Knee replacement incidence and social deprivation: results from a French ecological study

Michel, Murielle; Bryère, Joséphine; Maravic, Milka; Marcelli, Christian

doi:10.1016/j.jbspin.2019.03.004

Cited by 7 publications

(5 citation statements)

References 37 publications

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“…For example, while 80% of Finnish patients with OA-related sickness absence followed trajectories that resulted in no sickness absence by 13 month follow-up, the remaining 20% still had sickness absence days over a year later and these individuals were more likely to be older, be born outside the European Union, lower educated, and living in rural areas 18 . These, and recent studies of health and care inequalities in North America 20,21 , Thailand 22 , France 23 , and Japan 24 should encourage greater attention across the research cycle towards understanding and reducing disparities and inequities in the burden of OA and in the provision, uptake, and outcomes of interventions.…”

Section: Describing the Distribution Of Osteoarthritis And Care In Po...mentioning

confidence: 98%

Osteoarthritis year in review 2020: epidemiology & therapy

Peat

Thomas

2021

Osteoarthritis and Cartilage

107

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Section: Describing the Distribution Of Osteoarthritis And Care In Po...mentioning

confidence: 98%

Osteoarthritis year in review 2020: epidemiology & therapy

Peat

Thomas

2021

Osteoarthritis and Cartilage

107

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“…However, inequalities in socioeconomics alone appear to be increasing even in highly developed countries along with osteoarthritis and pain states. 33 On the other hand, even if they suffer more intently as a group, Michel et al, 34 and Hartnett et al, 35 report those who are more highly affluent appear to receive joint replacement surgery at higher rates than those categorized as being in the lower income strata.…”

Section: Key Resultsmentioning

confidence: 99%

Osteoarthritis and social disadvantage interactions: retrospective overview and emergent findings and health implications

Marks

2024

IPMRJ

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Osteoarthritis, a widespread arthritic disease commonly resulting in considerable pain and functional disability is often found to vary among those deemed affected. While age, gender, and genetics commonly explain this, what does the research show specifically in terms of extrinsic factors such as social disadvantage? This report aimed to update what is known about the social context and its role as a possible remediable osteoarthritis disability determinant if suboptimal. Using the PUBMED data base and others, osteoarthritis studies published between January 1, 2000 and March 20, 2024 concerning possible social disadvantage linkages were sought and carefully examined. As well, data drawn from the researcher’s repository were reviewed. The search results revealed a growing interest in this topic where osteoarthritis can be observed to be negatively influenced in the face of one or more forms of social deprivation. Yet, very few clinical trials prevail to either test the validity of this idea or apply these understandings to preventing suffering. In light of the increasing osteoarthritis burden, despite years of research, it appears that to maximize wellbeing for all, and to limit or obviate unwanted osteoarthritis associated health and disability costs, more resounding research along with a focus on advancing social equity and mitigating all forms of social deprivation is strongly indicated.

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“…There were mixed data regarding how social deprivation is associated with TJA usage. However, of the eight articles evaluating TJA usage [15,16,24,25,31,32,46,53], six found that higher levels of social deprivation were associated with lower TJA utilization, even after controlling for various confounding variables including age, gender, rurality, ethnicity, distance to hospital, hospital characteristics, payer, and comorbidity burden (Table 3). All eight studies were retrospective and used a large national database, which allowed them to report on large patient populations.…”

Section: Arthroplasty Usagementioning

confidence: 99%

“…Our primary study goal was to determine the association between social deprivation and TJA utilization [15,16,24,25,31,32,46,53] (Table 3). Of the studies included, eight articles evaluated TJA utilization.…”

Section: Primary and Secondary Study Outcomesmentioning

confidence: 99%

“…Judge et al [31] There was an association between THA and TKA use and social deprivation, with moredeprived groups having lower access to TJA care Age, gender, rurality, ethnicity Rahman et al [53] The THA utilization per 100,000 patients was lower in more socioeconomically disadvantaged communities as measured by the Area Deprivation Index Age, gender, race or ethnicity, distance to nearest hospital Judge et al [32] Patients with the highest levels of social deprivation had higher utilization of TKA but lower utilization of THA Age, gender, race, rurality, distance to nearest hospital, hospital characteristics Michel et al [46] TKA utilization was higher for patients in less socioeconomically deprived communities. As deprivation increased, use decreased…”

Section: Correlation Onlymentioning

confidence: 99%

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Is Social Deprivation Associated With Usage, Adverse Events, and Patient-reported Outcome Measures in Total Joint Arthroplasty? A Systematic Review

Karimi

Burkhart

Hecht

et al. 2022

Clin Orthop Relat Res

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BackgroundTo capture various social determinants of health, recent analyses have used comprehensive measures of socioeconomic disadvantage such as deprivation and vulnerability indices. Given that studies evaluating the effects of social deprivation on total joint arthroplasty (TJA) have yielded mixed results, a systematic review of this relationship might help answer questions about usage, complications, and results after surgery among patients in different socioeconomic groups and help guide targeted approaches to ensure health equity.Questions/purposesWe asked: How is social deprivation associated with TJA (1) usage, (2) adverse events including discharge deposition and length of stay, and (3) patient-reported outcome measures (PROMs)?MethodsA comprehensive review of the PubMed, EBSCO host, Medline, and Google Scholar electronic databases was conducted to identify all studies that evaluated social deprivation and TJA between January 1, 2000, and March 1, 2022. Studies were included if they evaluated comprehensive measures of socioeconomic deprivation rather than individual social determinants of health. Nineteen articles were included in our final analysis with a total of 757,522 patients. In addition to characteristics of included studies (such as patient population, procedure evaluated, and utilized social deprivation metric), we recorded TJA usage, adverse events, and PROM values as reported by each article. Two reviewers independently evaluated the quality of included studies using the Methodological Index for Nonrandomized Studies (MINORS) tool. The mean ± SD MINORS score was 13 ± 1 of 16, with higher scores representing better study quality. All the articles included are noncomparative studies. Given the heterogeneity of the included studies, a meta-analysis was not performed and results were instead presented descriptively.ResultsAlthough there were inconsistencies among the included articles, higher levels of social deprivation were associated with lower TJA usage even after controlling for various confounding variables. Similarly, there was agreement among studies regarding higher proportion of nonhome discharge for patients with more social deprivation. Although there was limited agreement across studies regarding whether patients with more social deprivation had differences in their baseline and postoperative PROMs scores, patients with more social deprivation had lower improvements from baseline for most of the included articles.ConclusionThese findings encourage continued efforts focusing on appropriate patient education regarding expectations related to functional improvement and the postoperative recovery process, as well as resources available for further information and social support. We suggest linking patient data to deprivation measures such as the Area Deprivation Index to help encourage shared decision-making strategies that focus on health literacy and common barriers related to access. Given the potential influence social deprivation may have on the outcome and utilization of TJ...

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Knee replacement incidence and social deprivation: results from a French ecological study

Cited by 7 publications

References 37 publications

Osteoarthritis year in review 2020: epidemiology & therapy

Osteoarthritis year in review 2020: epidemiology & therapy

Osteoarthritis and social disadvantage interactions: retrospective overview and emergent findings and health implications

Is Social Deprivation Associated With Usage, Adverse Events, and Patient-reported Outcome Measures in Total Joint Arthroplasty? A Systematic Review

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