TKA functional scores and ROM before gender-specific implants; and (2) months).Results African-Americans had longer delays to presentation, higher BMI, and worse 2-year KSS. Women (all races) had higher BMI and worse preoperative flexion/arc ROM. African-American women had worse final ROM and had similar final gains in ROM (postoperative minus preoperative ROM) after controlling for confounders. Conclusions Gender and race affected functional KSS and ROM variables. The worse results experienced by AfricanAmerican women may be attributable to a longer delay to presentation. However, the scores and motion were high for all subgroups, and underuse of TKA in women and AfricanAmericans cannot be justified based on a perception of lesser functional gains. Level of Evidence Level III, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.

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Section: Discussionmentioning

confidence: 99%

Ethnic and Gender Differences in the Functional Disparities after Primary Total Knee Arthroplasty

Kamath

Horneff

Gaffney

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…Symptom severity such as pain might be manifested differently in other ethnic populations [13]. Recent studies reported the existence of ethnic differences in symptom manifestation in OA population even in the same geographical area [17,21]. These ethnic differences may be explained by differing biological (genetic), social, and cultural factors between ethnic populations.…”

Section: Discussionmentioning

confidence: 99%

Gender Differences in the Correlation between Symptom and Radiographic Severity in Patients with Knee Osteoarthritis

Cho

Chang

Yoo

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Background The effects of gender on the relationship between symptom manifestations and radiographic grades of knee osteoarthritis are not well understood. Questions/purposes We therefore determined the increments of symptom progression with regard to radiographic grades of knee osteoarthritis and asked if those increments differed by gender and whether symptom severity was differentially manifested by gender within the same grade. Methods We recruited 660 community residents; 368 (56%) women and 292 (44%) men. The mean subject age was 71.5 years (range, 65-91 years). Severity of symptoms was measured using the WOMAC and SF-36 scales, and the radiographic severity using Kellgren-Lawrence grades. Incremental changes in WOMAC and SF-36 scores were compared between adjacent Kellgren-Lawrence grades separately in men and women, and in the overall population. We compared symptom severity between men and women with the same radiographic grade. Results For the entire cohort, the mean incremental change in symptom severity was not gradual between the adjacent radiographic grades but was greater between Kellgren-Lawrence Grades 1 and 2 and Grades 2 and 3 than between Grades 0 and 1 or Grades 3 and 4. The patterns of incremental changes in symptom severity differed between men and women: women had more severe symptom progression between Kellgren-Lawrence Grades 2 and 3 and Grades 3 and 4 than men. Furthermore, women had worse mean WOMAC and SF-36 scores than men with the same radiographic grade of knee osteoarthritis. Conclusions These data suggest symptom progression is not gradual between adjacent radiographic grades, and for the same radiographic grade, symptoms are worse in women.

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“…Poor health literacy, financial constraints, cultural influences and concerns about possible outcomes are amongst reported reasons for a lower willingness to undergo surgery and delayed presentation [96][97][98][99][100]. As such self-reported baseline pain and function are worse amongst ethnic minorities presenting for total joint replacement surgery [100][101][102][103].…”

Section: Culture and Ethnicitymentioning

confidence: 99%

Predictors of Pain and Function Following Total Joint Replacement

Dowsey¹,

Choong²

2013

Arthroplasty - Update

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Ethnic differences in preoperative function of patients undergoing total knee arthroplasty

Abstract: The prevalence of osteoarthritis is high in all ethnic and demographic groups. The timing of surgery is important because poor preoperative functional status is related to poor postoperative function.

Cited by 21 publications

References 18 publications

Ethnic and Gender Differences in the Functional Disparities after Primary Total Knee Arthroplasty

Ethnic and Gender Differences in the Functional Disparities after Primary Total Knee Arthroplasty

Gender Differences in the Correlation between Symptom and Radiographic Severity in Patients with Knee Osteoarthritis

Predictors of Pain and Function Following Total Joint Replacement

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