Socioeconomic Status Is Associated with Risk of Above-knee Amputation After Periprosthetic Joint Infection of the Knee

Abstract

Background Above-knee amputation (AKA) is a severe but rare complication of TKA. Recent evidence suggests there are sex and racial disparities with regard to AKA after TKA. However, whether lower socioeconomic status is associated with an increased risk of AKA after TKA has not been conclusively established. Questions/purposes (1) Is low socioeconomic status or use of public health insurance plans associated with an

Social Determinants of Health Influence Access to Care and Outcomes in Patients Undergoing Anterior Cruciate Ligament Reconstruction: A Systematic Review

“…23 Furthermore, public health insurance patients carry higher odds of requiring acute medical care within 30 days after ACLR. 32 Studies investigating the impact race/ethnicity and insurance status have on postoperative complications have reported similar findings among orthopaedic [70][71][72][73][74] and spine 75,76 patients. These findings emphasize the disparity in access to care between patient populations experiencing social deprivation or social support as the result of their SDOH, which directly affect outcomes after ACLR.…”

Editor’s Spotlight/Take 5: Socioeconomic Status Is Associated with Risk of Above-knee Amputation After Periprosthetic Joint Infection of the Knee

“…His team went further, however, and statistically adjusted their data to account for differences in comorbidities and dissected down to the ZIP Code™ level. Surprising to me, race and sex were not associated, but public health insurance (Medicare and Medicaid) emerged as factors associated with AKA after PJI [3].…”

“…Shyam Brahmabhatt MD and his team from the Rothman Orthopaedic Institute and Drexel University College of Medicine in Philadelphia, PA, USA, seek to answer this question by looking at a well-defined orthopaedic condition-prosthetic joint infection (PJI) of the knee-and a lifealtering outcome-above-knee amputation (AKA) [3]. Which patients are at a higher risk of having their infection treated by amputation?…”

Racial differences in late-onset Blount disease

“… 4 , 25 Insurance type and estimated median household income were used as indicators of socioeconomic status, consistent with other studies. 26 – 28 Insurance was coded as Medicaid or non-Medicaid. Household income was estimated by comparing zip codes to 2016 inflation-adjusted census data.…”